Q. WHY does my child keep getting threadworms, or am I not treating it correctly?
A. Threadworms are extremely common in school age children – it is estimated that up to 50 per cent of children under 10 may be infected. They are extremely easily transmitted from one child to another and require scrupulous hygiene measures for up to six weeks to be completely clear of them.
The worms are white and look like a fine piece of thread – you can often see them around the child’s back passage or in the child’s stools and they cause intense itching – which is often the first indication that they are present.
The actual worms are easily treated using medication containing Mebendazole and can be purchased in your local pharmacy as Ovex – in either liquid or chewable tablet form. However the treatment does not kill the eggs which are produced by the threadworms and the only way to get rid of them is to follow good hygiene guidelines. If these measures are not followed there is a high chance of further infection.
All members of the family should be treated as it is highly likely that if one member of the family is infected everyone will be similarly infected. The Ovex treatment should be repeated 14 days after the initial treatment to clear up any worms which may have hatched since the first treatment was given. Every family member is treated with the same medication except for those who are pregnant or breastfeeding or under two years of age. In these cases the GP should be consulted.
When a child is found to be infected all the child’s bedclothes and sleepwear should be washed, and the mattress, bedroom carpet and bathroom should be thoroughly vacuumed to remove any eggs which may have dropped off the body.
It is also recommended that the infected individual’s nails should be cut short to prevent the eggs from lodging under the nails and therefore being transmitted to other individuals as well as re-infecting themselves. Children should also be discouraged from nail biting or sucking their thumb as these are common routes for swallowing more eggs.
After treatment everyone must be extra careful with personal hygiene – washing hands after using the bathroom and before eating – making sure to scrub well under the nails with a nail brush. If the child continues to scratch their bottom wearing cotton gloves at night may help.
In the home high standards of hygiene should be maintained in the bedroom and bathroom areas in particular, preventing re-infection and should be continued for six weeks to ensure complete clearance.
Children can easily pick up another threadworm infection from friends or at school, so maintaining good hygiene may help prevent another outbreak.
These measures may seem tedious and extensive and many families do not carry them out correctly leading to a high re-infection rate among children but they are the only way to ensure a completely successful outcome.
Gordons Chemists is the largest independently owned retail pharmacy chain in Northern Ireland. Established in 1980, Gordons now has 49 pharmacies here and also nine in Scotland.
Products described are available at most pharmacies and Gordons Chemists does not endorse any individual product. Always consult your pharmacist in relation to your individual symptoms.