To treat
Medication can effectively treat pinworm infections, though reinfection is possible. Serious complications and long-term health effects are rare.
Teach children the importance of washing hands to prevent infection. Daily morning bathing and changing of underclothes helps remove a large proportion of pinworm eggs and can help prevent infection and reinfection. Showering may be preferred to avoid possible contamination of bath water.
Most people don't experience serious complications from pinworm infections, but in rare cases the following complications can occur: Urinary tract infections (UTIs). UTIs can develop if you do not treat the pinworm infection. Vaginitis and endometritis.
Pinworms can usually be treated completely with two doses of over-the-counter medicine called pyrantel pamoate, available in the United States under the brand names Pin-X and Reese's Pinworm Medicine. Take one dose immediately and another dose two weeks later.
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.
Reinfection does happen with pinworm
Eggs are swallowed, usually after hand-to-mouth contact, and the pinworm infection begins again. Pinworm eggs may spread to shared surfaces, such as bedding, curtains, toilets, doorknobs, towels, utensils, and furniture. These areas should be kept clean to avoid reinfection.
Accidentally swallowing or breathing in pinworm eggs causes a pinworm infection. The tiny (microscopic) eggs can be carried to your mouth by contaminated food, drink or your fingers. Once swallowed, the eggs hatch in the intestines and mature into adult worms within a few weeks.
Ingestion is the most common route of infection, however, a study in the October issue of International Journal of Dermatology suggests infection may also occur, primarily among children, from inadequate hand washing, inhalation, or ingestion of airborne pinworm eggs.
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.
Medications kill only the adult worms and have no effect on developing eggs and larvae. The prescription of choice is mebendazole* and the non-prescription medication of choice is pyrantel pamoate. Both mebendazole and pyrantel pamoate are given as a single dose and repeated in 2 weeks to kill any newly ingested eggs.
Encourage children to avoid scratching their bare anal areas. 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.
Pinworms mostly reside in areas of the large intestine of humans but are sometimes found in the small intestine. The life expectancy of these worms is approximately four to eight weeks.
undercooked pork. other undercooked or raw meats, such as beef. raw fruits and vegetables. raw or undercooked freshwater or marine fish.
Call the doctor if your child complains of itchy skin or always seems to be scratching the anal or vaginal area. Also ask if pinworms could be why your child has trouble sleeping or has begun to wet the bed.
While serious complications are rare, pinworms can lead to: Bacterial infections: When the infected person scratches the anal area, the skin can bleed and become infected. Urinary tract infections (UTIs): In females, the worms can travel to the vagina and cause infections.
In order to stop the spread of pinworm and possible re-infection, people who are infected should shower every morning to help remove a large amount of the eggs on the skin. Showering is a better method than taking a bath, because showering avoids potentially contaminating the bath water with pinworm eggs.
Bathe carefully every day. Be sure to clean the skin around the anus. This will remove pinworm eggs. Showers may be better than baths because you have less chance of getting water that has pinworm eggs into your mouth.
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.
Adults are rarely affected, except for parents of infected children. Infection often occurs in more than one family member. While an infected person sleeps, female pinworms crawl out of the anus and lay their eggs on the surrounding skin.
Complete die-off within the tested exposure time range was noted for 70 °C, 75 °C and 80 °C, however treatment at 60 °C and 65 °C allowed for development of a few eggs after incubation.
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.
Call your child's school or childcare center so that they can take extra steps to prevent the spread to others. Your child can return to school or childcare 24 hours after treatment.
Life cycle of a pinworm
A grown pinworm is yellowish white, slender and about one centimetre long. Around 4 weeks after ingestion, the adult female moves down the gut and exits the body via the anus to lay a batch of eggs on the surrounding skin, often at night. The worm then dies, her reproductive mission complete.
The worms die after about six weeks. Provided that you do not swallow any new eggs, no new worms will grow to replace them. So, if you continue the hygiene measures described above for six weeks, this should break the cycle of re-infection, and clear your gut of threadworms.