Which topical antifungal agents are recommended as first-line treatment for ringworm in adults and children?

First-line topical antifungal agents recommended for the treatment of ringworm (tinea corporis) in both adults and children include terbinafine cream and imidazole antifungals such as clotrimazole, miconazole, or econazole cream. These topical treatments are advised for mild, non-extensive disease and are available over-the-counter for specific age groups. Treatment duration and application details depend on the specific preparation and patient age. If there is marked inflammation associated with the fungal infection, a mildly-potent topical corticosteroid such as hydrocortisone 1% cream may be considered for up to 7 days, but corticosteroids should never be used alone on fungal lesions. For severe or extensive disease, or if topical treatment fails, oral antifungal therapy may be required.

This approach applies from age 1 month onwards and includes advice on hygiene and self-care to prevent reinfection and spread.

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