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Retro- and reinfestation are likely, since ova may plump black be deposited for as long as 1 wk plump black after therapy, and the ova deposited in the environment before therapy can survive for 3 wk. Because multiple infestations within the household are the rule, treatment of only one plump black family member is useless. Meticulous handwashing and housekeeping have little effect on the control or treatment of pinworm infestation. Carbolated petrolatum or other antipruritic creams or ointments used topically in the perianal region 2 to 3 times daily may relieve itching. With reinfestation, complete eradication of pinworms for a single family would be possible in most cases under the following extreme regimen: (1) all family members receive the therapeutic dose of pyrantel pamoate; (2) all members move out of their home for 3 wk, preferably staying at a different place each night (and being careful not to contaminate others); and (3) pyrantel pamoate is given to all again at the end of 2 wk.
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