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Additional measures for tinea capitis management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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additional measures in tinea capitis management

  • exclusion from school
    • some authorities recommend exclusion from school to minimize the potential risk of transmission of infection to unaffected classmates
    • however, most experts consider this impractical and suggest that children receiving appropriate systemic and adjunctive topical therapy should be allowed to attend school or nursery

  • family screening
    • index cases due to the anthropophilic T. tonsurans are highly infectious
    • more than 50% of family members (including adults) may be affected, often with occult disease
    • failure to treat the whole family will result in high recurrence rates
    • hence it is recommend to screen all family members and treat those found positive

  • cleansing of fomites
    • viable spores found in hairbrushes and combs should be cleansed with disinfectant e.g. - babers
    • simple bleach or a 2% aqueous solution of sodium hypochlorite containing 16.5% salt are suitable

  • steroids
    • use of corticosteroids (both oral and topical) for inflammatory varieties of tinea capitis (e.g. kerion and severe id reactions) may reduce itching and general discomfort, but is controversial

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