deals with common SMALL Instetine nematodes which are common in india and world.

1. We are helminths.
Our body is covered with tough
cuticle and also it is unsegmented.
We are long, cylindrical in shape.
We have a body cavity which has
digestive and genital system but our
nervous and excretory systems are
dull.
We have girlfriend (or boyfriend) and
we stay together.
Who are we?????????

2. NEMATODES •
by
Surjeet Acharya
VMC

3. Classification
SYSTEMIC CLASSIFICATION
HABITAT OF ADULT WORM

4. SYSTEMIC CLASSIFICATION
SUBCLASS ORDER SUPERFAMILY GENUS SPECIES
Aphasmidia Enoplida Trichinelloidea Trichinella
Trichuris
Capillaria
T.spiralis
T.trichiuria
C.philippiensis
C.hepatica
C.aerophilia
Phasmidia Rhabditida
Oxyurida
Ascaridia
Spirurida
Rhabditoidea
Strongyloidea
Trichostrongyliodea
Metastrongyloidea
Oxyuroidea
Ascaridoidea
Spirudoidea
Strongyloides
Ancyclostoma
Necator
Oesophaostomum
Ternidens
Trichostrongylus
Parastrongylus
Enterobius
Ascaris
Toxocara
Gnathostoma
Anisakis
S.stercoralis
A.duodenale
N.americanus
O.apiostomum
T.deminutus
T.colubriformis
P.cantonensis
P.costaricensis
E.vermicularis
A.lumbricoide
T.canis & catii
G.spinigerum
A.Simplex

5. HABITAT
INTESTINAL SOMATIC
SMALL INTESTINE LYMPHATIC MESENTRY
A.lumbricoides W.bancrofti M.perstans
A.duodenale B.malayi M.ozarrdi
N.americanus SUBCUTANEOUS CONJUCTIVA
S.stercoralis Loa loa Loa loa
T.spiralis O.volvulus
C.philippinensis D.medinensis
CAECUM AND APPENDIX LUNGS
E.vermicularis S.stercoralis
T.trichuria

6. Ancyclostoma duodenale
Necator americanus
HOOKWORM

10. MANAGEMENT
Albendazole 400mg single dose
Mebendazole 100mg twice daily x 3 days
Oral iron supplements
Blood transfusion (rare)

15. MANAGEMENT
Ivermectin 200micro/kg x 2 days
Ivermectin 200micro/kg x 5-7 days
Albendazole 15mg/kg twice daily x 3 days

16. Ascaris lumbricoides

20. MANAGEMENT
Albendazole 400mg
Pyrantel pamoate 11mg/kg (max. 1 g)
Ivermectin 200micro/kg
Mebendazole 100mg twice daily x 3 days
Nasogastric suction, piperazine, I.V fluids
Advice!

21. Enterobius
vermicularis
THREAD/PIN/
SEAT WORM

23. CLINICAL FEATURES
ITCHING IN PERIANAL AREA (esp. at NIGHT)

25. MANAGEMENT
Mebendazole 100mg
Albendazole 400mg repeated
Piperazine 1g 2 weeks
Pyratel pamoate 11mg/kg
Personal hygiene!!

30. MANAGEMENT
Albendazole 400mg x 3 days (5-7days)
Mebendazole 100mg twice daily x 3 days (same)

31. INTESTINAL NEMATODES
Larvae in stool
S.stercoralis
Eggs in stool
Eggs in perianal
skin
Colourless
E.vermicularis
Colourless
Hookworms
E.vermicularis
Coloured
A.lumbricoides
T.trichuria

33. Cutaneous Larva Migrans
By non-human hookworms (A.caninum,
A.braziliense, Uncinaria stenocephalia,
Bunostomum phlebotomum)
Cannot penetrate beyond S.germinatum!!!
Wander in tortous tiunnel between S.corneum
and S.germinatum.

34. THANK
YOU