Page 43 - LECTURE NOTES
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o Treatment of secondary infections.
o For crusted scabies, crust and scale impair scabicide penetration.
o Bed linens, clothing, and towels should be washed in a warm cycle
(Dry in sun).
o Infected individuals should avoid skin-to-skin contact with uninfected individuals.
o Decontamination of clothing, bed linens, etc, must coincide with medical treatment
o Trim finger nails
Scabicide agents
Lindane (gamma benzene hexachloide) 1% lotion or cream – single application
Benzyl benzoate 25% lotion – for 3 consecutive days
Permethrin (Elimite) -- 5% cream – single application
Crotamiton (Eurax) -- 10% lotion or cream - 2 times daily for 10 days
Sulfur in petrolatum -- 10% - for 07 days
Ivermectin - 9-18 mg PO in 2 doses, 1 wk apart 200 mcg/kg twice - effective for
common as well as crusted scabies in epidemic outbreaks
Method of application
¾ Apply neck to toe, to Benzyl benzoate lotion advice not to wash between
applications
¾ Advice to reapply if hands are washed during the day.
Complications of scabies
Bacterial super infection
Eczematization
Nodule formation
Urticaria
Treatment of complications: - Use antibiotic and anti histamine.
Causes of therapeutic failure
Improper counseling
Poor compliance of patient
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