Template:Tinea management - Revision history

Danbot: Add Miconazole AntibioticDose entry

2026-03-20T12:33:59Z

Add Miconazole AntibioticDose entry

← Revisión anterior		Revisión del 12:33 20 mar 2026
Línea 8:		Línea 8:
	*[[Clotrimazole]] 1% BID x2-3weeks or		*[[Clotrimazole]] 1% BID x2-3weeks or
	*[[Ketoconazole]] 1% BID x2-3weeks		*[[Ketoconazole]] 1% BID x2-3weeks
			*{{AntibioticDose\|drug=Miconazole\|dose=2% cream applied topically BID x 4 weeks\|context=Topical antifungal\|disease=Tinea pedis\|population=Adult}}

	===Capitis===		===Capitis===

Ostermayer: /* Topical Therapy */

2023-02-12T07:01:48Z

Topical Therapy

← Revisión anterior		Revisión del 07:01 12 feb 2023
Línea 2:		Línea 2:
	===Topical Therapy===		===Topical Therapy===
	'''Applies to [[Tinea corporis]], [[Tinea pedis\|pedis]], [[Tinea cruris\|cruris]], and [[Tinea manus\|manus]] '''		'''Applies to [[Tinea corporis]], [[Tinea pedis\|pedis]], [[Tinea cruris\|cruris]], and [[Tinea manus\|manus]] '''

	Must use a topical therapy for 7-10days beyond resolution of lesions		Must use a topical therapy for 7-10days beyond resolution of lesions
	*Topical antifungal treatment for all except tinea capitis		*Topical antifungal treatment for all except tinea capitis

Ostermayer: /* Topical Therapy */

2023-02-12T07:01:35Z

Topical Therapy

← Revisión anterior		Revisión del 07:01 12 feb 2023
Línea 2:		Línea 2:
	===Topical Therapy===		===Topical Therapy===
	'''Applies to [[Tinea corporis]], [[Tinea pedis\|pedis]], [[Tinea cruris\|cruris]], and [[Tinea manus\|manus]] '''		'''Applies to [[Tinea corporis]], [[Tinea pedis\|pedis]], [[Tinea cruris\|cruris]], and [[Tinea manus\|manus]] '''
			Must use a topical therapy for 7-10days beyond resolution of lesions
	*Topical antifungal treatment for all except tinea capitis		*Topical antifungal treatment for all except tinea capitis
	*[[Terbinafine]] 1% BID x2-3weeks or		*[[Terbinafine]] 1% BID x2-3weeks or
	*[[Clotrimazole]] 1% BID x2-3weeks or		*[[Clotrimazole]] 1% BID x2-3weeks or
	*[[Ketoconazole]] 1% BID x2-3weeks		*[[Ketoconazole]] 1% BID x2-3weeks
	**Must use for 7-10d beyond resolution of lesions

	===Capitis===		===Capitis===

Ostermayer: /* Kerion */

2023-02-12T07:01:01Z

Kerion

← Revisión anterior		Revisión del 07:01 12 feb 2023
Línea 19:		Línea 19:

	===Kerion===		===Kerion===
	**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>		*Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>
	**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection		*[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection
	**Ketoconazole shampoo, isolated towels decrease spread to household members		*Ketoconazole shampoo, isolated towels decrease spread to household members

	===[[Tinea corporis]]===		===[[Tinea corporis]]===
	First line should be topical therapy. For refractory cases or severe bullous disease the below anti-fungals are all equivalent options.		First line should be topical therapy. For refractory cases or severe bullous disease the below anti-fungals are all equivalent options.

Ostermayer: /* Capitis */

2023-02-12T07:00:48Z

Capitis

← Revisión anterior		Revisión del 07:00 12 feb 2023
Línea 9:		Línea 9:

	===Capitis===		===Capitis===
	**[[Griseofulvin]] 500mg-1000mg PO once daily (20-25mg/kg/d)		*[[Griseofulvin]] 500mg-1000mg PO once daily (20-25mg/kg/d)
	***Usually requires 8wk of treatment		**Usually requires 8wk of treatment
	**[[Terbinafine]] for 2-4 weeks is as effective of 6-8 weeks of [[griseofulvin]]<ref>Fleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, clinical trials. Pediatrics. 2004;114(5):1312-1315. doi:10.1542/peds.2004-0428</ref>		*[[Terbinafine]] for 2-4 weeks is as effective of 6-8 weeks of [[griseofulvin]]<ref>Fleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, clinical trials. Pediatrics. 2004;114(5):1312-1315. doi:10.1542/peds.2004-0428</ref>
	***62.5mg/day in children <20kg		**62.5mg/day in children <20kg
	***125mg/day in children 20-40kg		**125mg/day in children 20-40kg
	***250mg/day in children >40kg<ref>Andrews MD, Burns M: Common tinea infections in children. Am Fam Physician 2008;77(10):1415-1420.</ref>		**250mg/day in children >40kg<ref>Andrews MD, Burns M: Common tinea infections in children. Am Fam Physician 2008;77(10):1415-1420.</ref>
	**[[Selenium sulfide]] or [[ketoconazole]] shampoos are adjunct treatment		*[[Selenium sulfide]] or [[ketoconazole]] shampoos are adjunct treatment
	**Okay for child to go to school		*Children can return to school during treatment

	===Kerion===		===Kerion===
	**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>		**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>

Ostermayer: /* Topical Therapy */

2023-02-12T06:59:45Z

Topical Therapy

← Revisión anterior		Revisión del 06:59 12 feb 2023
Línea 1:		Línea 1:
	''Coverage for Trichophyton and Epidermophyton'' and all treatment should be at lease 1 week past resolution of lesions		''Coverage for Trichophyton and Epidermophyton'' and all treatment should be at lease 1 week past resolution of lesions
	===Topical Therapy===		===Topical Therapy===
	*Applies to [[Tinea corporis]], [[Tinea pedis\|pedis]], [[Tinea cruris\|cruris]], and [[Tinea manus\|manus]]		'''Applies to [[Tinea corporis]], [[Tinea pedis\|pedis]], [[Tinea cruris\|cruris]], and [[Tinea manus\|manus]] '''
	*Topical antifungal treatment for all except tinea capitis		*Topical antifungal treatment for all except tinea capitis
	*[[Terbinafine]] 1% BID x2-3weeks or		*[[Terbinafine]] 1% BID x2-3weeks or
Línea 7:		Línea 7:
	*[[Ketoconazole]] 1% BID x2-3weeks		*[[Ketoconazole]] 1% BID x2-3weeks
	**Must use for 7-10d beyond resolution of lesions		**Must use for 7-10d beyond resolution of lesions

	===Capitis===		===Capitis===
	**[[Griseofulvin]] 500mg-1000mg PO once daily (20-25mg/kg/d)		**[[Griseofulvin]] 500mg-1000mg PO once daily (20-25mg/kg/d)

Ostermayer at 06:58, 12 February 2023

2023-02-12T06:58:34Z

← Revisión anterior		Revisión del 06:58 12 feb 2023
Línea 16:		Línea 16:
	**[[Selenium sulfide]] or [[ketoconazole]] shampoos are adjunct treatment		**[[Selenium sulfide]] or [[ketoconazole]] shampoos are adjunct treatment
	**Okay for child to go to school		**Okay for child to go to school
	===[[Kerion]]===		===Kerion===
	**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>		**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>
	**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection		**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection

Ostermayer at 06:58, 12 February 2023

2023-02-12T06:58:19Z

← Revisión anterior		Revisión del 06:58 12 feb 2023
Línea 1:		Línea 1:
			''Coverage for Trichophyton and Epidermophyton'' and all treatment should be at lease 1 week past resolution of lesions
			===Topical Therapy===
			*Applies to [[Tinea corporis]], [[Tinea pedis\|pedis]], [[Tinea cruris\|cruris]], and [[Tinea manus\|manus]]
	*Topical antifungal treatment for all except tinea capitis		*Topical antifungal treatment for all except tinea capitis
	*[[Terbinafine]] 1% BID x2-~~3wk~~		*[[Terbinafine]] 1% BID x2-3weeks or
	*[[Clotrimazole]] 1% BID x2-~~3wk~~		*[[Clotrimazole]] 1% BID x2-3weeks or
			*[[Ketoconazole]] 1% BID x2-3weeks
	**Must use for 7-10d beyond resolution of lesions		**Must use for 7-10d beyond resolution of lesions
	*Capitis		===Capitis===
	**[[Griseofulvin]] 20-25mg/kg/d ~~or BID~~		**[[Griseofulvin]] 500mg-1000mg PO once daily (20-25mg/kg/d)
	***Usually requires 8wk of treatment		***Usually requires 8wk of treatment
	**[[Terbinafine]] for 2-4 weeks is as effective of 6-8 weeks of [[griseofulvin]]<ref>Fleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, clinical trials. Pediatrics. 2004;114(5):1312-1315. doi:10.1542/peds.2004-0428</ref>		**[[Terbinafine]] for 2-4 weeks is as effective of 6-8 weeks of [[griseofulvin]]<ref>Fleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, clinical trials. Pediatrics. 2004;114(5):1312-1315. doi:10.1542/peds.2004-0428</ref>
Línea 12:		Línea 16:
	**[[Selenium sulfide]] or [[ketoconazole]] shampoos are adjunct treatment		**[[Selenium sulfide]] or [[ketoconazole]] shampoos are adjunct treatment
	**Okay for child to go to school		**Okay for child to go to school
	*~~Kerion~~<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>		===[[Kerion]]===
	**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks		**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>
	**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection		**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection
	**Ketoconazole shampoo, isolated towels decrease spread to household members		**Ketoconazole shampoo, isolated towels decrease spread to household members
			===[[Tinea corporis]]===
			First line should be topical therapy. For refractory cases or severe bullous disease the below anti-fungals are all equivalent options.
			*[[Fluconazole]] 150mg (6mg/kg) PO once a week x 2 weeks or
			*[[Itraconazole]] 200mg (5mg/kg) PO daily q12hrs for 1 week or
			*[[Griseofulvin]] 500-1000mg (20mg/kg) PO daily for 2-4 weeks

Ostermayer: Created page with "Topical antifungal treatment for all except tinea capitis Terbinafine 1% BID x2-3wk *Clotrimazole 1% BID x2-3wk **Must use for 7-10d beyond resolution of lesions Capitis Griseofulvin 20-25mg/kg/d or BID Usually requires 8wk of treatment **Terbinafine for 2-4 weeks is as effective of 6-8 weeks of griseofulvinFleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, c..."

2023-02-12T06:46:49Z

Created page with "*Topical antifungal treatment for all except tinea capitis *Terbinafine 1% BID x2-3wk *Clotrimazole 1% BID x2-3wk **Must use for 7-10d beyond resolution of lesions *Capitis **Griseofulvin 20-25mg/kg/d or BID ***Usually requires 8wk of treatment **Terbinafine for 2-4 weeks is as effective of 6-8 weeks of griseofulvin<ref>Fleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, c..."

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*Topical antifungal treatment for all except tinea capitis
*[[Terbinafine]] 1% BID x2-3wk
*[[Clotrimazole]] 1% BID x2-3wk
**Must use for 7-10d beyond resolution of lesions
*Capitis
**[[Griseofulvin]] 20-25mg/kg/d or BID
***Usually requires 8wk of treatment
**[[Terbinafine]] for 2-4 weeks is as effective of 6-8 weeks of [[griseofulvin]]<ref>Fleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, clinical trials. Pediatrics. 2004;114(5):1312-1315. doi:10.1542/peds.2004-0428</ref>
***62.5mg/day in children <20kg
***125mg/day in children 20-40kg
***250mg/day in children >40kg<ref>Andrews MD, Burns M: Common tinea infections in children. Am Fam Physician 2008;77(10):1415-1420.</ref>
**[[Selenium sulfide]] or [[ketoconazole]] shampoos are adjunct treatment
**Okay for child to go to school
*Kerion<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref>
**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks
**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection
**Ketoconazole shampoo, isolated towels decrease spread to household members