Diferencia entre revisiones de «Template:Scabies treatment»
Sin resumen de edición |
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===Adults=== | ===Adults=== | ||
*'''Permethrin''' 5% cream for all family members<ref>Strong M. Johnstone P. Interventions for treating scabies. Cochrane Database Syst Rev. 2007;(3):CD000320</ref> | *'''[[Permethrin]]''' 5% cream for all family members<ref>Strong M. Johnstone P. Interventions for treating scabies. Cochrane Database Syst Rev. 2007;(3):CD000320</ref> | ||
**Apply from neck down | **Apply from neck down | ||
**Leave on for 8-12hr before washing off | **Leave on for 8-12hr before washing off | ||
**Has 95-98% success rate, may reapply in 1-2wks if incomplete effect | **Has 95-98% success rate, may reapply in 1-2wks if incomplete effect | ||
*'''Ivermectin''' 200 mcg/kg may be necessary for severe infection | *'''[[Ivermectin]]''' 200 mcg/kg may be necessary for severe infection | ||
**Also viable option in adolescent or adult with insecure social situation | **Also viable option in adolescent or adult with insecure social situation | ||
**Success rate 70%, increases if give repeat dose 2wks after | **Success rate 70%, increases if give repeat dose 2wks after | ||
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===Infants=== | ===Infants=== | ||
*'''Permethrin''' 5% is FDA approved for > 2 months of age although still recommended for neonatal scabies<ref>Subramaniam S. Rutman MS. Wnger JK. A papulopustular, vesicular, crusted rash in a 4-week old neonate. Pediatric Emergency Care. 2013;29:1210-1212</ref> | *'''[[Permethrin]]''' 5% is FDA approved for > 2 months of age although still recommended for neonatal scabies<ref>Subramaniam S. Rutman MS. Wnger JK. A papulopustular, vesicular, crusted rash in a 4-week old neonate. Pediatric Emergency Care. 2013;29:1210-1212</ref> | ||
**May require application head to toe (avoid mucus membranes) | **May require application head to toe (avoid mucus membranes) | ||
**Leave on for 8-12 hours, then wash off | **Leave on for 8-12 hours, then wash off | ||
Revisión actual - 21:02 28 oct 2019
Adults
- Permethrin 5% cream for all family members[1]
- Apply from neck down
- Leave on for 8-12hr before washing off
- Has 95-98% success rate, may reapply in 1-2wks if incomplete effect
- Ivermectin 200 mcg/kg may be necessary for severe infection
- Also viable option in adolescent or adult with insecure social situation
- Success rate 70%, increases if give repeat dose 2wks after
- Contraindicated in lactating women and children < 15kg
Infants
- Permethrin 5% is FDA approved for > 2 months of age although still recommended for neonatal scabies[2]
- May require application head to toe (avoid mucus membranes)
- Leave on for 8-12 hours, then wash off