Permethrin for scabies in children

Lina Albakri1, Ran D Goldman

  • 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.
Abstract

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