La Academia Americana publica recomendaciones sobre el manejo de los "piojos".
Resumen:
No se justifica dejar niños en casa, riesgo de transmision es bajo.
Tratamientos de venta libre en farmacia dos aplicaciones con 9 días de separación.
Otros metodos como el peine o vaselina son utilies.
Nota personal: yo los coplementaria con los previos, tambien se puede usar locion de Cetaphil® ( con dimeticona) para sofocarlos.
Se puede usar el benzoato de bencilo o malation pero deben evitarse en menores de 6 meses y dos años respectivamente.
Existen otros agentes para uso, pero son mucho mas caros y por ende reservarlos como herramientas de 2 o 3ra línea.
Adjunto texto original en ingles tomado de Physician Watch®.
Feliz día del trabajador ( atrasado).
AAP Issues Updated Guidance on Managing Head Lice
By Amy Orciari Herman
The American Academy of Pediatrics has issued an updated clinical report on the management of head lice.
Among the key take-aways:
- Pediatricians may educate schools that children should not be allowed to stay home because of lice; the odds of transmission in classrooms are low.
- Either 1% permethrin or pyrethrins are reasonable first-line treatments for active infestations, unless resistance in the community has been established. These over-the-counter products should be applied at least twice, ideally 9 days apart.
- In areas with proven resistance, parents may consider manual methods such as wet-combing or using petroleum jelly to suffocate the lice.
- When permethrin or pyrethrins do not effectively treat a documented infestation, benzyl alcohol 5% may be used for children older than 6 months, and malathion 0.5% may be used for those 2 years or older.
- The newer prescription agents spinosad and topical ivermectin may be useful in hard-to-treat cases, but they tend to cost more than other methods.
Pediatrics article (Free abstract)
Benjamin Hidalgo-Matlock
posted by dermatica at
May 02, 2015
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