A 9-month-old infant has vesiculopustular lesions on the palms and soles, on the face and neck, and in skin folds of the extremities. The primary care pediatric nurse practitioner notes linear and S-shaped burrow lesions on the parent's hands and wrists. What is the treatment for this rash for this infant?

Question

Quizplus · Accepted Answer

The symptoms and distribution of the rash indicate scabies, which is caused by the Sarcoptes scabiei mite. The treatment of choice for scabies in infants is topical permethrin 5% cream, which should be applied to the entire body (including the face and scalp), left on for 8 to 14 hours, then rinsed off. Generally, treatment should be repeated after 1 week to ensure eradication. It is not necessary to treat all family members or to use ivermectin in infants younger than 6 months old without consultation with a specialist. Symptomatic treatment for itching may also be recommended.

A 9-Month-Old Infant Has Vesiculopustular Lesions on the Palms and Soles