Diferencia entre revisiones de «Template:Scabies treatment»
(Created page with "===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> **A...") |
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===General Care=== | |||
*Wash all linens/clothes in hot water or bag bulky items and keep sealed for 2wks | |||
*Pruritus may continue for weeks despite successful elimination of infestation | |||
**Consider steroids for symptom relief | |||
===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 | ||
**Contraindicated in lactating women and children < 15kg | **Contraindicated in lactating women and children < 15kg | ||
===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) | |||
**Leave on for 8-12 hours, then wash off | |||
===Avoid=== | ===Avoid=== | ||
Lindane - | *'''Lindane''' - effective treatment but associated with potential for toxic manifestations (seizures, neurotoxicity) | ||
**Reserved for refractory cases | |||
Revisión del 02:45 11 ago 2015
General Care
- Wash all linens/clothes in hot water or bag bulky items and keep sealed for 2wks
- Pruritus may continue for weeks despite successful elimination of infestation
- Consider steroids for symptom relief
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
Avoid
- Lindane - effective treatment but associated with potential for toxic manifestations (seizures, neurotoxicity)
- Reserved for refractory cases