VPI Flashcards
Intense anal itching, especially at night
Small white worm in poo
Long term infestation
Sleep disturbance
Trigger:
Hand / mouth transmission
Touching dirty objects
THREADWORM
When to refer THREADWORM
Children <2 yrs old
Fever
Loss of appetite
Treatment of THREADWORM
Mebendazole
Ovex chewable tablets / suspension
Take 1 tablet and a second tablet after 2 weeks
Take 5ml, take another 5ml after 2 weeks
Family treatment
Advice for THREADWORM
Wash hands, scrub under nails
Keep fingernails short
Wash bedding
Do not share towels
Localised pruritic rash on feet
Dry cough
Diarrhoea, constipation, anorexia
Return from Africa, S America, SE Asia
No wear shoe, step on soil with worm eggs
THREADWORM (REFER)
Advice: wear shoes
Weight loss
Diarrhoea
Trigger:
Uncooked meat
TAPEWORM (refer)
Advice: avoid raw+ uncooked meat
Itchy, like something is in your hair
Difficulty sleeping
Often raised bumps on neck
Nothing to do with poor hygiene
HEAD LICE
Treatment of HEAD LICE
Malathion
Derbac M Liquid
Partially ovicidal and kill live lice
>6mths old
Head lice: apply to dry hair, cover all parts, leave the hair dry 12 hrs, rinse the hair with shampoo normal way, comb to remove dead lice. Repeat treatment 7 days later.
Advice for HEAD LICE
Common in young children
Do not use medicated lotions and sprays, may irritate scalp
No need stay off school
Cannot prevent
Dimeticone lotion and benzyl alcohol do not kill live eggs
Buy detection comb
Comb the whole head of hair from roots to ends
facial hair + armpit + chest + leg hair
black powder in underwear
tiny blood spots on underwear
itching
spread through sexual contact / fomites
PUBIC LICE
Treatment of PUBIC LICE
Malathion
Derbac M Liquid
Partially ovicidal and kill live lice
>6mths old
Pubic lice: Apply sufficient liquid to all hairy areas including beard/mustache. Avoid any areas above neck. Leave on for at least one hour, preferably overnight, wash off and repeat after 7 days to kill newly hatched lice
Treat household members & sexual partners
Itchy fingers, buttocks, breasts
Especially at night
Raised rash / spots
Can go back to work or school after first treatment
SCABIES
Treatment of SCABIES
Permethrin Cream
Lyclear
Safe for children 2 months and above
Apply dry cool skin, if warm bath taken, skin should be allowed to cool before apply cream, allow whole body to cool after apply cream
Wash whole body 8-12 hrs after treatment
Malathion
Apply sufficient liquid on entire skin
Do not wash for 24 hrs
If wash off, reapply
Repeat after 7 days
Do not use more than once a week, or more than 3 consecutive days
Treat family members
Treatment of SCABIES
Permethrin Cream
Lyclear
Safe for children 2 months and above
Apply dry cool skin, if warm bath taken, skin should be allowed to cool before apply cream, allow whole body to cool after apply cream
Wash whole body 8-12 hrs after treatment
Malathion
Apply sufficient liquid on entire skin
Do not wash for 24 hrs
If wash off, reapply
Repeat after 7 days
Do not use more than once a week, or more than 3 consecutive days
Treat family members
Advice for SCABIES
Disinfect clothes & towels
Stop babies sucking lotion from their hands by putting socks/mittens
Do not have sex until complete full course of treatment
Do not share bedding, clothing, towels