Small, white, threadlike worms (0.25″–0.5″ long) that live in the large intestine
What are the signs or symptoms?
What are the incubation and contagious periods?
- Incubation period: 1 to 2 months or longer from the time of ingesting the pinworm egg until an adult worm migrates to the anal area
- Contagious period: As long as the female worms are discharging eggs to the skin around the anus
How are they spread?
- Fecal-oral route: Contact with feces of children who are infected. This generally involves an infected child contaminating his own fingers, then touching an object that another child touches. The child who touched the contaminated surface then puts her fingers into her own mouth or another person’s mouth.
- By sharing toys, bedding, clothing, toilet seats, or baths. The eggs are light and float in the air.
- Pinworm eggs remain infective for 2 to 3 weeks in indoor environments.
- Infestation with pinworms commonly clusters within families.
How do you control them?
- Practice good hand-hygiene technique at all the times listed in “When to Practice Hand Hygiene” on 31.
- Keep the child’s fingernails short.
- Treatment with oral medication once or repeated in 2 weeks may be necessary for the whole family and the group of children who share a common environment.
What are the roles of the teacher/caregiver and the family?
- Report the infection to the staff member designated by the child care program or school for decision-making and action related to care of ill children. That person in turn alerts possibly exposed family and staff members to watch for symptoms.
- Suspect pinworms if a child has intense itching around the anal or vaginal area.
- See a health professional for treatment recommendations.
- Bathe the child in the morning to remove a large proportion of eggs that are laid at night.
- Avoid shaking bedding or underwear to prevent further spreading ova through the air.
- Wash children’s hands directly after using the toilet and also before hands are involved with putting something into their mouths.
- Wash toys frequently.
- Clean and sanitize surfaces used for eating, toileting, hand hygiene, food preparation, and diapering.
Exclude from group setting?
- Pinworms are not dangerous.
- Pinworms are relatively common among preschool-and school-aged children and easily shared within these groups.
- In the past, pinworms were found in 5% to 15% of the US population, but prevalence has since decreased.
Source: Managing Infectious Diseases in Child Care and Schools: A Quick Reference Guide.
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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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