Medical care of children < 15kg over 24 months, treatment on relapse, Centre of Evidence of Dermatology

Guidelines classic scabies: in children < 15kg, pregnant or breastfeeding women Updated on january 2024

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Scabies in children < 15kg aged 2 to 5 years
In case of failure

Back to decision-making tree Print last updated on 06/06/2024

Treatment in Case of Recurrence

After confirming the failure and analyzing the conditions of failure (recontamination, poor adherence, local treatment intolerance, inadequate decontamination of clothing and bedding, no simultaneous treatment of contacts…):

Therapeutic Proposal

Use the same product or another among the 3 products proposed in the 1^st intention.
Favor on Oral Ivermectin (2 doses: Day 1 and between Day 8-14) if doubts about adherence or poor skin condition of the child or clustered cases (infectious advice required if staying in a tropical area exposing to the risk of loiasis).

or	Permethrin 5% Topical	Apply on Day 1 and repeat between Day 8 and Day 14.
	10% Benzyl Benzoate	Apply on Day 1 and repeat between Day 8 and Day 14.
	Oral Ivermectin 200µg/kg off-label	Doses on Day 1 and between Day 8 and Day 14 Especially if doubts about adherence or poor skin condition of the child or clustered cases (infectious advice required if staying in a tropical area exposing to the risk of loiasis).

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