Do you administer empiric ivermectin simultaneously with urgent high-dose corticosteroids in a patient from a strongyloides-endemic region who requires immediate immunosuppression and has no prior screening?

What is your approach to strongyloides prophylaxis in a patient from an endemic region who requires urgent high-dose corticosteroid therapy and has had no prior screening?

• I administer empiric ivermectin simultaneously with corticosteroids
• I send screening tests and only treat if results return positive
• I recommend empiric ivermectin and send screening tests simultaneously to document the infection
• Other