Pinworms

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EpisodeChoose one

Perianal examChoose one

Tape testChoose any

Vulvar symptomsChoose any

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HouseholdChoose any

HygieneChoose any

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Pinworms
• First episode
• Recommended pyrantel pamoate today and a second dose in 2 weeks
• Recommended handwashing, short fingernails, morning baths, and washing pajamas, underwear, and bedding in hot water
• Follow up as needed

Pinworms are common in children, are not dangerous, and spread easily within families; the second dose kills worms that hatch from eggs left after the first. Recommended supportive care with an emphasis on handwashing, short nails, and morning baths. Return precautions given including itching that continues after the second dose, belly pain, new or worsening vaginal itching or discharge, poor sleep, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

How diagnosed (worms seen, tape test, typical itching)
First vs recurrent
Vulvar itching
Pyrantel, Albendazole, Mebendazole, under 2
Treat household
Household hygiene
School or child care

Return precautions in the template

itching that continues after the second dosebelly painnew or worsening vaginal itching or dischargepoor sleep

Sources

HealthyChildren.org: Pinworms
Red Book 2024-2027: Pinworm Infection
CDC, Clinical Overview of Pinworm Infection (February 20, 2024)