Treatment of scabies
topical medications:
1. topical benzyl benzoate lotion
- (25% for adults, 12.5% for children aged 3 to 12)
- 3 applications at 24-hour intervals
2. topical lindane (1%)
- 2 applications for 8 hours
3. topical permethrin 5% lotion
- single application, washed after 8 hours
4. crotamiton cream (eurax) repeat nightly for 3 to 5 nights
5. sulphur in calamine lotion: useful in pregnant or nursing mother and neonates
oral medication
- ivermectin
- 200ug/kg
Procedures
- apply the entire skin from neck below
- pay special attention to the groin, fingerwebs, toewebs
Adjuvant therapy
- antihistamine for relief of itch
- topical corticosteroids
Environment measures
- treatment of all close contacts even if asymptomatic
- wash all bed linens, towels and clothes that were worn in the 2 days before each application. use hot water.
source: if not mistaken it's from the dermato lecture
jh A111218
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addition pictures
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2 comments:
just to add on:
topical lindane and permethrin are not for children < 2 y/o
Crotamiton cream usually for baby
If pt ask u to define how hot water is hot~
> or = 60 degree C
for those toys cannot be washed: seal properly and left for at least 5 days
teddy bears can be sealed and put in freezer overnight if not washed
A113891, add on notes fr lecturer's mouth =p
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