Pinworm infestation is the most common helminthic infection in the United States, occurring in an estimated 20 to 42 million people.
Almost the entire body of a gravid female becomes filled with eggs. The estimations of the number of eggs in a gravid female pinworm range from about 11,000 to 16,000. The egg-laying process begins about five weeks after initial ingestion of pinworm eggs by the human host.
How common are pinworm infections? This is an easily transmissible infection that is very common in families with small children. Pinworm is the most common worm infection in the United States. Experts estimate that one in ten people throughout the world become infected with pinworms.
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.
Once someone has ingested pinworm eggs, there is an incubation period of 1 to 2 months or longer for the adult gravid female to mature in the small intestine. Once mature, the adult female worm migrates to the colon and lays eggs around the anus at night, when many of their hosts are asleep.
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.
Although not all infected people will have symptoms, many will experience itching around the rectum. Some females may also experience itching in the genital area. How soon do symptoms appear? Symptoms usually are noticed one to two months after infection.
They are widespread in Australia. Threadworms (Enterobius vermicularis) are the only type of worm infection commonly seen in Australia, and they are widespread. Although people of any age can get them, children are the most susceptible.
Summary. Pinworm is the most common worm infection in Australia. The major symptom is an itchy bottom, particularly at night.
Reinfection occurs easily. Prevention always should be discussed at the time of treatment. Good hand hygiene is the most effective means of prevention. If pinworm infection occurs again, the infected person should be retreated with the same two-dose treatment.
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.
After a few weeks, the female pinworms move to the end of the large intestine, and they come out of the body at night to lay their eggs around the anus (where poop comes out). The amount of time that passes from when someone swallows the eggs until the worms lay new eggs is about 1 to 2 months.
Chlorine dioxide gas inactivates pinworm eggs in a non-invasive and non-corrosive manner.
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.
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.
Because it is common for everyone in a household to have pinworms at the same time, the doctor may recommend that everyone be treated at the same time. The doctor may also recommend tap water enemas to help flush out the pinworms and reduce symptoms.
Reinfection does happen with pinworm
Reinfection can happen by touching surfaces that have already been contaminated with pinworm eggs by another person. Eggs are swallowed, usually after hand-to-mouth contact, and the pinworm infection begins again.
Worms are a very common source of illness for both adults and children, so experts recommend that deworming should be done two times a year, or every six months, beginning at the age of two years. Deworming is the process of eliminating intestinal parasites, such as worms, using medication.
It moves. If it doesn't wiggle, it's probably lint or a thread. The worm may be seen around the anus or on the child's bottom. It is especially active at night or early morning.
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.
Take the correct dewormer
When infected with worms, it should be dewormed periodically, for adults and children over 2 years old should be dewormed 2 to 3 times a year, ie every 4 to 6 months.
If you or your child has threadworms there's no need to stay off nursery, school or work.
Sometimes crusty areas develop, which may be mistaken for dandruff. If left untreated, the area can become boggy (spongy), discharge pus and develop areas of hair loss. This form of ringworm is most common in children.
So many of us or our family members have experienced this relatively mild though distressing infection. Pinworm is the most common worm infection in North America with up to 50% of some groups of school aged children getting infected.
Pinworm eggs continue to be present (excreted) in the feces of an infected person for up to a week after the treatment, so precautions should be taken to prevent reinfection by washing hands thoroughly, especially under the nails.