Pinworms and UTIS

Question 1

PW Etiology

Answer 1

• Person-to-person via anus-to-mouth when using contaminated fingers to handle and eat
• Wash hands before eating

Question 2

Appearance

Answer 2

• Small (length of a staple), white, threadlike, pin-shaped, pointed tail

Question 3

PW S&S

Answer 3

• Perianal itch that occurs at night
• Disturbed sleep
• Irritability

Question 4

PW Diagnoses

Answer 4

• Scotch tape test

Question 5

PW treatment goals

Answer 5

• Eradication from patient and household

Question 6

Nonpharm therapy PW

Answer 6

• Wash sheets, pajamas, towel, underwear, etc. daily
• Open blinds/curtains
• Morning showers
• Disinfect toilet sheets
• Vacuum
• Close-fitting clothes when sleep
• Wash hands
• Nail- wash under and keep trim
• Natural product use is not supported by evidence

Question 7

Pharm therapy PW

Answer 7

• Pyrantel pamoate
o Refer <25lb
o Treat entire family
o Consult physician: repeat in 2 weeks if symptoms do not resolve

Question 8

Pyrantel Dose

Answer 8

o Dose based on weight (11mg/kg max 1 g)

o Do not use in pregnant women or pts with liver disease

Question 9

UTI Phenazopyridine

Answer 9

o	AZOStandard
o	Painful – if left untreated bacteria may make its way up to the kidney  may give AZO to treat symptoms, but REFER to a physician for antibiotics
o	Interferes with the dip stick 
o	Masks infection
o	Turns urine orange

Question 10

UTI Cranberry

Answer 10

o Treat and prevent UTI
o May block bacteria from adhering to walls of bladder, kidney and urethra
o Regular use may increase risk of kidney stones

Question 11

UTI Uva Ursi

Answer 11

o	Urinary antiseptic
o	Diuretic
o	Dosage forms: tea, liquid extract, tincture, tablets/capsules
o	Take with food
o	Dose dependent on dosage form
o	Take no longer than 1 week