They are also called pinworms. They look like small threads of white cotton, hence their name. They are widespread in Australia.
Summary. Pinworm is the most common worm infection in Australia. The major symptom is an itchy bottom, particularly at night. Treatment usually includes a single or 2-dose course of medication that should be taken by all members of the affected household.
The most common worm in Australian children is the threadworm, Enterobius vermicularis, sometimes called the pinworm. Infection with other worms such as roundworms, hookworms and tapeworms is less common. Threadworms are small, white, thread-like worms 2 to 13 mm long.
Pinworm infections are very common, affecting approximately 1 billion people worldwide. People of all ages can become infected with pinworms, but the infections are found most often in children. Caregivers and family members of infected children have a higher risk of infection.
Pinworms are transmitted by direct transfer of infected eggs by hand from the anus to the mouth of the same or another person. There are a number of drugs available for treatment, including pyrantel embonate, mebendazole and albendazole.
Strict hygiene measures can clear up pinworm infection without medication, and reduce the risk of reinfection. The worm has a lifespan of about six weeks, therefore the strict hygiene needs to last that long.
Most pinworm infections are mild and easily treated. Your doctor may prescribe a single chewable tablet of a medicine called mebendazole. A second tablet is taken about 3 weeks later if the infection isn't cured. Or your doctor may recommend another kind of medicine called pyrantel, which is taken as a single dose.
Typical pinworm infections don't cause serious problems. In rare circumstances, heavy infestations can cause infection of female genitals. The parasite can travel from the anal area up the vagina to the uterus, fallopian tubes and around the pelvic organs.
Pinworms (Enterobius vermicularis) are small, white worms about the length of a staple that live in the rectum of humans. About 20% of children will get pinworms. It is more common in school-age children than pre- schoolers. Adults are rarely affected, except for parents of infected children.
Call Your Doctor If:
Pinworm is seen. Skin around the anus gets red or tender. Anal itching lasts more than 1 week.
The spread of worm infections
To halt the spread of worms, it's crucial to treat all members of the family – not just the youngsters! Adults should take a deworming treatment as soon as their little one shows any symptoms (which can include irritability, tiredness, loss of appetite and an itchy bottom, among others).
The best way to diagnose this infection is to do a tape test. The best time to do this is in the morning before bathing, because pinworms lay their eggs at night. Steps for the test are: Firmly press the sticky side of a 1-inch (2.5 centimeters) strip of cellophane tape over the anal area for a few seconds.
The key is to break the 6-week cycle of pinworm reinfection by killing any live pinworms and preventing the ingestion of eggs. A diagnosis should be confirmed before treating with medications. Medications kill only the adult worms and have no effect on developing eggs and larvae.
People become infected, usually unknowingly, by swallowing (ingesting) infective pinworm eggs that are on fingers, under fingernails, or on clothing, bedding, and other contaminated objects and surfaces. Because of their small size, pinworm eggs sometimes can become airborne and ingested while breathing.
If left untreated, the intense itching and scratching associated with these infections will result in secondary bacterial infections. Some of these may be difficult to treat. Untreated people can continue to infect other people.
The people most likely to be infected with pinworm are children under 18, people who take care of infected children and people who are institutionalized. In these groups, the prevalence can reach 50%. Pinworm is the most common worm infection in the United States.
Finding the female worm or the eggs confirms the diagnosis of pinworms. To find a female worm: At night, the adult worms can sometimes be seen directly around the anal area or in pajamas. The worm (one-quarter to one-half inch long) is clearly visible to the naked eye.
If you are self-treating for pinworms, take the medication once only. Do not repeat the dose without talking with your doctor first. Depending on the type of worm infection you have, your doctor may direct you to take the medication only once or for several days.
How long does pinworms last? The life cycle of a pinworm is 4 to 6 weeks. Without treatment, infestation will continue as long as fresh eggs are being swallowed, unless a person develops immunity to pinworms, which is unusual before age 15.
Avoid simple carbohydrates, such as those found in refined foods, fruits, juices, dairy products, and all sugars, except honey. Eat more raw garlic, pumpkin seeds, pomegranates, beets, and carrots, all of which have been used traditionally to kill parasites.
The medications used for the treatment of pinworm are either mebendazole, pyrantel pamoate, or albendazole. Any of these drugs are given in one dose initially, and then another single dose of the same drug two weeks later. Pyrantel pamoate is available without prescription.
Chlorine dioxide gas inactivates pinworm eggs in a non-invasive and non-corrosive manner.
Pinworm eggs can cling to surfaces, including toys, faucets, bedding and toilet seats, for two weeks. So besides regular cleaning of surfaces, methods to help prevent the spread of pinworm eggs or to prevent reinfection include: Wash in the morning.