Worms In A Child - Treatment And Prevention Of Infection

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Worms In A Child - Treatment And Prevention Of Infection
Worms In A Child - Treatment And Prevention Of Infection

Video: Worms In A Child - Treatment And Prevention Of Infection

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Video: Worm Infection in Babies - Causes, Symptoms & Treatment 2023, February
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Worms in a child. Almost every child at least once in his life was infected with worms. Parasites often attack the child's body due to the high prevalence of helminthic invasions and the characteristics of children's immunity. Prevention of worms in children is the basis of a child's health. As you know, children are not fully aware of the importance of observing the rules of personal hygiene, so adults should carefully monitor their child. Signs of worms in children depend on the habitat and activity of the worms in the child's body. The most common worms - roundworms in babies, pinworms, tapeworms - live in the intestines, but some of certain parasites can move from organ to organ. For example, roundworms first enter the stomach, and from it with blood enter the lungs or liver. There they grow for three weeks, then re-enter the intestines or stomach.

The content of the article:

  • 1 Worms in a child
  • 2 Signs of worms in children
  • 3 Diagnosis of worms in children
  • 4 Tips of Dr. Komarovsky for the prevention of worms
  • 5 Hygienic measures for the prevention of worms in children
  • 6 Preventive measures for children eating
  • 7 Preventive measures for child contact with animals
  • 8 Drug prevention of worms in children
  • 9 Helmintox for the prevention of worms in children
  • 10 Basic principles of therapy for worms in a child
  • 11 What to do if a child has worms

Worms in a child

Worms in a child
Worms in a child

Medical statistics claim that the incidence of helminthic invasions (helminthiases) is very high. Among children attending preschool and school childcare facilities, the infection with worms is close to 80%.

Worms in a child. Experts are sure that the majority of the population (even those who follow the rules of hygiene) have worms. A large number of helminthic invasions at an early stage of formation occurs in a latent form, and not every doctor can make the correct diagnosis in time.

At the same time, not a single organ and not a single human tissue is immune from the possibility of invasion by one or another type of worms. Parasites are able to live in the human body for years, even decades, adapting to the most unfavorable conditions, and not manifest themselves in any way. They are activated when the host's immunity decreases.

Minimizing the risk for the whole family is simple: you need to follow the usual rules of personal hygiene, and it is also necessary to deworm your pets at least 4 times a year. Before deworming, it is worth consulting a veterinarian, since a number of drugs on the market may not contain the required amount of active ingredient. Only a specialist can choose the right drug.

Signs of worms in children

Worms in a child. Now let's talk about the signs that should alert parents in terms of helminthic invasion.

Signs of worms in a child:

  • change in appetite, both in the direction of decrease and in the direction of significant increase, strong craving for sweets;
  • restless sleep, whims, screams, groans, crying, nightmares, teeth grinding (although it happens not only with helminthiasis);
  • disorders of the digestive tract - nausea, vomiting, unstable stools, tendency to constipation, flatulence, regurgitation, volatile abdominal pain, weight loss;
  • itching in the anus, itching in the nose, the habit of biting nails
  • rashes on the skin;
  • allergic reactions;
  • bronchopulmonary syndrome: dry or wet cough especially at night, asthmatic syndrome;
  • anemia, eosinophilia in the study of blood;
  • signs of weakened immunity: often and long-term ill children, recurrent stomatitis, gingivitis or purulent diseases of the skin and mucous membranes;

Among all helminthiasis, according to official statistics, the most common are enterobiasis - 74.8%, ascariasis - 21.08%, trichocephalosis - 3.5%. Among the rest of helminthiasis, the most often recorded in our country are opisthorchiasis, hymenolipedosis, echinococcosis, dirofillariasis, toxocariasis.

Depending on the localization of parasites, children may experience the following symptoms of helminthiasis:

  1. Constipation. Large worms can close the intestinal lumen, which provokes a violation of the stool. Constipation can last for more than two days.
  2. Diarrhea. Some parasites produce a special substance that stimulates the body to release undigested food debris along with plenty of water.
  3. Flatulence. Certain types of helminths provoke bloating in the small intestine, resulting in excess gas formation. If you do not get rid of the worms in time, flatulence can last up to several months.
  4. Irritable Bowel Syndrome. Helminths can cause inflammation in the intestines, resulting in poor absorption of nutrients and irregular bowel movements.
  5. Pain in the muscles and joints. This happens when parasites enter a joint or muscle tissue and begin to destroy them.
  6. Allergy. The secretions of helminths can cause the body to produce special cells that are responsible for the development of allergic reactions.
  7. Worms can cause dermatological diseases. As a result, the child develops acne, urticaria, acne, papillomas and manifestations of diathesis. Sometimes helminth infestation leads to increased fragility of nails and hair.
  8. Anemia. Certain types of worms are able to stick to the walls of the intestine, receiving not only nutrients from it, but also blood. As a result, the child develops anemia, which can be diagnosed by a clinical blood test.
  9. Weight change. Most often, helminth infestation leads to dramatic weight loss. The fact is that parasites absorb a significant amount of nutrients that enter the human body with food. In addition, the presence of helminthic invasion often leads to loss of appetite due to toxins entering the bloodstream. However, in rare cases, an increase in body weight is observed in a child - this process is a protective reaction of the body to the release of worms.
  10. Dysfunctions of the nervous system. The child becomes moody, whiny and irritable. Depression may develop in schoolchildren and adolescents against the background of helminthic invasion.
  11. Sleep disorders. If the child wakes up every night, this may indicate a helminthic invasion. At night, parasites can leave the body through the anus, this process is accompanied by a feeling of severe itching, which does not allow the baby to sleep peacefully. If, after combing, the child bites his nails or simply pulls his fingers into his mouth, then repeated self-infection occurs. For this reason, it is much more difficult to remove worms in children than in adults.
  12. Chronic fatigue syndrome. This condition manifests itself in the form of rapid fatigue, apathy, and weakness. The reason for these conditions lies in the lack of nutrients in the body. The child may experience memory impairment, emotional stress, and drowsiness.
  13. Immune system disorders. Due to the helminthic invasion, the child is much more likely to suffer from viral diseases. He may develop allergic reactions to familiar foods. In the intestine, dysbiosis or colitis often develops, and acne, herpes and diathesis appear on the face.
  14. Inflammatory process in the respiratory tract. In this case, the child has a cough and body temperature rises. A rather dangerous complication of helminthiasis is the development of bronchial asthma.

The variety of symptoms caused by worms greatly complicates the diagnosis. Therefore, parents are advised not to neglect routine preventive examinations, which necessarily include tests to identify pinworms and ascaris.

Diagnosis of worms in children

Worms in a child. In most cases, helminthiasis in childhood is diagnosed through annual preventive examinations of feces for worm eggs. However, this is not the most reliable method: in the presence of symptoms and negative analysis, it must be remembered that not all types of helminths can be determined in this way.

Worms in a child
Worms in a child

Species that lay eggs may also avoid detection in laboratory tests, as the frequency of breeding may not coincide with the time of analysis. There are also known cases when there are one or more same-sex individuals in the body that are incapable of reproduction, but causing harm throughout the entire life cycle.

The list of preventive studies includes an analysis for the presence of worm eggs and scraping for enterobiasis. You can also suspect the presence of helminths by the results of a blood test: a high level of eosinophils in combination with a low hemoglobin in most cases means the presence of parasites in the body.

In case of negative fecal analyzes, it is recommended to retest after 2-3 weeks.

To clarify the diagnosis if echinococcus is suspected, the peritoneal organs are examined by an ultrasound and / or x-ray method. Opisthorchiasis is diagnosed by tests of intestinal contents and duodenal intubation.

Immunological studies help to clarify the type of parasite and the harm caused to the body. To clarify the diagnosis, biological studies of sputum, bile, urine, and a coprogram of feces can be used. After an accurate diagnosis, a therapy method is selected.

Doctor Komarovsky's advice on the prevention of worms

Worms in a child. Specialists - doctors and scientists, parasitologists (ie those who specifically deal with helminthic diseases) - are categorically opposed to shooting sparrows with cannons and using antihelminthic drugs "just in case."

This is argued by the fact that effective drugs are far from harmless, sometimes toxic. Well, the conclusion - first prove that there is a worm, specify which one, and then treat with the drug that is most effective in relation to this worm.

At the same time, the overwhelming majority of practicing pediatricians (including myself) consider the use of antihelminthic drugs in some cases justified even without examination.

But!!! Not for prevention purposes, but when clinical symptoms make the presence of worms highly probable. So, enterobiasis (pinworms) is distinguished by such characteristic symptoms that even without analysis it is clear what, how and how to treat it.

It is a sad but obvious fact - it is easier for almost any mother to give the appropriate pill twice than to go to the clinic, stand in line to the pediatrician for a referral, and then stand in line at the laboratory, and then again to the pediatrician for appointments.

Worms in a child
Worms in a child

Numerous complaints of nausea for no apparent reason, loss of appetite, pallor, plus to this communication with animals - yes, worms are likely. Have passed the analysis - negative. But any pediatrician knows - sometimes 9 tests are negative, and the 10th is positive. So, ten times to go to the clinic?

Worms in a child. Go to the hospital for daily laboratory-controlled pooping? Try to persuade mommy. What about stress for a child? Better to let him drink from worms …

Now the details. If there are no complaints, if everything is in order, nothing is needed for prevention. If he complains, if there are real problems, it is better to use pirantel (doses and order of use in the instructions).

The "vermacar" you mentioned (the international name is "mebendazole", the most common commercial name is "vermox") is in many cases more effective than pyrantel, but also much more toxic. Perhaps, from the antihelminthic drugs "just in case", pyrantel is optimal.

Nevertheless, I will emphasize once again: any such preventive treatment is a compulsory measure, like a payment for the laziness or employment of parents or for the imperfection of the system of organizing the examination. If there is time and opportunity, it is always safer to get tested.

Hygienic measures for the prevention of worms in children

Worms in a child. For the prevention of worms in children, you need to teach the child to personal hygiene.

Hygienic preventive measures in children are as follows:

Hand washing: To prevent worms in young children, not only should the child be taught how to wash their hands, but adults themselves should wash their hands. After all, worms in a child can arise from the dirty hands of those adults who take care of the child, take him in their arms. It is important to pay special attention to the fact that the older children in the family wash their hands.

Food: vegetables and fruits must be washed thoroughly. You need to be especially careful when eating strawberries and garden strawberries - they grow close to the ground, they are often fertilized with manure, and in the structure of these berries there are many microfibers and depressions that contribute to the retention of worm eggs. Meat and fish must be very carefully processed until cooked.

Water: never use open water or unboiled tap water.

At home: Children at home should not play in the hallway and toilet, or play with outdoor shoes. Regularly it is necessary to carry out a complete cleaning of the apartment using disinfectants. And we must not forget that for the prevention of worms in children, it is necessary to periodically wash children's toys with soap.

On the street: parents should be most attentive and make sure that children do not take anything in their mouths on the street and play only in specially equipped sandboxes. Quite often children take soil, sand, cigarette butts in the street. Parents should not rest on the street, but watch what their children are doing in order to stop them in time. It is also better to teach children from childhood never to eat anything on the street. To do this, parents simply should not offer food to their children during walks.

Worms in a child
Worms in a child

Animals: small children should not have contact with unexamined and, moreover, street animals. If this has happened, you need to thoroughly wash your child's hands and carry out in the future planned prevention of worms in children using one of the effective and safe drugs for worms.

Educational measures: of course, for the long-term prevention of worms in children, it is necessary to teach children all hygienic measures, and not just carry them out with the child. Then parents can be sure that the child will wash his hands after the toilet or outside, will not eat an unwashed apple or plum, etc.

Preventive measures for children eating

Worms in a child
Worms in a child

Worms in a child. Washing berries, fruits, vegetables before eating should also become a child's habit. Do not allow your toddler to pick up dropped cookies from the floor and put them in his mouth. Mom should carefully cook meat and fish before serving such dishes on the table.

Washing berries, fruits, vegetables before eating should also become a child's habit.

It is forbidden to buy such products in spontaneous markets without appropriate storage conditions. You cannot give it to children. It is also important to pay attention to the fact that the baby does not drink water from springs, raw from the tap. And also it is necessary to ensure that the child does not swallow water while swimming in natural reservoirs. You shouldn't swim in unverified places.

Preventive measures for child contact with animals

Psychologists say that a cat and a dog are excellent educators for a child, helping to instill in him obedience, responsibility, mercy.

Worms in a child
Worms in a child

It is difficult to argue with this, as well as with the fact that pets are a dangerous source of infection with worms. If a dog or a cat walks on the street, then he definitely has parasites.

Since a child strokes an animal, often kisses it, picks it up, even puts it in its bed, it can easily become infected.

Therefore, firstly, regularly conduct anthelmintic therapy for pets, and secondly, strictly indicate what can be done with a pet and what is strictly prohibited.

Worms in a child. And even if you teach your preschooler son to wash the cat's tray, then be sure to teach him to wash his hands with soap and water after that. After all, even a cat that does not walk on the street can have worms.

Drug prevention of worms in children

Parents should be aware that they should regularly carry out drug prevention and treatment of worms in children.

There are quite a few different folk methods for the prevention and treatment of worms in children. However, there is practically no evidence base regarding their effectiveness. Therefore, you should not risk the health of children, thinking that the worms in children are cured, without being sure of this.

Although, of course, children's nutrition should be varied and include, among other things, those foods that may have an antihelminthic effect (carrots, pumpkin seeds, garlic, onions, viburnum, honey, etc.).

To be sure of both the effectiveness and the safety of the treatment and prevention of worms in children, it is necessary to take antihelminthic drugs produced by a well-known pharmaceutical company and have passed a sufficient number of clinical studies. Moreover, as a rule, if worms are detected in children, it would be necessary to examine and treat all family members as well, because the likelihood of repeated and self-infection is quite high.

Worms in a child. The drug for worms in children should be effective against the most common worms at this age. According to studies, pinworms and roundworms, as well as hookworms and trichinella, are most often detected in children. It is the diseases caused by these worms (enterobiasis, ascariasis, ankylostomiasis, trichinosis, necatorosis) that should be indicated in the instructions for the drug for worms in children.

Also, parents should monitor the state of the gastrointestinal tract and the child's immune system, because they should be ready to meet with worms.

Worms in a child
Worms in a child

The drug for worms in children should be effective against the most common worms at this age

So, with gastritis with low acidity and with anacid gastritis, worms in children will not be resisted on the gastric mucosa, and the likelihood of worm disease increases.

Parents need to monitor the health of their children and examine them in time for the presence of worms.

If worms are detected in children, it is necessary to immediately begin treatment without delaying. Indeed, the longer children have worms, the more negative consequences of helminthic invasion can be.

Helmintox for the prevention of worms in children

Helmintox is a time-tested and clinically tested French antihelminthic drug based on pyrantel.

Worms in a child
Worms in a child

Helmintox is effective against the most common worms in children - pinworms, ascaris, hookworm, therefore it can be considered the most suitable anthelminthic agent for use in childhood.

Helmintox has undergone numerous clinical studies and has shown itself to be a highly effective and safe drug for the most common worms in children. A distinctive feature of Helmintox is the convenience of its use - once, without any additional requirements (enemas, laxatives, etc.), as well as the possibility of using it for worms in children starting from 6 months of age.

Basic principles of therapy for worms in a child

Worms in a child. In most cases, when treating helminthiasis in one family member, treatment must be carried out for all adults and children living in the area. This applies not only to highly contagious ascariasis, but also to other types of helminthiasis.

Worms in a child
Worms in a child

If there are animals in the house, they are required to undergo anthelmintic treatment, regardless of the time after the prevention.

In the room where the sick child lives, it is necessary to do daily hygienic cleaning, it is advisable to remove all carpets, soft toys, bedspreads during the treatment.

Without following the rules, therapy may be ineffective due to the constant presence of sources of infection in the patient's environment.

Change bed linen and underwear, personal towels as often as possible (panties - twice a day), after washing all linen must be ironed thoroughly.

Medicines for each family member are also selected by a doctor depending on age and health status.

It is necessary to monitor compliance with the rules of hygiene: wash your hands after each visit to the toilet room, return from the street, use only personal towels, cut your nails short.

What to do if a child has worms

Worms in a child. If you suspect a helminthic invasion in a child, you need to be tested. Formally, everything is simple and clear - there are many diagnostic methods and helminthologists.

If there are no particularly serious symptoms, such as weight loss, asthmatic syndrome, severe eosinophilia and anemia, intoxication, low-grade fever, etc. and given the fact that pinworms and roundworms are most common, a treatment course can be carried out in the same way as preventive courses.

Worms in a child
Worms in a child

In practice, it is not known exactly where such doctors are, and what tests to take. False negative results are common in stool tests. When examining blood for the presence of helminths or antibodies to them, false positive results are possible in some age groups. But he who seeks will find. It is important that the doctor carefully examines the child, interviews the parents and correlates the clinic with the test results.

Find out more:

  • Infection with worms - how to avoid and means of prevention
  • Antiparasitic cleaning - cleansing from parasites and worms
  • Sorbents for babies and children: preparations, dosage
  • How to remove worms from a person with folk remedies

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