Page 163 - HPP ANTIMICROBIAL GUIDELINE 2018

Suggested Treatment
Infection/ Condition Comments
Preferred Alternative

Fungal Infections

Tinea capitis Griseofulvin 20-25mg/kg/24h PO Terbinafine 250mg PO q24h Contacts of patient may be
(microsized) treated with 2% ketoconazole
Tinea barbae Griseofulvin 10-15mg/kg/day PO OR shampoo 2 – 3 times per
(ultramicrosized) Itraconazole 200mg PO q24h week for 2 weeks

OR Duration is based on mycological agent: Surgical excision is to be
Griseofulvin 500mg q12h or q24h for 6 Trichophyton spp : 2-4 weeks avoided
to 12 weeks or longer till fungal Microsporum spp : 8-12 weeks
cultures are negative

PLUS
2.5% Selenium sulphide shampoo

OR
2% ketoconazole shampoo ,
2 – 3 times per week for 2 weeks

Tinea corporis / Tinea cruris /
Tinea faciei
Mild infections: Topical imidazole cream: Tioconazole 1% Duration:
Clotrimazole 1% till clinical clearance with additional 2
weeks
OR
Miconazole 2%

Extensive infections: Griseofulvin 500mg PO q12h or q24h Terbinafine 250mg POq24h for 2 weeks
for 4-6 weeks
OR
Itraconazole 200mg PO q24h for 2 weeks

HPP AMG Skin & Soft Tissue Infections 76