Infections and Infestations Flashcards
What are symptoms of threadworms?
Itching around the anus
Disturbed sleep
Actually seeing the threadworms
How are threadworms contracted?
They are contracted when the patient swallows the female eggs. This can be contracted from eating undercooked meat, sharing bedding or toys with an infected person.
Why are threadworms most commonly found with children?
Have poor personal hygiene. Often will scratch around the anus and then put their hands in their mouth which causes an reinfection and continuation of the cycle.
What are some of the alarm symptoms of threadworms?
If the child is under 2 Rectal bleeding Failure of OTC product Recently travelled abroad Repeated infestation If the patient has any medical conditions
What OTC product is available for threadworms?
Mebendazole
What dose of Mebendazole is recommended?
100mg and then repeated 2 weeks later
All household members are required to have this
Who is excluded from taking mebendazole?
Pregnant women and infants under 2
Lifestyle advice for dealing with threadworms?
Rigorous cleaning measures for 6 weeks
Dust with a damp cloth and hoover daily
Washing hands before meals and after nappy changes (scrub under the nails)
Wear underwear and night to prevent scratching
Shower and wash the anus
Clean toys
Do children need to be off school with nits or threadworms?
No but the school should be alerted
What are the alarm symptoms for head lice?
The lice have not been seen Crusty, yellow scalp Patient has a skin condition Repeated infestation Failure of OTC product Resistant to product is suspected Patient is asthmatic
What are the three treatment options for head lice?
Malathion
Permethrin
Dimeticone
How long is each treatment required to be on the hair?
Malathion: 12 hours
Permethrin: 8-12 hours
Dimeticone: 8 hours
What counselling advice is required for head lice?
2-3 days after the treatment, wet combing is required to see if it is successful
Repeat treatment 7 days later
How does scabies occur?
Scabies is caused by a parasite burrowing into the skin and laying eggs which hatch in 14 days after the parasite is first present under the skin.
It is passed on by close contact with an infected person.
What are the main symptoms of scabies?
Intense itching particularly at night
A rash that usually appears firstly between the fingers