SCABIES
SCABIES
A skin infection caused by the mite, Sarcoptes scabies
The female mite tunnel in the skin to lay her eggs and the
newly hatched mites pass from person to person by close
contact.
Clinical features
- Severe itching (particularly at night)
- Secondary infection
- Red Papules
- Common on the penis, nipple, finger webs
Scabicide Drugs
(1) Benzyl benzoate
- 1st application over the whole body except eye
-2nd application on the following day without bath
- Wash off - 24 hour after 2nd application.
- 3rd application on one week later.
(2) Permethrin – (lorix)
- 1st application over the whole body except eye.
-Wash off after 8-12 hours
- 2nd application on one week later
(3) Malathion
-1st application over the whole body except eye.
-Wash off after 24 hours.
- 2nd application on one week later.
Note for all scabicide drugs
(1) All members of the affected household should be treated simultaneously.
(2) Apply over the whole body (head to toe) except eye.
(3) Reapply treatment to the hand if they are washed after application and
before bath
(4) Avoid contact with eye and mucous membrane.
Do not use on broken or secondary infected skin. (အရေပ
မလိမ်ြားေ)
ြားရ ေါက်ပ ြဲရေေင်
(5) Side effect - skin irritation burning sensation.
(6) Contraindication - benzyl benzoate
permethrin or malathion
- children.
- under 6 months children.
ACNE
ACNE
A common inflammatory disorder of the sebaceous
glands(အဆီဂလင်ြား)and hair follicles.
Clinical feature
-
papules, pustules with blackhead.
severe cases-cysts and scars
found on the face, chest and back
common in adolescent
Treatment
- Early treatment of acne should prevent scarring.
- Avoid corticosteroid used in acne
Mild to Moderate Acne Vulgaris
- Benzoyl peroxide Cream.
- Azelaic acid Cream.
- Salicylic acid Cream
Inflamed Acne Vulgaris
- Erythromycin Gel
- Clindamycin Gel.
Indication: Acne vulgaris
Dosage:
twice daily, after cleaning the skin with water and dry it.
Continue treatment regularly.
Avoid:
Using cosmetics and contact with eye.
If contact into the eye, wash it immediately with a lot of water.
Side-effect: Hypersensitivity
If topical treatment is not adequately effective,
systemic antibiotic treatment is used.
- Doxycycline
- Erythromycin
100 mg
250 - 500 mg
OD
OD
4 – 6 months
4 - 6 months.
ACUTE CONJUNCTIVITIS
ACUTE CONJUNCTIVITIS
The Inflammation of the conjunctiva (မျက်စိအရမြား ေါြားရ
င်)
- Caused by infection (bacteria or virus)
- Usually spreads rapidly to the other eye
- It does not usually affect vision
Clinical Feature
- Itching, irritation, redness, light sensitivity
- Watering of eye (Watery mucus to purulent discharges)
Eye drops (or) Ear drop.
Chloramphenicol
eye/ear drop
Ciprofloxacin
eye/ear drop
Neomycin
eye/ear drop
Corticosteroid combination eye/ear drop
Tetracycline TEO
eye ointment
Indication:
Acute and chronic conjunctivitis. Eye ulcer & injuries
(Corticosteroid should not be used in eye ulcers and eye injuries.)
Dosage: 1-2 drops TDS for
5- 7 days
(Close the bottle immediately after use. Do not use for more than 1
month after 1st opening.)
NASAL CONGESTION
- Oxymetazolin HCI
0.05 %
in 10 ml
[Rhinozol)
Indication: Nasal decongestant in allergic rhinitis, sinusitis.
Dosage:1 to 2 drops
BD
Nasal
MOUTH ULCER
Triamcinolone acetonide
Indication:
[Generlog, Metoral]
Inflammatory or ulcerative oral lesion.
Contraindication: Pregnancy & Lactation
Dosage:
Topical oral mucus membrane
2-3 times a day after meals and at bedtime.
Anti-septic solution
Solution I - soap + water
II - spirit
III - Iodine solution
-Eusol solution (for pus absorption)(ပ ည်ရ
ွေစု ်
ူဖိ)ု ို့
-Hydrogen peroxide (for anaerobic organisms)(ရလ င် ိ
ဘက် ီြားေီြား
ြားရေဖို)ို့
်ရေ
ြဲို့
Thank You