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Impetigo and scabies in remote community — RACP Paediatrics MCQ

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HardAdolescent health, Aboriginal and Torres Strait Islander child health, ethicsImpetigo and scabies in remote communityRACP Paediatrics

A 7-year-old Aboriginal child from a remote community has widespread impetigo and household scabies exposure. Several classmates recently had skin sores; urinalysis today is normal. What is the most appropriate management?

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Correct answer: A — Treat impetigo and scabies with household and community follow-up measures

In high-burden settings, impetigo and scabies require effective treatment and attention to household/community transmission to reduce recurrence and complications such as post-streptococcal GN. Normal urinalysis today does not remove the need to treat skin infection. The pearl is that skin health is prevention of renal and rheumatic complications, not just dermatology.

Reference: Therapeutic Guidelines (eTG): Antibiotic; National Healthy Skin Guideline; RCH Clinical Practice Guidelines