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Allergy And Immunology
Dermatology
Paediatrics
Mental Retardation
Paediatrics Evaluation Of Common Symptoms

Management

Management

Treatment

  • Scabicides should be prescribed for patients, household members, and close personal contacts.
  • Treatment options include lindane, permethrin cream, or crotamiton lotion and cream. When the latter treatment fails, patients may respond to the former.

Permethrin cream 5%: DOC, especially for infants > 2 mo and small children. More effective than crotamiton in treating symptoms and reducing chances of a secondary bacterial infection. Even after successful treatment, post-scabetic nodules and pruritus may persist for months.

Gamma benzene hexachloride (Lindane: stimulates nervous system of parasite, causing seizures and death. Previous standard treatment for scabies but is now considered second-line treatment if other agents fail or are not tolerated. Not very safe in children due to transcutaneous absorption leading to neurotoxicity.

Crotamiton: Mechanism of action is unknown

Benzyl benzoate lotion

Symptomatic treatment may require antihistamines.

Secondary infections may require antibiotics.

Prevention

  • All household members and close personal contacts should be treated, whether or not they are symptomatic.
  • Patients should be re-examined 2 weeks after treatment to evaluate effectiveness.

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