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Threadworms

Threadworms, or pinworms, are a common intestinal infection caused by Enterobius vermicularis, primarily affecting children and spreading easily in crowded environments. Symptoms include nocturnal itching, disturbed sleep, irritability, and visible worms, while diagnosis can be confirmed through history, symptoms, and specific tests. Treatment involves anti-helminthic medications and emphasizes the importance of hygiene practices to prevent reinfection.

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6 views4 pages

Threadworms

Threadworms, or pinworms, are a common intestinal infection caused by Enterobius vermicularis, primarily affecting children and spreading easily in crowded environments. Symptoms include nocturnal itching, disturbed sleep, irritability, and visible worms, while diagnosis can be confirmed through history, symptoms, and specific tests. Treatment involves anti-helminthic medications and emphasizes the importance of hygiene practices to prevent reinfection.

Uploaded by

otegbeye2deborah
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Threadworms (Enterobiasis)

Threadworms, also called pinworms are a


common intestinal parasitic infection,
especially in children. They are caused by
Enterobius vermicularis, a small, white,
thread-like worm. Infection spreads easily
among families and in crowded environments.

Signs and Symptoms


Nocturnal perianal itching: Especially at
night(due to female worms laying eggs
around the anus).
Disturbed sleep: Because of itching and
irritation.
Irritability and restlessness: In children.
Visible worms: Tiny white thread-like worms
can sometimes be seen in the stool or around
the anal area at night.

Other symptoms:
Mild abdominal pain
Nausea or reduced appetite
In girls, possible vulvovaginitis if worms
migrate to the genital area.

Complications are rare but may include


secondary bacterial infections from
scratching.

Diagnosis
History and symptoms: Itching around the
anus at night is strongly suggestive.
"Sellotape" test: Applying clear adhesive tape
to the perianal area in the morning to collect
eggs for microscopic examination.t
Direct visualization: Worms seen around the
anus at night or in stool.

Treatment (As a Pharmacist)


First-line anti-helminthic medicines:
Mebendazole:
Dose: 100 mg single dose (for adults and
children >2 years).
Repeat after 2 weeks to prevent reinfection.

Albendazole:
Dose: 400 mg single dose (for adults and
children >2 years).
Repeat after 2 weeks.

Pyrantel pamoate (alternative where


available):
Dose: 10 mg/kg (max 1 g) single dose, repeat
after 2 weeks.
Note: All household members should be
treated simultaneously to break the cycle of
reinfection.

Advice and Prevention


 Wash hands thoroughly with soap and
water before meals and after using the
toilet.
 Keep fingernails short and discourage nail-
biting.
 Daily morning bath and change of
underwear.
 Wash bed linen, towels, and clothes
frequently in hot water.
 Regular cleaning of household surfaces
and vacuuming.

Conclusion
Threadworm infection is common but easily
treated with anti-helminthics and good
hygiene. Educating families on reinfection
prevention is crucial, as eggs can survive on
surfaces and under fingernails.

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