
Suggest Treatment For Scabies, Ear Infection And Sore Throat In Children

Possible resistant or reinfection.Family members also need treatment.
Detailed Answer:
Hello, Madam.
I understand your concern.
Patients with scabies may need to be reexamined at 2 weeks and again at 1 month after treatment. If a patient has persistent lesions at the 1-month check-up, reinfection or persistent infection should be suspected.
In this case, treatment should be reinitiated. The patient’s family or any close contacts should also be examined to check for a source of reinfection. Patients with crusted scabies, especially, should be followed after treatment and may require repeated courses of treatment.
All household members and close personal contacts older than 2 months and not pregnant should be treated for scabies, even if they have no symptoms or signs of infestation. (Pets do not require treatment.).
The mainstay of scabies treatment is the application of topical scabicidal agents, with repeat application in 7 days. The treatment of choice is permethrin lotion since clinical resistance has not been documented for isolated permethrin use.
I generally recommend my patients and their contacts with topical Permethrin 5% cream.The lotion should be applied over the entire body, including the face and scalp in infants. It should be left on for 8-12 hours and then rinsed. Reapplication 1 week later is advised.Please check with your physician if he shares my view and if can prescribe this drug to you.
If available, video dermatoscopy can be used to enhance the monitoring of clinical response to scabies treatment and allows for optimal timing of drug application.
This may minimize the risk of overtreatment, reduce the potential for side effects, and enhance patient compliance.
This is not a widespread technique. With video dermoscopy, a handheld device is used to illuminate, magnify, and record video of the skin.
Post your further queries if any.
Thank you.


Steroids are equally effective when used with Permethrin.
Detailed Answer:
Hello, Madam.
I understand your concern.
You need to be very patient to eradicate scabies completely from your house.
Yes, all other members have to apply this lotion even though they do not have symptoms.
Steroids are mainly used to control itching and inflammation in scabies.They are very effective.But they should be used alone.
Utilise the option of Video dermoscopy/VDS.This will produce encouraging results.Consult your dermatologist with regards to VDS.
Thank you.

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