Discuss with Infectious Diseases team if scabies is diagnosed in children under 2 months age. Safety and efficacy below this age is not established.
Infants and children 12 years apply up to one 30g tube (adults may occasionally require an additional tube, but do not apply more than 2 x 30g tubes) *Note that PCH pharmacy will fill scripts for contacts of paediatric patients.Īdults and children > 2 years: apply the cream to the whole body but not the face and neck. Asymptomatic household members and close contacts (babysitters, grandparents) should be treated at the same time.Contact Infectious Diseases Consultant to discuss treatment in infants less than 2 months old.Treatment failure is relatively common and may be due to incompletely applied topical therapy, failure of contacts to be treated or non-compliance.A second treatment with permethrin 5% should be repeated 1 week after initial treatment.Mainstay of treatment is topical anti-parasitic (permethrin 5% cream) applied to the entire body surface (see box) and left on for at least 8 hours.Lichenification may occur with chronic infection.Secondary excoriation and bacterial infection is frequent.Persistent lesions at 1 month after treatment suggest reinfection or persistent infection.Children - usually involve web spaces of fingers and toes, flexor surfaces of arms / wrists / axillae and waistline.Infants – usually palms, soles, axillae and scalp.Pruritus is worse at night, and may manifest as irritability in infants.Burrows (long tracks) are not commonly seen in children.The clinical picture of pruritus and primary lesions (burrows, papules, vesicles and pustules) develops at 4-6 weeks after first infestation but within days of subsequent infestations.
#PERMETHRIN CREAM USES SKIN#
Scabies is a skin condition resulting from the infestation of Sarcoptes scabiei scabies mites. To guide PCH ED staff with the assessment and management of scabies.
#PERMETHRIN CREAM USES FULL#
R ead the full PCH Emergency Department disclaimer. Clinicians should also consider the local skill level available and their local area policies before following any guideline. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinical common-sense should be applied at all times. They are not strict protocols, and they do not replace the judgement of a senior clinician. These guidelines have been produced to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital.
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