Management

The management of Enterobius infection is more complex than the simple prescription of an effective anthelminthic agent. Benzimidazoles, such as mebendazole and albendazole, are active and piperazine and pyrantel can also be used (see below). It is usually necessary to treat the whole family to prevent re-infection, and a second dose 1 month after the first is often used for this. In practice, the management of pin-worm infection can be very difficult, with patients re-attending with re-infection on several occasions. Pharmacological treatment should be given only when it is associated with suitable advice on adequate hygiene and handwashing, ensuring that children and adults keep fingernails clipped short. It may be helpful to encourage children to wear gloves at night to assist in breaking the infection cycle.

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Confident Kids

Confident Kids

Although nobody gets a parenting manual or bible in the delivery room, it is our duty as parents to try to make our kids as well rounded, happy and confident as possible. It is a lot easier to bring up great kids than it is to try and fix problems caused by bad parenting, when our kids have become adults. Our children are all individuals - they are not our property but people in their own right.

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