Causes intense itching worse at night More common with poor hygiene andor

Causes intense itching worse at night more common

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Causes intense itching , worse at night More common with poor hygiene and/or crowded living conditions, low SES Treat with permetrin shampoo and/or lotion Treat all family members All bedding, towels, couch pillows, stuff animals must be washed and dried on hottest setting Pinworms Spread by touching objects with pinworm eggs on it and then putting hands in mouth Eggs travel through the digestive system and mature into worms along the way o Can lead to malnutrition, seen with poor hygiene Eventually they exit the body and live at the anus Severe anal itching , particularly at night when the worms lay more eggs in the rectal area and are more active Scratching of the anal area leads to further spread of the disease Scotch tape test – tape over anus of child, pull tape of & see worms Treat with mebendazole Good hand hygiene
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Impetigo Erythematous vesicles with “ honey colored ” pus that break open leading to crusty/flaky maculopapular rash Bacterial infection caused by staphylococcus aureus or streptococcus pyogenes Often in the mouth, hands, forearms and diaper area Can lead to abscesses  large & painful, drainage Highly contagious Spreads through skin-skin contact or contact with contaminated items Itchy so kids scratch and spread it easily If child has dry, cracked skin (especially eczema ), and opening in the skin can lead to impetigo from the bacteria that live on skin Usually able to treat with topical only ( mupirocin ) but may need oral treatment if more than one area of body affected Hand hygiene, washing of clothing and linens Scarlet Fever Fine, papular rash (feels like sandpaper) o Darker – shiny & sand paper Also known as “scarletina” Caused by group A strep bacteria May occur with or without a strep throat infection Often see a scarletina rash in younger children and an older sibling will have a strep throat infection Will have fever and may have a red “strawberry tongue” Treat with antibiotics (amoxicillin) Hand-washing, avoid sharing drinks Replace or sterilize toothbrush Peri-Anal Strep May have symptoms of strep throat or not Often causes severe itching Treat with antibiotics (amoxicillin) Molluscum Contagiosum Pink, white, or flesh-colored vesicles with areas of induration Caused by a pox virus Usually is not bothersome to the child Highly contagious but only when the fluid has popped out of the vesicle
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Do not allow child to pick or scratch Can last months to years No treatment unless infected Hand, Foot and Mouth Disease Maculopapular rash caused by a coxsackie virus Spread through direct contact (oral-fecal route) Common in daycare centers and among toddlers Cause painful rash to mouth, throat, gums and on the soles of feet and palms of hands Child may have a fever and refuse foods (because it hurts to eat)  DEHYDRATION
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