Page 170 - HPP ANTIMICROBIAL GUIDELINE 2018

Suggested Treatment
Infection/ Condition Comments
Preferred Alternative

Chickenpox
Immunocompetent Acyclovir 800mg PO 5 times daily for Advisable to start treatment
7 days early within 48 hours

Immunocompromised Acyclovir 10mg/kg IV q8h for 7 days
(change to oral once there is an
improvement)

Herpes Zoster
Immunocompromised patients, Acyclovir 800mg PO 5 times daily for Advisable to start treatment
ophthalmicus, Ramsay- Hunt 7days early within 48 hours
syndrome
Elderly
Involve face/ genitalia

Parasitic Infestations

Scabies Emulsion benzyl benzoate 25% (EBB) Gamma benzene hexachloride 1%
apply from neck down and leave for (Lindane) apply and leave for 8 hours
24 hours for 3 days (repeated in a week)

i) In pregnancy 2x Permethrin 5% lotion/cream apply OR
and leave for 8 hours 1 week apart 2x Permethrin 5% cream apply and leave
for 8 hours 1 week apart

Head lice Gamma benzene hexachloride 0.1% 4% Dimeticone apply for 8hrs day 1 and
(Lindane) apply and leave for 8 hours day 7

OR
Malathion 1% shampoo

HPP AMG Skin & Soft Tissue Infections 80