Additional measures for tinea capitis management
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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