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Management of threadworm
| SELF-CARE: NHS England has published guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care. One of these conditions is threadworms. Many of these products are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. |
Refer to CKS website for further details
Treat all household contacts at the same time plus advise hygiene measures for 2 weeks (hand hygiene, pants at night, morning shower) plus wash sleepwear, bed linen, dust, and vacuum on day one.
Adults and children over 6 months
Mebendazole
- 100mg as a single dose (off label if under 2 years of age)
If reinfection occurs a second dose may be needed after 2 weeks
Children under 6 months
Mebendazole not licensed in this age group but 6 weeks strict hygiene may be sufficient to clear infection and prevent re-infection.
For children less than 6 months of age, use hygiene measures alone. Advise cleaning the bottom gently but thoroughly at each nappy change. Advise parents to wash their hands thoroughly before and after each nappy change.
