threadworm

Question 1

what is threadworm?

Answer 1

• Threadworms have a white, thread-like appearance — adult males are 2–5 mm in length and adult females are 8–13 mm

Question 2

how is threadworm transmitted?

Answer 2

Transmission occurs by the faeco-oral route when threadworm eggs are ingested

Question 3

what are the symptoms of threadworm>

Answer 3

Symptoms include, itching around the anus or vagina (particularly at night) and irritability
o
Less common symptoms are weight loss and wetting the bed

Question 4

what are red flags of threadworm?

Answer 4

• Children under the age of 2
o OTC preparations are not licensed for the treatment of children age 2 and under
• Pregnant or breastfeeding women
• Recent travel to a country abroad

Question 5

what is some lifestyle advice for threadworm?

Answer 5

• Wash hands thoroughly with soap and warm water after using the toilet, changing nappies and before handling food.
• Cut fingernails regularly, avoid biting nails and scratching around the anus.
• Shower each morning, including the perianal area, to remove eggs from the skin.
• Change bed linen and nightwear daily for several days after treatment.
• Do not shake out items as this may distribute eggs around the room.
• Washing/drying in a hot cycle will kill pinworm eggs.

Question 6

what are the drug treatment options for threadworm?

Answer 6

Mebendazole

Question 7

what is the treatment regime for Mebendazole?

Answer 7

single one-off dose taken orally and then followed up after 2 weeks with another dose, if needed
• All members of the household (or regular close contacts) MUST be treated, regardless of possessing symptoms of the infection