Causes intense itching worse at night more common

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


 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

 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