NAME: Trichuris trichiura
SYNONYM OR CROSS REFERENCE: Trichocephalus trichiurus, Trichuriasis, whipworm disease, Trichocephaliasis
CHARACTERISTICS: Helminth, nematode, whipworm; adult 3-5 cm long; anterior three-fifth of the worm mostly threadlike, posterior two-fifth contains reproductive organs; mature female produces 2000-10000 eggs per day; eggs are barrel shaped with two terminal polar plugs, ~ 52 µm x 22 µm
PATHOGENICITY: Most infections are asymptomatic; heavy infections may be manifested as abdominal pains and chronic diarrhea with mucoid, bloody stools; rectal prolapse, clubbing of fingers, hypoproteinemia, anemia and growth retardation can occur in heavily infected children; malnourished patients may have serious clinical outcome
EPIDEMIOLOGY: Worldwide; frequent in warm, moist regions; especially common in areas where the untreated fecal matter (night soil) is used as fertilizer; hyperendemic areas may have infection rates as high as 90%
HOST RANGE: Humans
INFECTIOUS DOSE: Not known
MODE OF TRANSMISSION: Ingestion of infective eggs from contaminated soils or food; eggs commonly found on vegetables from contaminated soil; eggs require 10-30 days of incubation in moist soil to become infective
INCUBATION PERIOD: Indefinite; depends on the infection load and nutritional status
COMMUNICABILITY: Not directly transmitted from person-to-person; eggs appears in feces about 70-90 days after ingestion; carriers may shed eggs for years if not treated
RESERVOIR: Humans
ZOONOSIS: None
VECTORS: None
DRUG SUSCEPTIBILITY: Sensitive to albendazole, mebendazole and oxantel
SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to 2% glutaraldehyde, 1% sodium hypochlorite
PHYSICAL INACTIVATION: Sensitive to freezing
SURVIVAL OUTSIDE HOST: Sensitive to drying
SURVEILLANCE: Monitor for symptoms; confirm by microscopic demonstration of eggs in feces or sigmoidoscopic observation of adult worms
FIRST AID/TREATMENT: Administer appropriate drug therapy
IMMUNIZATION: None available
PROPHYLAXIS: None available
LABORATORY-ACQUIRED INFECTIONS: None reported to date
SOURCES/SPECIMENS: Stool specimens
PRIMARY HAZARDS: Ingestion; droplet exposure of mucous membrane
SPECIAL HAZARDS: None
CONTAINMENT REQUIREMENTS: Biosafety level 2 practices and containment equipment for all activities involving the parasite, infectious or potentially infectious body fluids or tissues
PROTECTIVE CLOTHING: Laboratory coat; gloves when skin contact with infectious materials is unavoidable
OTHER PRECAUTIONS: None
SPILLS: Allow aerosols to settle; wearing protective clothing, gently cover the spill with absorbent paper towel and apply 1% sodium hypochlorite, starting at the perimeter and working towards the centre; allow sufficient contact time (30 min) before clean up
DISPOSAL: Decontaminate all wastes before disposal; steam sterilization, chemical disinfection, incineration
STORAGE: In sealed containers that are appropriately labelled
Date prepared: March, 2001
Prepared by: Office of Laboratory Security, PHAC
Although the information, opinions and recommendations contained in this Material Safety Data Sheet are compiled from sources believed to be reliable, we accept no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date.
Copyright ©
Health Canada, 2001
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