Oxyuriasis (Thread Worms), Pin Worm
Or Seat
Worms:
Enterovirbius vermicularis is commonly found in children. It
is transmitted because of insanitary living conditions in the school, hostels,
institutions, and families. It is transmitted through soil, finger, flies, and
linen.
Signs and symptoms:
1.
Asymptomatic children may not have
any complaints.
2.
General symptoms are found, such as lack
of appetite, loss of weight, grinding of teeth, and abdominal pain.
3.
Pruritis at anal region and at valva
is caused by the crawling of the gravid female worms, which come out of the
anus. Scratching produces secondary infection.
4.
Nocturnal enuresis may occur.
Rarely, it may cause appendicitis.
Investigation:
Stool examination for thread worm or ova. Treatment:
1.
Peprarizine citrate may be
prescribed.
2.
It is advisable to treat whole
family at a time.
3.
Mebendazole is prescribed and
administered twice a day.
Prevention:
1.
Children's nails should be cut short
and scrubbed with the soft brush.
2.
The use of long pyjama helps to
prevent auto infestation.
3.
Antipruritic cream can be used to
prevent itching.
Hygienic eating habits should be practiced.
Hospitalisation:
Children who cannot be cared at home
or in the health centre or in the O.P.D., may be admitted to the hospital for
treatment. Hospitalisation is the disruption of the lifestyle of children and
their families.
The children's reactions to the
hospitalisation and coping strength depend on the age, developmental stage,
body image, fear, reason for hospitalisation, and the previous experience about
hospitalisation.
The change from home to hospital
environment creates stress. The difference in hospital and home disturbs the
child and adds to the stress, for example, environment, mealtime, toileting,
feeding, bath time, and recreation.
By understanding these factors, the
nurse can explore the child's reaction, describe nursing care to provide safety,
promote sleep and rest, manage sensory deprivation, relieve pain, give
medications, and assist in other procedures.
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