Diferencia entre revisiones de «Template:Scabies treatment»

(Convert key drugs to AntibioticDose with disease=Scabies)
Línea 1: Línea 1:
===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>
*'''{{AntibioticDose|disease=Scabies|drug=Permethrin|dose=5% cream neck down leave 8-12hrs repeat 1-2wks|context=First line adults|population=Adult}}''' 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
*'''{{AntibioticDose|disease=Scabies|drug=Ivermectin|dose=200mcg/kg PO repeat in 2wks|context=Severe infection|population=Adult}}'''
**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

Revisión del 01:42 20 mar 2026

Adults

  • Permethrin 5% cream neck down leave 8-12hrs repeat 1-2wks 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 200mcg/kg PO repeat in 2wks
    • 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
  1. Strong M. Johnstone P. Interventions for treating scabies. Cochrane Database Syst Rev. 2007;(3):CD000320
  2. Subramaniam S. Rutman MS. Wnger JK. A papulopustular, vesicular, crusted rash in a 4-week old neonate. Pediatric Emergency Care. 2013;29:1210-1212