Description Common Age Group Causes Body System/s Prognosis Signs And Symptoms

Affected Affected
A pinworm infection In adults, pinworm You get pinworms The eggs pass into Pinworm infestation Most people who
is an intestinal infection is most by accidentally the digestive system is very rarely fatal; are infected don’t
illness that’s very common in parents swallowing or and hatch in the death and morbidity have symptoms. If
common in aged 30-39 years, breathing in their small intestine. From are from secondary you do, they might
elementary school- typically because of eggs. You could eat the small intestine, infection. A 28-68% include:
aged children. transmission from or drink something pinworm larvae go increased risk for
Pinworms are small, their children aged that’s contaminated to the large appendicitis is *Anal itching,
thin, pin-shaped 5-9 years. Overall, with them and not intestine, where associated with especially at night
worms that males are affected know it. The eggs they live as parasites pinworm infestation. *Restless sleep
sometimes live in twice as often as can also live on (with their heads Eradicating pinworm *Itching in the
the human colon females, except in surfaces like attached to the in groups of vaginal area -- if
and rectum. They’re people aged 5-14 clothing, bedding, or inside wall of the institutionalized adult worms move
also called years, when other objects. If you bowel). persons is difficult. to your vagina
threadworms. infection is touch one of these Continuous follow- *Feeling irritable
They’re about one- predominantly in items and then put up examination is *Abdominal pain
quarter to one-half females. your fingers in your necessary. that comes and goes
inch long -- about mouth, you’ll
the size of a staple. swallow the eggs.
The females do their
work while you About a month later,
sleep: They leave the eggs hatch in
the intestine your intestines and
through your anus grow into adult
and deposit their worms. Female
eggs on the pinworms move to
surrounding skin. your anal area to lay
their eggs. This
causes anal itching.
If you scratch the
area, the eggs cling
to your fingers and
get under your nails.
If you touch other
surfaces or objects,
you could spread the
worms.

PINWORMS
Pathophysiology Laboratory and Nursing Management Medical References
Diagnostic Test Management

Infestation usually Your doctor can The medications  https://www.mayoclinic.org/diseases-

results from transfer confirm the used for the conditions/pinworm/diagnosis-
of ova from the presence of Nursing Assessment treatment of treatment/drc-20376386
perianal area to pinworms by pinworm are either  https://www.webmd.com/a-to-z-
fomites (clothing, identifying the Assessment includes the mebendazole, guides/pinworms-infection
bedding, furniture, worms or eggs. following: pyrantel pamoate,
rugs, toys, toilet or albendazole. Any
seats), from which To help your of these drugs are
 History. Patients with
the ova are picked doctor make a enterobiasis are often given in one dose
up by the new host, diagnosis, you can asymptomatic. initially, and then
transmitted to the perform the tape Worms may be another single dose
mouth, and test. As soon as incidentally of the same drug
swallowed. Thumb the person you discovered when they two weeks later.
sucking is a risk suspect has are seen in the Pyrantel pamoate is
factor. pinworms wakes perineal region; if available without
up and before he patients are prescription
symptomatic, pruritus
or she uses the
toilet, washes or ani and pruritus
gets dressed, vulvae are common
press the adhesive presenting symptoms.
side of a piece of  Physical
transparent tape exam. Worms can be
found in stools or on
to the skin around
the patient’s
the anus. The eggs perineum before
stick to the tape. bathing in the
morning.
For best results,
perform the tape
test three days in Nursing Diagnosis
a row, and then
take the pieces of Based on the assessment
tape to your data, the major nursing
doctor. Your diagnoses are:
doctor can look at
the tape under a
 Risk for impaired skin
microscope to see integrity related to
if there are any intense perianal
pinworm eggs. scratching.
 Acute pain related
to smooth muscle
spasm secondary to
migration of parasites
in the stomach.
 Imbalanced
Nutrition: less than
body
requirements related
to anorexia and
vomiting.
 Hyperthermia related
to decrease in
circulation secondary
to dehydration.

Nursing Care Planning

and Goals

The major goals for a child

with Enterobiasis are:

 Reduce discomfort
from perianal itching.
 Diminish pain to a
tolerable level.
 Regain adequate
nutrition.
 Reduce or eliminate
increase in
temperature.

Nursing Interventions

The nursing interventions

for a child with Enterobiasis
are:

 Administer
medications as
ordered. Drug
therapy with pyrantel,
mebendazole, or
albendazole to
destroy the causative
parasites. Effective
eradication requires
treatment of the
patient’s family or
members of the
household.
 Inform patient of the
side effects of
pyrantel. Stool may
be bright red and may
cause vomiting. The
tablet form of this
drug is coated with
aspirin and shouldn’t
be given to aspirin-
sensitive patients.
 Improve skin
integrity. Application
of an antipruritic
ointment or
albendazole may help
control scratching;
keeping the patient’s
fingernails trimmed to
prevent excoriations
is helpful.
 Diminish pain. An
antihelminthic
medication should be
prescribed to patients
with enterobiasis.
 Improve hygienic
status. Avoid
scratching the area
and nail-biting
because this is a
cause of
autoinfection;
thorough
handwashing should
be done before and
after meals. Tell
family not to shake
bed linens to avoid
aerosolization of eggs
that may be found on
linens.
 Diminish increase in
temperature. Adminis
ter antipyretics as
prescribed; tepid
sponge baths may
also be given.

Evaluation
Goals are met as evidenced
by:

 Reduced discomfort
from perianal itching.
 Diminished pain to a
tolerable level.
 Regained adequate
nutrition.
 Diminished increase
in temperature