Do children need regular deworming? Learn about 4 common questions about parasitic infections in children in one article

time:2022-11-27 author:Fever
Do children need regular deworming? Learn about 4 common questions about parasitic infections in children in one article

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The child health clinic is like a "100,000 Whys" for parents. I often encounter novice parents with a book full of problems. As a pediatrician, I really hope to do what I have learned. Answer their questions, provide professional guidance, and achieve scientific parenting. Today I want to share four common questions about parasitic infections in children. Ask the relationship between parasitic infection and bruxism When talking about parasitic infection, we have to mention bruxism, because parents often ask "Doctor, my child always grinds his teeth at night, is there something missing? Is he infected with parasites? Do I need to take insect repellent?" In fact, the cause of bruxism is still inconclusive, which may be related to the following factors: 1. The uncoordinated occlusal relationship is considered to be one of the main factors, such as malocclusion, missing teeth, missing or excessive teeth , unilateral chewing, etc. , such as malocclusion, missing teeth, missing or too long teeth, unilateral chewing, etc. 2. Bruxism may be a type of sleep disorder associated with mild arousal abnormalities. , associated with mild arousal abnormalities. 3. Mental stress causes the masticatory muscles to contract after falling asleep, resulting in teeth grinding, including anxiety, tension, depression, etc. , including anxiety, stress, depression, etc. 4. Systemic factors, which may include intestinal parasite infection, gastrointestinal dysfunction, endocrine imbalance, allergic diseases, vitamin D deficiency, etc. , which may include intestinal parasitic infections, gastrointestinal disorders, endocrine imbalances, allergic diseases, vitamin D deficiency, etc. 5. Genetic factors. . It can be seen that parasitic infection and lack of nutrients are only two of the many possible causes of bruxism. Therefore, the treatment of bruxism needs to be treated according to the cause, rather than blindly supplementing nutrients and taking deworming drugs. Ask the status quo of parasitic infection in children In order to comprehensively clarify the distribution and prevalence of key human parasitic diseases in my country, and scientifically formulate prevention and control countermeasures for parasitic diseases, so far, my country has organized and carried out in 1988-1992, 2001-2004 and 2014-2016. Three national surveys on the status of human parasites (referred to as "the first survey", "the second survey" and "the third survey") were conducted [1-3]. The main infecting species investigated include intestinal protozoa and helminths such as soil-transmitted nematodes, pinworms, Clonorchis sinensis and tapeworms. Among them, the most familiar roundworm belongs to soil-transmitted nematodes. It refers to the nematodes that do not require an intermediate host, and whose eggs or larvae develop in the outside world (mainly soil) to the infection stage, mainly including roundworms and whipworms. and hookworms, generally including pinworms. Because the pinworm infection rate of children is significantly higher than that of adults, and it also has the distribution characteristics of children's collective institution aggregation and family aggregation, so children's pinworm infection is often counted separately during the transfer process. Then look directly at the table. Table 1 Status of key parasitic infections in the three national surveys Table 2 Parasitic infection rates of children of different age groups in the third surveys It can be seen from Table 1 that with the further implementation of prevention and control technologies and measures in my country, the awareness of health facilities and labor protection has increased. Further strengthening, residents' education level, health awareness and disease prevention behavior have been further improved, and the prevention and control of parasitic diseases has made remarkable progress. However, due to the large population in my country, even if the infection rate has dropped significantly, it is estimated that there are still as many as 38.59 million key parasitic infections in the country according to the third dispatch. It can be seen from Table 2 that the key parasitic infestations in children are mainly helminths, especially soil-transmitted nematodes. There are also obvious regional differences in parasitic infection. Soil-transmitted nematode infections are mainly distributed in southwestern and southern my country, including Sichuan, Hainan, Guizhou, Yunnan, Chongqing, Guangxi, Guangdong, and Jiangxi; areas with high pinworm infection are mainly in South and Southwest China, including Hainan, Jiangxi, Guangdong, Guangxi, Guizhou, Chongqing and other places. QCharacteristics and preventive measures of common parasitic infections in children Table 3 summarizes the characteristics of common parasitic infections in children [4], including roundworms, whipworms, hookworms, and pinworms. The general principles for the prevention of parasitic infection in children are to control the source of infection, cut off the route of infection, and protect susceptible groups. Specific measures include carrying out collective deworming, improving water and toilets, providing health education to children and their parents, enhancing self-care awareness, and paying attention to Public health, personal hygiene and family hygiene, do not defecate anywhere, wash hands before and after meals, do not drink raw water, wash and peel raw fruits and vegetables, and children's gathering institutions need to regularly scald and wash bedding, clean or disinfect toys, etc. Table 3 Comparison of the four common parasitic infections in children (Note: The pictures in the table are from the Internet) Ask children how to use deworming medicines safely and effectively. Due to the obvious improvement of current sanitation conditions and living habits, children exposed to common parasite eggs The chances are greatly reduced, so the use of deworming drugs needs to be targeted, and there should be a history of exposure to parasitic infections, clinical manifestations, and evidence of laboratory tests, and then follow the doctor's advice. , teeth grinding, etc., it is subjective to judge that the child has parasitic infection. After all, it is a three-point poison, and common adverse reactions include dizziness, vomiting, and liver function damage. For children over 2 years old, if they are in a high-incidence area of ​​parasitic infection and may come into contact with worm eggs, they can take deworming drugs under the guidance of a doctor, preferably once a year, and the best time is autumn, because It can be calculated according to the "spawning time for the eggs to develop into adults in the body" in Table 3. Usually, it is more likely to eat the eggs by mistake by eating raw fruits and vegetables in summer. After 2-3 months, the parasites are concentrated in the intestines. road. At the same time, the effect of taking the medicine on an empty stomach is better. After taking the medicine, drink more water and eat more food rich in dietary fiber to strengthen intestinal peristalsis and promote the elimination of worms. As a child care doctor, you should do a good job of health education during the outpatient process, and tell parents that the use of deworming drugs is only the last link to protect children from parasites, and it is more important to strengthen daily prevention. References: [1] Yu Senhai, Xu Longqi, Jiang Zexiao, et al. Report on the first national human parasite distribution survey Ⅰ. Regional distribution of insect species [J]. Chinese Journal of Parasitology and Parasitic Diseases, 1994(04):241 -247.[2]Xu Longqi, Chen Yingdan, Sun Fenghua, et al. Investigation report on the status quo of important parasitic diseases in the human body [J]. Chinese Journal of Parasitology and Parasitic Diseases, 2005(S1):332-340.[3]Chen Yingdan , Zhou Changhai, Zhu Huihui, et al. Investigation and analysis of the status quo of key human parasitic diseases in the country in 2015 [J]. Chinese Journal of Parasitology and Parasitic Diseases, 2020(01): 5-16. [4] Wu Guanling. Human parasites Science. 4th Edition [M]. Human Parasitology. 4th Edition, 2013. This article was first published: Pediatrician Channel of the Medical Community 👇1. Scan the QR code below the code 2. Click "Download Now" to download the Doctor Station App, and subscribe anytime, anywhere~- End - The medical community strives for the accuracy and reliability of its published content when it is approved, but it does not care about the published content. 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