Deworming

 How will you deworm a child ?

In pediatrics warm manifestation is common complaint.

Intestinal worms are generally found in children who are exposed more to the contaminated environment & has direct contact with dirty soil or water.

Soil transmitted helminth disease(STH ),Involve roundworm , hookworm Or whipworm manifestation causes :

  1. Internal bleeding leads anemia
  2. Intestinal inflammation & obstruction 
  3. Impaired of nutrient intake 

Source of worms 

  • Dirty hands / inadequate hand washing
  • Toys 
  • Junk food 
  • Playing barefoot 

    Symptoms of worm manifestation

  1. Eating frequently
  2. Abdominal pain 
  3. Weight loss    
  4. Vomiting & nausea   
  5. Bloating or gas
  6. Painful urination 
  7. Diarrhea
  8. Anemia 
  9. Rashes or itching 
  10. Trouble in sleeping
Management / Deworming 
(under the WHO guidelines )

Preventive chemotherapy 
It is annual or biannual administration of single dose 400 mg Alendazole suspension - ZENTEL .
Given to children above 24 months of age to 12 years 

Adult :single tablet  400 mg Albendazole/ 500 mg mebendazole  
    After meal 


preventive measures 

1).In children avoid junk & bare foot playing 
2).Cook meat properly before eating
3).Wear shoes while going out of home
4).Always wash your hands properly with water and soap before eating & after using toilet
5).Always keep surroundings neat & clean
6).Always trim your nails and keep them short & clean
7).Always wear slippers while using toilet too
8).Never leave food uncovered
9).Always drink safe food and clean water
10).Do not ever eat raw vegetables and fruits without  washing them with clean water


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