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Pinworm: A Common Parasite in Schoolchildren

Do your children complain about having to wash their hands and trim their fingernails? If they do, here’s a great reason you can give them to be neat and clean: pinworms. Pinworm infection is very common; it is actually the most common roundworm parasite infection in the United States. Health care professionals believe pinworm affects 200 million people around the world and about one third of Americans, mostly schoolchildren.

Pinworm is a tiny parasite that lives inside the intestine. Pinworm eggs are microscopic and adult pinworms are only about 5-10 millimeters in size. The adult pinworm is sometimes called a threadworm because it looks like a staple-sized piece of white thread. Depending on the severity of a pinworm infection, a child or adult may have no symptoms or may experience discomfort from a mild to moderate pinworm infection.

Itching around the rectum is a major symptom of a pinworm infection. The itching is caused by the adult female pinworm after it matures, travels through the digestive tract, and lays eggs in the anal area, typically at night. In addition to itching, a pinworm infection may cause restlessness, abdominal pain, and nausea, but pinworm is not known to cause injury or harm to children or adults who are infected.

Pinworm infection is quite contagious. Pinworms are spread when a person—often a child—itches his or her bottom and transfers pinworm eggs to other surfaces. Pinworm eggs can live up to three weeks outside the body. Therefore, anyone who touches a surface contaminated with pinworm eggs can easily pick up a pinworm infection.

Pinworm infections are common in areas where children congregate for long periods of time such as schools, daycare centers, and playgrounds. Poor hygiene and a warm climate increase the chances of a child catching a pinworm parasite. Pinworm does not come from pets or animals. To prevent a pinworm infection, children should be encouraged to wash their hands frequently, especially after going to the bathroom and before eating. Children should also bathe and change their underwear daily. It often helps to teach children that many germs, like pinworm, are so tiny they are invisible so it is important to wash even if one’s hands and body don’t “look” dirty.

 
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