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This article was co-written by Victor Catania, MD. Dr. Catania is a family physician licensed to practice in Pennsylvania. He received his MD from the Medical College of the Americas in 2012.
There are 7 references cited in this article that you can view at the bottom of the page.
This article has been viewed 4,253 times.
Pinworms are small, white, round and cotton-like parasites that live in the human intestine. Pinworms are found in all parts of the world and usually infect mainly young children. Although not dangerous, pinworms can cause many unpleasant symptoms.
Steps
Learn the Life Cycle of Pinworms
- High Risk : School-age children/preschoolers, orphans/or elderly people in nursing homes and their families, family members and carers of the first two groups. Children’s hands often touch many things, do many things, and are often not washed. Children also often put their hands/fingers in their mouths, touch toys, tables and chairs, touch each other, wipe their hands on clothes, etc. Orphans/or elderly people in nursing homes are similar. This has created a favorable environment for pinworms to multiply.
- Moderate risk : Moderate risk. Similar to what you would expect in the high-risk group, people who come into contact with any or all of the subjects in the high-risk group will be placed in the moderate-risk group. At this point, to prevent pinworm infection, you only have to follow the instructions on personal hygiene. Since you can’t distance yourself from others because they have pinworms, you can only take care of yourself as best you can.
- Low risk : This group includes basically everyone. Adults with little exposure to high-risk groups or relatively limited exposure to moderate-risk groups will be in the low-risk group for pinworm infection.
- Once mature, the female worm migrates to the intestines and lays eggs around the anus at night, when the host is asleep. When laying eggs, female worms use “glue” to stick the eggs to the anus and this substance will cause an itchy sensation on the skin.
- This is why the itching is often worse at night: the worms migrate to the area around the rectum to lay eggs.
- This process of hand-to-mouth transmission can also take place indirectly. Eggs can be carried to flat surfaces such as clothing or furniture, where they can live up to two to three weeks and stick to human hands. Finally, the worms will be introduced into the body if the person does not wash his hands and bring them to his mouth.
- Restlessness, insomnia, especially if you have never experienced this condition before
- Bedweed
- Bad sleep habits (like teeth grinding)
- Vaginal discharge in women
- Bacterial skin infections
- You can see worms in the anus (rectum), especially if observed about 2-3 hours after the infected person is fast asleep. Use a flashlight to help you see better.
- You may see worms in the toilet after the infected person has finished defecating. Observers will see worms crawling in the waste. Pinworms are usually very small and 1 cm long. They may look a bit like white yarn.
- Pinworms can be found in a young child’s underwear in the morning.
- The doctor may also take a sample from under the finger of an infected person and check for worm eggs.
- You can use a pinworm straw. This flute-like device will be used to “pick up” a sample from a suspected pinworm site and store it in a plastic test tube.
Pinworm Infection Prevention
- Use warm water and mild soap to wash your hands thoroughly for 30 seconds. While washing your hands, you can hum a favorite song to time it for 30 seconds.
- Wash your hands before, during and after all activities with friends/relatives, colleagues…in nursing homes, orphanages.
- Avoid putting your hands to your mouth when going to schools or nursing homes, orphanages.
- Wash your hands thoroughly after coming into contact with a child being treated for pinworm infection. [8] X Trusted Source Centers for Disease Contrp and Prevention Go to source
- Be careful not to cut your nails too short to avoid other health problems.
- Always keep the skin under your fingers clean when washing your hands and bathing. Keeping the skin under your fingers clean is always a general rule.
- Every member of the family should shower every morning and change their underwear daily (normal showers are recommended instead of tub baths to avoid contact with water contaminated with worms). While treating pinworms, shower in the evening and in the morning to remove the eggs that the worms lay at night.
- Be careful when cleaning the sheets, clothes, and towels of someone with pinworms (or someone you suspect has worms). Do not shake vigorously and do not wash contaminated items (underwear, sheets, pajamas and towels) with other items.
Advice
- Pinworm infection is not a sign of uncleanness. Pinworms can be prevented with simple hygiene methods but it cannot reflect the cleanliness or lack of cleanliness of the person or family.
- Always wear clean underwear and wash them regularly.
- In child care centers and schools where infection is widespread, children with worms should be treated at the same time. The treatment should be repeated every two weeks.
- The treatment consists of 2 doses of either prescription or over-the-counter medication with the second dose being taken 2 weeks after the first dose.
- There are many cases of reinfection with worms after being treated, so identifying the source of infection is very important. The child’s friends, schoolmates or family members and caregivers may be considered potential sources of infection.
- There is a very high risk of reinfection. All families and household members should receive treatment if one or more members are diagnosed with pinworm infection.
- Worm eggs are rarely found in stool or urine samples.
- Use Lysp wipes or any antibacterial wipes instead of towels to clean the toilet bowl, sink, and other surfaces in the bathroom.
- Always talk to a healthcare professional before treating someone with suspected pinworm infection
- Common places that infect pinworm eggs include:
- Bed sheets, towels, underwear and pajamas
- Toilet and bathroom supplies
- Food, drinking glasses, dishes, utensils and kitchen counters
- Toys and play areas for children such as sand
- School desks and dining tables in schools
Warning
- Pinworm infections are more common in more than one person in the household and in nursing homes/orphanages.
- Child care centers often have a lot of pinworm infections.
- Just because you belong to a certain risk group doesn’t mean you won’t or won’t get pinworms.
Things you need
- Flashlight
- Tape
- Medicines prescribed by a doctor
- Soap and water
- Hot water for washing
This article was co-written by Victor Catania, MD. Dr. Catania is a family physician licensed to practice in Pennsylvania. He received his MD from the Medical College of the Americas in 2012.
There are 7 references cited in this article that you can view at the bottom of the page.
This article has been viewed 4,253 times.
Pinworms are small, white, round and cotton-like parasites that live in the human intestine. Pinworms are found in all parts of the world and usually infect mainly young children. Although not dangerous, pinworms can cause many unpleasant symptoms.
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