Context and objectives of these guidelines
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last updated on 10/06/2024
Goal
Recommendations for the management of Scabies in children (< 15kg) are developed by the Center for Evidence in Dermatology with the aim of providing professionals caring for these patients with decision-making tools.
They are intended to facilitate the diagnostic and therapeutic approach to this condition in view of the benefit/risk ratio of available treatments, many of which are used without marketing authorization. They will evolve based on new scientific data in the coming years: additional studies are expected to compare the cluster effectiveness of permethrin cream vs. Ivermectin.
Patients affected by these recommendations
Patients with classic scabies: children under 5 years old, pregnant or breastfeeding women, and contacts.
First recommendations for the management of scabies in children under 5 years old and pregnant or breastfeeding women.
Although the level of scientific evidence is limited, this work confirms the good tolerance and effectiveness of scabicide treatments in this particular population.
In certain situations, the off-label use of oral ivermectin is suggested.
Professionals concerned
The professionals involved are healthcare personnel caring for patients with scabies, including dermatologists, infectious disease specialists, general practitioners, as well as emergency physicians, internists, gynecologists, pediatricians, and nurses involved in this pathology.
Working group
A working group has been formed.
It includes:
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Presidents:
Stéphanie MALLET — dermatologist, hospital practitioner, Marseille
Thomas HUBICHE — dermatologist, hospital practitioner, Fréjus / Nice
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Project leaders:
Aurélie MORAND — pediatrician, hospital practitioner, Marseille
Amandine WEILL — dermatologist, Paris
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For the methodology:
Bernard GUILLOT — dermatologist, Grenoble
The presidents coordinated the work of the group; the project leader identified, selected, and coordinated the writing of the argument. The writing of the scientific argument was based on the critical analysis and synthesis of the literature (all members of the working group).
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