SUPPLEMENT 697 



seen crawling about over recently evacuated faeces, or the ova are 

 found upon microscopical examination of soiled matter adhering to 

 the anus, or in scrapings removed with the spatula from the surface 

 of the skin (in the case of oxyuriasis cutanea). 



Prophylaxis has to be directed to infection with Oxyurides 

 generally, on the one hand, and, on the other, to the possibility of 

 auto-infection. With reference to the first-mentioned point, Metsch- 

 nikoff's 1 directions should be borne in mind, to the effect that badly 

 washed vegetables, salad, etc., ought not to be eaten (vegetables to be 

 rinsed with boiling water), and also that the members of the family 

 of the diseased individual should be examined for Oxyuridce and 

 eventually be treated (Heller 2 ). With regard to the second point, 

 one has to observe strict cleanliness in general (Barbagallo 3 found 

 ova of the parasites in the layer of dirt under the finger-nails). 



Treatment of oxyuriasis must be of a twofold nature ; first, 

 medicinal, the administration per os of vermicidal drugs in combina- 

 tion with purgatives ; and secondly, local treatment of the gut by 

 means of enemata, suppositories and high injections. Following 

 the method prescribed by Ungar, 4 pulv. glycyrrhizae co. is first given 

 in the case of smaller children, castor oil or calomel in that of those 

 older, in order to evacuate the intestine, and four times daily on two 

 days following one another a dose of naphthalin, not directly after 

 meal-time, but as far as possible in the interval between two meals, 

 and at the same time the ingestion of fatty or oily nutriment is as 

 far as possible to be avoided. After eight days this treatment should 

 be repeated, and under certain circumstances once again after 

 a further interval of a fortnight. The dose varies between 0*05 and 

 01 grin, (children of i year old), cri to 0*2 grin, (children of 2 to 3 years 

 old) and 0*2 to 0*4 grin, (children of 4 to 10 years old). Dornbliith 5 

 employs the same medicament in a form only slightly modified from 

 Ungar's method, Barbagallo 6 gives internally only a purgative (decoct, 

 sennae cum natr. sulfur). Thymol, santonin, kousso, kamala or valerian 

 may be tried instead of naphthalin. For enemata the following are 

 employed : naphthalin in a solution of i in 50, ol. olivar. or thymol 

 0*1 in 200 aq. clestill., diluted solutions of lysol, menthol in i per cent, 

 oily solution, salicylate of soda in watery solution, decoctum 

 tannaceti with santonin, with the addition -of some drops of ol. 

 terebinth. (Barbagallo). Decoctions of garlic, infusion of valerian, 

 sulphur water (sublimate is to be avoided), aq. calcariae, ol. olivarum 



1 Metschnikoff, Med. Klin., 1907, xlii, p. 1284. 

 - Heller, Deutsch. Arch. /. klin. Med., Ixxvii. 

 4 Barbagallo, loc. cit. 



4 Ungar, see Seifert, " Lehrb. d. Kinderkrankh." 

 ' Dornbluth, Arztl. Zenlral-Anzeiger, 1903. 

 6 Barbagallo, loc. cit. 



