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Pinworm infection

Last reviewed: 3 Apr 2025
Last updated: 23 Apr 2024

Summary

Definition

History and exam

Key diagnostic factors

  • perianal pruritus
  • perianal erythema
  • presence of worms
Full details

Other diagnostic factors

  • restlessness
  • insomnia
  • vulvar pruritus
Full details

Risk factors

  • school attendance or institutionalization
  • Oral habits like nail biting or thumb sucking
Full details

Diagnostic tests

1st tests to order

  • adhesive tape test
Full details

Treatment algorithm

ACUTE

symptomatic patients + family members

Contributors

Authors

Michael J. Smith, MD, MSCE
Michael J. Smith

Professor of Pediatrics

Duke University School of Medicine

Durham

NC

Disclosures

MJS declares that he has no competing interests.

Acknowledgements

Dr Michael J. Smith would like to gratefully acknowledge Dr Theoklis Zaoutis, a previous contributor to this topic. TZ declares that he has no competing interests.

Peer reviewers

Randal Rockney, MD

Associate Professor of Pediatrics and Family Medicine

Department of Pediatrics

Hasbro Children's Hospital

Providence

RI

Disclosures

RR declares that he has no competing interests.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Kimberlin DW, Barnett ED, Lynfield R, et al, eds. Red Book: 2021-2024 report of the committee on infectious diseases. 32 nd ed. Elk Grove Village, IL: American Academy of Pediatrics; 2021 [internet publication].Full text

Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 5: travel-associated infections and diseases - enterobiasis / pinworm. May 2023 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Pinworm infection images
  • Differentials

    • Inflammatory bowel disease
    • Dermatitis, atopic
    • Perirectal abscess
    More Differentials
  • Guidelines

    • Yellow Book: Enterobiasis/pinworm 
    • Red Book: Pinworm Infection (Enterobius vermicularis)
    More Guidelines
  • Patient information

    Pinworm

    More Patient information
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