Trichuris Trichiura (Whipworm) Infection (Trichuriasis) Follow-up

Updated: Apr 15, 2016
  • Author: Kwame Donkor, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Follow-up

Further Inpatient Care

Inpatient care for whipworm infection (trichuriasis) may be warranted for patients with rectal prolapse or severe anemia.

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Deterrence/Prevention

Household contacts are at low risk because of life-cycle requirements.

If fecal contamination of soil is possible (eg, children defecating in the back yard, human waste used as fertilizer), consider the possibility of household transmission.

Contacts may be screened for asymptomatic carrier state.

Improved sanitation is the best way to eradicate whipworm infection (trichuriasis).

Careful washing of vegetables and fruits grown in contaminated areas is also important.

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Complications

Potential complications of whipworm infection (trichuriasis) include the following:

  • Rectal prolapse or anemia
  • Vitamin deficiency
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Prognosis

The prognosis of trichuriasis is excellent with proper treatment; however, without education and changes in behavior/waste management, re-infection is very common.

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Patient Education

Good personal hygiene is highly recommended. Where relevant, community waste management systems should be developed to reduce exposure to potentially infected waste.

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