![]() Be sure that infants and elderly patients are treated on the neck, scalp, temple and forehead. Apply and gently massage the prescription cream into all skin surfaces from your head to your feet.Elimite (Permethrin) 5% Cream as directed.6% Sulfur mixed in petrolatum as directed. ![]() More than one treatment may be required to clear the rash. This document can be made available in alternative formats on request for a person with a disability.Scabies is a common skin disorder. Chandler DJ & Fuller LC, A Review of Scabies: An Infestation More than Skin Deep.Rossi S, Pharmaceutical Society of Australia, Australasian Society of Clinical and Experimental Pharmacologists and Toxicologists, Royal Australian College of General Practitioners.Lyclear® patient information leaflet, Johnson & Johnson Pacific Pty Limited.Available from: Permethrin - AMH Children's Dosing Companion (health.wa.gov.au) Australian Medication Handbook Children's Dosing Companion, Australian Medicines Handbook Pty Ltd, 2021.Available from: Mupirocin - AMH Children's Dosing Companion (health.wa.gov.au) Place all linen in a plastic bag and then into the usual laundry bag.Contact precautions - gloves and long sleeve gowns.For items where this is not possible, they should be ironed or stored in a sealed plastic bag for 72 hours.Bed linen and clothing should be washed in hot water and sun dried.Look for and provide treatment of secondary bacterial infection (impetigo): Mupirocin 2% ointment can be used to treat a small number (Antihistamines may help to control itching.Calamine lotion (available without prescription) may be indicated to control itch until symptoms resolve.Pruritus frequently takes one week or longer to resolve after treatment.Discuss with Infectious Diseases team if scabies is diagnosed in children under 2 months age. Safety and efficacy below this age is not established. Australian product information recommends use in infants 6 months or older, however, the equivalent US information confirms both safety and efficacy in infants 2 months of age and older.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. ![]()
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