We genetically characterized pinworms obtained from 37 children from different regions of Germany and established new species-specific molecular diagnostic tools. No ribosomal DNA diversity was found; the phylogenetic position of Enterobius vermicularis within the Oxyurida order and its close relationship to the Ascaridida and Spirurida orders was confirmed.Pinworms are the most common intestinal parasites in developed countries in temperate climates (1). Humans are the only natural host of Enterobius vermicularis, and children are the most often affected by this disease, which is spread from the anus to mouth. Although it is regarded as a harmless infection, severe disease like colitis, perianal abscess, ectopic infections in females, and appendicitis can occur (1,3,12). Whereas eradication is achieved by anthelmintics in most cases (12), recurrent or persistent oxyuriasis lasting for years despite several treatment courses is seen in some patients. Molecular tools might help to understand transmission routes and distinguish persistent from repeated infections. However, sequence information on E. vermicularis is limited (6, 7).Pinworms were identified by examining feces from children with a magnifier, washed in tap water, and stored at Ϫ20°C. Then, pinworms from 37 children residing in different geographic regions of Germany were thawed and mechanically homogenized to extract DNA (Qiamp DNA minikit; Qiagen, Hilden, Germany). Enterobius vermicularis ribosomal DNA (rDNA) was amplified and sequenced as partially overlapping fragments using universal primers (AB28/TW81 and NEMF1/ S3), degenerated nematode primers, and species-specific primers (Table 1). Amplification reaction mixtures (50 l) consisted of 100 nM (each) primer, 50 M (each) deoxynucleoside triphosphates (dNTPs), 2.5 mM MgCl 2 , 0.5 units polymerase, and 10 l template. PCR amplification was performed as follows: (i) denaturation at 95°C for 5 min; (ii) 40 cycles, with 1 cycle consisting of 60 s at 94°C, 60 s at 50 to 60°C, and 2 min at 72°C for 2 min, and (iii) a final extension step at 72°C for 10 min. Amplification of 18S rDNA fragments for diagnostic purposes using Enterobius-specific primers Ev18S.F1 and Ev18S.R1 was performed at 55°C under otherwise identical conditions. Products were detected on ethidium bromidestained agarose gels. PCR products were sequenced either directly or after gel extraction (QIAquick gel extraction kit; Qiagen, Hilden, Germany) and cloning (TOPO-TA; Invitrogen, Karlsruhe, Germany) using a BigDye terminator cycle sequencing kit and an ABI Prism 310 genetic analyzer (Applied Biosystems, Warrington, United Kingdom). Site polymorphisms were scored when alternative nucleotide peaks present were equal in height or when a minor peak significantly exceeded the background level and comprised Ն50% of the major peak. We amplified and sequenced the DNA of the small ribosomal subunit (18S rDNA, 1,716 bp), first and second internal transcribed spacer regions (ITS1 and ITS2, 1,073 bp) including the 5.8S rDNA (159 bp), and a 78-bp fragm...