Enterobiasis in a child

Enterobiasis is a really typical helminthic intrusion in nations with a temperate environment. You can get contaminated with it at any age, however it threatens kids in the top place. Treatment of enterobiasis in kids is not a severe issue with prompt medical diagnosis.

Enterobiasis symptoms

This condition has an ICD-80 code B10. Its causative representatives are pinworms. These helminths, which differ in length from 3 to 10 mm, get in the intestinal tracts through the esophagus or rectum. The developmental cycle from larva to grownup is 20 days, and the life expectancy of the parasite reaches 2 months.

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The look of pinworms in kids in the intestinal tracts (enterobiasis) appears by a variety of indications:

  • stomach discomfort,
  • stool conditions,
  • flatulence,
  • atopic dermatitis,
  • weight reduction,
  • itching around the rectum.

In the existence of such signs, a smear for enterobiasis in kids permits a precise medical diagnosis. It is necessary to understand that enterobiasis does not appear in kids instantly after infection. An infant who looks healthy on the exterior can spread out pinworm eggs in the environment. Therefore, such an evaluation is always performed when going into a kindergarten or school, when sending out to a summertime camp or insane asylum. An analysis of enterobiasis in kids is needed to go to the swimming pool. This easy medical adjustment permits lots of people to be safeguarded from infection, and there is no requirement to take an enterobiasis test as an unneeded safety measure. The scraping method is not bothersome and the outcome is necessary.

Ways of spread of enterobiasis

16 06 2015 011045karin agrisi 3 - 13According to the International Classification of Diseases, enterobiasis comes from anthroponous helminthiases. This indicates that only individuals get ill with it, it is difficult to get it from a canine or feline, however cockroaches or flies can bring the eggs of parasites. The possibility of having eggs in the environment is high if kids live in unhygienic conditions.

The practicality of helminths is high, they can live in the external environment for approximately 25 days, and their eggs are well maintained on dirty surface areas. Infection happens through home products and filthy hands. Enterobiasis likewise happens in babies, however this takes place exceptionally hardly ever. In babies, worms can appear in the intestinal tracts just if the moms and dads do not follow the guidelines of health when looking after a breastfed child. The peak occurrence of this illness happens at the age of 4 to 15 years. Most frequently, infection happens in child care centers, specifically those where young boys and women invest the entire day. Even if schoolchildren do not participate in the lunchroom, this cannot entirely safeguard versus pinworms in kids. Therefore, it is required to frequently do scraping for enterobiasis in kids for preventive functions.

Methods for identifying enterobiasis

Even moms and dads who have no medical education can presume helminthiasis in kids. The eggs of the causative representatives of enterobiasis can just be seen under a microscopic lense, however pinworms in the feces of a child show up with the naked eye. It’s not difficult to bear in mind what pinworms appear like in feces, they look like thick grayish-white cotton threads. If you discover something suspicious in kids’s stool, call your pediatrician, and he will recommend diagnostic treatments:

  • feces analysis,
  • scraping,
  • lab blood test.

The research study of feces for enterobiasis is the easiest technique that can be quickly used even to a child who is on HB, however this is not the most helpful medical diagnosis of enterobiasis in kids. Even if the child is contaminated, parasites and their eggs are far from constantly discovered in the feces. In case of doubt about the medical diagnosis, it is required to pass a scraping for enterobiasis. The most precise outcome is offered by a blood test, an increased concentration of eosinophils and a minimized level of red cell suggest infection. To properly recognize pinworms in kids, any of these tests need to be taken properly, following a particular algorithm.

How to get checked?

image 1 - 15Parents have an approximate concept of ​​how they take an analysis for enterobiasis, however some guidelines need information so that indications of enterobiasis are more dependably discovered in kids. Incorrect tasting of product can cast doubt on the outcomes of lab tests.

The feces considered research study must enter contact with different things and the external environment just possible. Do not utilize tablet vials or matchboxes; usage a pharmacy-bought sterilized container. Do not touch the feces with your hands, utilize the unique spatula provided with the container. It is finest to take early morning feces.

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It is similarly essential to understand how to effectively get ready for taking a smear to recognize pinworms in kids. Before taking a scraping, the child must not be gotten rid of. The method of taking a scraping for enterobiasis itself is easy: the rectum is treated with adhesive tape or a cotton bud. Tell the kid in advance how they take a scraping for enterobiasis, discuss that absolutely nothing bad will occur if he acts calmly. Understanding what is taking place makes the nurse’s task simpler and avoids injury. The child will not have the ability to comprehend what is taking place. To avoid the newborn from getting hurt, firmly repair the legs.

Determination of the level of erythrocytes and eosinophils is helpful for enterobiasis, however for total dependability you require to understand how to contribute blood properly. At least a day, and ideally a couple of days prior to needing to be checked for enterobiasis, the child must not be offered sugary foods, fatty foods. The innovation almost does not vary from how a scientific blood test from a finger is drawn from kids. In the early morning prior to the treatment, the child must not consume, even when breastfeeding, however you need to certainly offer him water. Drink a little every 15 minutes.

Invasion treatment

depositphotos 81080734 2015 5 m 17  - At the smallest suspicion of a helminthic illness, it is required to pass an analysis for enterobiasis. Parents must not be frightened by a favorable outcome. Modern pediatricians understand completely well how to deal with enterobiasis in kids; there work medications for this condition.

Antiparasitic tablets and suppositories are safe, however just when utilized properly. Not all drugs can be offered to kids of the very first year of life, the dose is constantly figured out by the age and weight of the client, for that reason, self-treatment is inappropriate.

If the child is detected with helminthiasis, it is required to properly follow the guidelines of the pediatrician, not concentrating on the evaluations of pals about how to deal with the helminthic intrusion. Pills that have actually worked for one client can harm another.

Do not get brought away with folk solutions. You can utilize them, however just with the consent of your physician.

Alternative medication must be an accessory to a physician’s prescription, not a replacement for it.

For example, a solution such as pumpkin seed oil can prepare the body for antihelminthic drug treatment, however it is difficult to entirely treat helminthiasis in kids at house with folk solutions alone.

Prevention of pinworm problem

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Helminthiasis is simpler to avoid than treatment. Prevention of enterobiasis in kids consists of numerous elements. Parents must understand how enterobiasis manifests itself in kids, its signs and treatment.

Compliance with health requirements plays the primary function in the avoidance of helminthiasis.

Maintain tidiness in the apartment or condo, do not enable cockroaches in your home. Teach your daughter or son to clean their hands as early as possible prior to consuming and instantly after returning house. Fight bad youth practices in a prompt way, do not enable your child to bite his nails, pull toys and other things into his mouth, touch loose primary teeth with his hands. In kindergarten or school, offer the kids feminine napkins with you, discuss that they require to clean their hands from time to time. Cut your kids’s nails short, and do not enable them to take toys coming from unknown kids when playing in the sandbox.

If there is a suspicion of infection with helminths, do not anticipate that the signs that stressed you will “pass on their own,” however instantly clarify the medical diagnosis. This must be done, even if there are no indications of the illness, however you understand of a case of enterobiasis in a kindergarten, school or other organization that your child participates in. Do not be reluctant to call your physician, if required, he will discuss what a scraping for enterobiasis is and how to pass it properly. If the test is favorable, follow your physician’s guidelines and take safety measures so that nobody else in the household gets contaminated.

The client must have different meals and flatware. Iron bedding, underclothing and upholstered furnishings frequently with a curling iron. Do the exact same treatment with soft toys, and clean the plastic ones in a salt option and boil. To avoid your child from scratching the scratchy skin around the rectum, use tight-fitting panties or diapers on him. At completion of the course of treatment, it is required to make a control analysis. If it is still favorable, treatment must be continued. If the outcome is skeptical, clarify how to take the test properly, and repeat it.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.