Which antifungal drug is suitable for pediatric use?
Which antifungal drug is suitable for pediatric use?
Terbinafine is effective for children with tinea capitis caused byTrichophyton spp[40-44], but may be associated with treatment failures in children’s Microsporum infections. One study concluded that terbinafine may be the drug of choice for superficial fungal infections in children.
How is pediatric fungal infection treated?
Treatment usually consists of applying shampoo preparations, such as ketoconazole 2% or selenium sulfide as a 2.5% lotion or 1% shampoo, to the affected area for 15 min to 30 min nightly for one to two weeks, and then once a month for three months to avoid recurrences (24).
What medication is used to treat tinea capitis?
Although oral griseofulvin has been the standard treatment for tinea capitis, newer oral antifungal agents such as terbinafine, itraconazole, and fluconazole are effective, safe, and have shorter treatment courses.
Can you use clotrimazole on a child?
Clotrimazole cream, spray and solution can be used by most adults and children. Clotrimazole is not suitable for everyone. To make sure it’s safe for you, tell a doctor if you have ever had an allergic reaction to clotrimazole or any other medicines in the past.
What is the best cream for fungal infection?
Antifungal creams, liquids or sprays (also called topical antifungals) These are used to treat fungal infections of the skin, scalp and nails. They include clotrimazole, econazole, ketoconazole, miconazole, tioconazole, terbinafine, and amorolfine. They come in various different brand names.
Can fluconazole treat tinea capitis?
Fluconazole was effective in treating pediatric tinea capitis caused by Microsporum canis and was well tolerated. Clinical and mycological response was achieved in some patients weeks after the cessation of the administration of fluconazole.
Which cream is best for tinea capitis?
For tinea capitis, adjunctive topical treatment with 2% ketoconazole shampoo or 1% or 2.5% selenium sulfide shampoo should be used. Shampoo should be applied for five to 10 minutes three times a week for two to four weeks. Do not use fluconazole for kerion. Instead use griseofulvin.
Is terbinafine cream safe for kids?
The TGA-approved product information does not recommend terbinafine tablets for children or adolescents, and the cream is not recommended for children < 12 years.
Can you use terbinafine on kids?
Adults and children 12 years of age and older—Use one or two times a day for seven to twenty-eight days. Infants and children younger than 12 years of age—Use and dose must be determined by your doctor.
Can I use Lotrimin on my child?
Over the counter topical Lotrimin AF cream contains clotrimazole. Clotrimazole and similar “-azole” anti-yeast agents kill the Candida yeast and other fungi. This change alone is usually enough to get rid of the yeast and is perfectly safe for babies.
How do I choose the best treatment for tinea capitis?
Choice of treatment for tinea capitis is determined by the species of fungus concerned, the degree of inflammation, and in some cases, by the immunologic and nutritional status of the patient. After microscopic or culture confirmation, medical therapy should be initiated.
What are the differential diagnoses for tinea capitis?
Tinea capitis may progress to kerion, which is characterized by boggy tender plaques and pustules. The child with tinea capi- tis will generally have cervical and suboccipital lymph- adenopathy, and the physician may need to broaden the differential diagnosis if lymphadenopathy is absent.
What is the best oral antifungal medication for tinea capitis?
Oral antifungals are needed to effectively treat tinea capitis. Terbinafine, itraconazole, and fluconazole are the preferred agents for tinea capitis. Griseofulvin is also effective and may be used in resource-poor settings where other antifungals are not available.
How do you get tinea capitis?
Direct skin-to-skin contact with an infected person
