Worm Infestations
Ankylostoma
Ascaris
duodenale
lumbricoides
Enterobius
vermicularis
Ankylostoma duodenale
Public Health Importance
About one billion infected
Most common cause of IDA worldwide
Loss of productivity
Malnutrition and Growth retardation
in children
Mode of Transmission
Direct contact with contaminated soil
Contamination of water with soil
Eating contaminated produce
Signs & Symptoms
Asymptomatic
Itching
Rash
Anemia
Abdominal pain
Diarrhea
Loss of appetite
Weight loss.
Stunted physical and mental development
Prevention
Clean drinking water
Nightsoil use in farming?
Wearing of shoes
Chemoprophylaxis
Sanitary disposal of human excreta
Treatment
Albendazole.
OR
Mebendazole
OR
Pyrantel pamoate
ASCARIS LUMBRICOIDES
Most common human worm infection.
Common in tropical and subtropical
areas
Children infected more often than
adults
Mode of Transmission
Contamination of produce via infected
fertilizers
Contamination of water supplies
Accidental ingestion of infective
ascarid eggs
Signs & Symptoms
Abdominal pain and intestinal
obstruction.
Symptomatic occlusion of the biliary
tract
Oral expulsion.
Signs & Symptoms
Cough,
Dyspnea,
Hemoptysis,
Eosinophilic pneumonitis - Loefflers
syndrome).
Light infection often asymptomatic
Prevention
Avoid contacting soil that may be contaminated
with human feces.
Avoiding fertilization with raw human sewage
Do not defecate outdoors.
Dispose of childs stools/diapers properly.
Prevention
Wash hands with soap and water before
handling food.
Avoid water or food that may be contaminated.
Wash, peel or cook all raw vegetables and fruits
before eating.
Treatment
Albendazole
Mebendazole
Pyrantel pamoate.
ENTEROBIUS VERMICULARIS
Worldwide distribution
Infections more frequent in school- or
preschool- children
Crowded conditions
Commoner in temperate than tropical
countries
Mode of Transmission
Self-infection
Handling of contaminated clothes or
bed linens
Surfaces in the environment that are
contaminated with pinworm eggs
Airborne and inhaled
Signs & Symptoms
Perianal pruritus
Anorexia,
Irritability
Abdominal pain.
Vulvovaginitis
Pelvic or peritoneal granulomas
Prevention
Bathe to help reduce the egg contamination.
Frequent changing of night clothes are
recommended.
Change clothes, and sheets after each
treatment.
Open blinds or curtains in bedrooms during the
day.
Prevention
Personal hygiene should include washing hands
after going to the toilet, before eating and after
changing diapers.
Trim fingernails short.
Discourage nail-biting
Treatment: Pyrantel pamoate