What is the appropriate treatment regimen for a child with pinworms?

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The appropriate treatment regimen for a child with pinworms involves the use of albendazole, with an initial dose being given today and a repeat dose in two weeks. This two-dose regimen is effective because it addresses the lifecycle of the pinworm. The first dose helps eliminate the existing worms, while the second dose is critical for killing any newly hatched eggs that may have been overlooked in the first treatment. This ensures a more comprehensive eradication of the infestation.

Mebendazole is also an effective treatment for pinworms and can be given as a single dose, but it may not be as effective in preventing reinfestation as the two-dose regimen of albendazole. Moreover, daily doses of pyrantel pamoate for one week are not standard practice for pinworm treatment and may not provide adequate management of the infestation. Similarly, administering albendazole once a month is not necessary and does not follow the recommended treatment protocol for pinworms, which is generally more focused on the two doses spaced two weeks apart. Therefore, the regimen outlined by choosing albendazole today and again in two weeks aligns with current guidelines for treating pinworm infections effectively.

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