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Nursing
QUESTION #9278
Question 1
A 7-year-old child is screened for worm infestation. He complains of perianal itching at night. Microscopy of adhesive tape pressed against the perianal region at night reveals eggs. The MOST likely organism and treatment is:
Correct Answer Explanation
Enterobiasis (Pinworm/Threadworm) caused by Enterobius vermicularis — most common helminth infection in school-age children worldwide.
Key features:
- Perianal/perineal pruritus at night (female migrates to perianal region at night to deposit eggs)
- Restless sleep, irritability
- Vaginal pruritus in girls (retrograde migration)
- Diagnosis: Scotch tape/adhesive tape test — applied perianally early morning before bathing or defecation → microscopy reveals ova
Treatment:
- Mebendazole 100 mg single dose OR Albendazole 400 mg single dose
- Repeat dose after 2 weeks (kills hatched worms from eggs not affected by first dose)
- Treat ALL household members simultaneously (highly contagious — fecal-oral + auto-inoculation)
Hygiene measures:
- Short fingernails, frequent handwashing
- Wash underwear/bedlinen in hot water
- Avoid nail-biting
Albendazole dosing in helminths: \(400\,\text{mg}\) single dose (Ascaris, hookworm, Enterobius); \(400\,\text{mg}\) daily × 3 days (Trichuris)
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