Threadworms 

Introduction 

The threadworm (Enterobius vermicularis) is the most common worm parasite that infects children in the UK 

My child has threadworms – should they be allowed to go to school?

A threadworm infection should be treated as soon as it's identified, but the Health Protection Agency (HPA) advises that it is not necessary to stay off work or school.

However, it's important to inform the school or nursery so that they can follow good hygiene practices to limit the spread of infection. These will include:

  • cleaning toys and equipment
  • encouraging children to wash their hands regularly
  • using dedicated laundry facilities

Threadworms, also known as pinworms, are tiny parasitic worms that hatch eggs in and infect the large intestine of humans.

Threadworms are the most common type of worm infection in the UK, and they are particularly common in young children, infecting up to half of all children under the age of 10.  

Threadworms are white and look like a small piece of thread. You may notice them around your child's bottom or in your or your child's stools (poo).

They don't always cause symptoms. Some people notice itchiness around their anus (back passage) or vagina, which can be worse at night and can sometimes disturb sleep.

Read more about the symptoms of threadworms.

You can treat threadworms yourself with medication available at pharmacies. However, treatment does not kill the eggs hatched by threadworms. Good hygiene is the only way to prevent the eggs from spreading and causing further infection.

See your GP if you think that you have threadworms and:

  • You're pregnant or breastfeeding.
  • Your child has threadworms and they are under the age of two.

How are threadworms spread?

Threadworms are spread from person-to-person as a result of poor hygiene. If one member of a household is infected, there is a high risk that other members will also be infected.

It is therefore necessary to treat the entire household and to practise particularly thorough hygiene for six weeks (this is how long the worms live) to prevent re-infection.

Read more about treating threadworm infections.

Preventing threadworms

Threadworms can be prevented from occurring by always maintaining good hygiene.

Children should wash their hands regularly, particularly after going to the toilet and before mealtimes. Kitchen and bathroom surfaces should be kept clean.  

Encouraging your children not to scratch the affected area around their anus or vagina (in girls) will help prevent re-infection and help to avoid a skin infection.

As itching is worse at night, wearing cotton gloves while sleeping may help.

Threadworm life cycle

Threadworms lay their eggs around an infected person's anus (back passage), usually at night. Along with the eggs, the worm also secretes a mucus that causes itching.

If the eggs get stuck on the person’s fingertips when they scratch, they can be transferred to their mouth or onto surfaces and clothes. Other people who touch an infected surface can then transfer the eggs to their mouth.

Threadworm eggs can survive for up to three weeks before hatching. If the eggs hatch around the anus, the newly born worms can re-enter the bowel. Eggs that have been swallowed will hatch inside the intestine. After two weeks, the worms reach adult size and begin to reproduce, starting the cycle again.

Humans are thought to be the only host for threadworms. Animals can't catch or pass on threadworms, unless the eggs are transported on the animal’s fur after contact from an infected person.

Read more about what causes threadworms.

Last reviewed: 16/11/2011

Next review due: 16/11/2013

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Jan 80 said on 21 May 2013

This problem is something that really upsets me, especially as I have followed all the hygiene procedures all the time and carry them on. During and after treatment. My daughter has unfortunaly had this 4 times! I feel like I will never be rid no matter what I do. I had informed school who had straight away got on to cleaning the school but didnt want to inform parents i do not understand how we can stop re infection if other children are not treated within the school/nursery setting. I am hoping that the school will now inform parents after I had spoke to them again.
:(

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Donnio said on 17 January 2013

It states that all people in a household should be treated to prevent infection but yet children in the school who the they spend all day with dont automatically get treated. Instead they are sent back to school as its compulsory to go to be reinfected and infect others. Children aren't encouraged and reminded to wash hands before eating lunch and snacks or especially after using the toilet. It's about time the nhs treated schools and families all at the same time to rid of this problem. My child's 3rd infection and I thinks it's appalling more isnt done to stop this :(

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nikkinu said on 23 January 2012

vicky i,m so glad i saw your post i work in the same environment as you and work with a lady who presents all the symtoms of having thread worms i also work closely with this person and am trying to assertain whether we now need to treat other service users and all the staff working alongside her i think this is probably quite common amongst people working and living in an institutionalized environment...

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Vicky 2 said on 09 February 2011

Reading this article has given me a lot more insight into such a common, but unbeknown problem to a lot of people.

I am a support worker who caters for institutionalized people with learning disabilities. One of my service users has just told me he has "the worms" and I have been working with this person very closely. After reading this article, I am definitely going to get checked and treated by my GP.pharmacy as I have also read somewhere that some people can have no symptoms or aweareness at all.

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