Page 258 - HPP ANTIMICROBIAL GUIDELINE 2018

Infection/Condition Suggested Treatment Comments
Preferred Alternative

Scabies Permethrin 5% lotion apply and leave Pay special attention to hands, feet,
Sarcoptes scabeii for 12 hours (not for babies less than 2 web spaces and skin folds.
months)
- Usually single application Treat household members
- Second application , a week apart if
new lesions appear

Babies less than 2 month : Sulphur 6% in calamine lotion q12h,
apply from neck down and apply nightly
for 3 days

OR
Crotamiton (Eurax) cream 10%, apply
nightly for 2 nights

For children 7-12 year old: Benzyl benzoate emulsion (EBB)
12.5% apply from neck down and apply
nightly for 3 days
(>12 year old, use 25% emulsion)

Gamma benzene hexachloride 0.5%
(Lindane) apply and leave for 8 hours
(not to be repeated in less than a
week)

References:
th
1. Drug doses Frank Shann 15 edition
2. Antibiotic guideline Royal Children's Hospital http://www.rch.org.au/clinicalguide/
3. John Hopkins Antibiotic guideline 2013-2014
4. Empiric Antibiotic Guidelines 2012 - Sydney Children Hospital http://www.cdc.gov/parasites/scabies/health_professionals/meds.html Practice
5. Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America Stevens DL
,Bisno AL, Chambers HF et al. DOI: 10.1093/cid/ciu296
6. Refer IDSA 2014 guidelines
7. Malaysian Clinical practice Guideline on Management of Leprosy 2014

HPP AMG Skin & Soft Tissue Infections 124