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Permethrin for scabies in children
1Pediatric Research in Emergency Therapeutics (PRETx) program (www.pretx.org) at the BC Children’s Hospital, Vancouver, BC V6H 3V4.
Insights
Topical permethrin (5% cream) is a safe and effective treatment for scabies in children over 2 months old. For infants younger than 2 months, a 7% sulfur preparation is recommended due to safety concerns with permethrin.
Area of Science:
- Dermatology
- Parasitology
- Pediatrics
Background:
- Scabies is a common parasitic skin infection, particularly prevalent in pediatric populations.
- Various treatment options exist for scabies, with permethrin being a frequently utilized medication.
Purpose of the Study:
- To evaluate the safety and efficacy of permethrin as a treatment for scabies in children.
- To determine the recommended age for permethrin use in pediatric scabies management.
Main Methods:
- This is a review of current literature and treatment guidelines for pediatric scabies.
- Analysis of safety and efficacy data for topical permethrin in children.
Main Results:
- Topical permethrin 5% cream is confirmed as a safe and effective scabicide for children.
- Permethrin is recommended as a first-line therapy for children over two months of age.
Conclusions:
- Topical permethrin 5% cream is a safe and effective first-line treatment for pediatric scabies in patients older than 2 months.
- For infants under 2 months, a 7% sulfur preparation is advised due to theoretical concerns about permethrin absorption.
Question:
I frequently see children with scabies in my practice. A variety of medications are available to treat scabies. Permethrin is one of the most common medications used. Is permethrin a safe and effective option for children?
Answer:
Scabies is a common parasitic skin infection. It is highly prevalent in young children. Topical permethrin (5% cream) is a safe and effective scabicide in children. It is recommended as a first-line therapy for patients older than 2 months of age. Because there are theoretical concerns regarding percutaneous absorption of permethrin in infants younger than 2 months of age, guidelines recommend 7% sulfur preparation instead of permethrin.
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