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Scabies Treatment — RACP Paediatrics MCQ

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EasyInfectious DiseaseScabies TreatmentRACP Paediatrics

A 5-year-old presents with severe itching, especially at night. On examination, there are papules and excoriations in the web spaces of the fingers, wrists, and axillae. Other family members are also affected. What is the treatment?

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Correct answer: E — Topical permethrin 5% cream applied to the whole body and repeated in 7 days

Scabies is treated with topical permethrin 5% cream applied from neck to toes (including under nails and in web spaces) overnight, washed off after 8-14 hours, and repeated in 7 days. All household contacts should be treated simultaneously. Bedding and clothing should be washed in hot water.

Reference: Therapeutic Guidelines – 2024 – Dermatology: Scabies