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Causes intense itching, worse at nightMore common with poor hygieneand/or crowded living conditions, low SESTreat with permetrin shampoo and/or lotionTreat all familymembersAll bedding, towels, couch pillows, stuff animals must be washed and dried on hottest settingPinwormsSpread by touching objects with pinworm eggs on it and then putting hands in mouthEggs travelthrough the digestive systemand matureinto wormsalong the wayoCan lead to malnutrition, seen with poor hygiene Eventually they exit the body and live at the anusSevere anal itching, particularly at nightwhen the worms lay more eggsin the rectalarea and are more activeScratching of the anal area leads to further spread ofthe diseaseScotch tape test – tape over anus of child, pulltape of & see wormsTreat with mebendazoleGood hand hygiene
ImpetigoErythematous vesicles with “honey colored” pus that breakopen leading to crusty/flaky maculopapularrashBacterialinfection caused by staphylococcusaureus or streptococcuspyogenesOften in the mouth, hands, forearms and diaper areaCan lead to abscesses large & painful, drainageHighly contagiousSpreads through skin-skincontact or contact with contaminateditemsItchy so kids scratch and spread it easilyIf child has dry, cracked skin (especially eczema), and opening inthe skin can lead to impetigo from the bacteria that live on skinUsually able to treat with topical only (mupirocin) but may needoral treatment if more than one area of body affectedHand hygiene, washing of clothing and linensScarlet FeverFine, papular rash (feels like sandpaper)oDarker – shiny & sand paperAlso known as “scarletina”Caused by group A strepbacteriaMay occur with or without a strep throat infectionOften see a scarletina rash in younger children and an older sibling will have a strep throat infectionWill have fever and may have a red “strawberry tongue”Treat with antibiotics (amoxicillin)Hand-washing, avoid sharing drinksReplace or sterilize toothbrushPeri-Anal StrepMay have symptoms of strep throat ornotOften causes severe itchingTreat with antibiotics (amoxicillin)Molluscum ContagiosumPink, white, or flesh-colored vesicleswith areas of indurationCaused by a pox virusUsually is not bothersome to the child Highly contagiousbut only when the fluid has poppedout of the vesicle
Do not allow child to pick or scratch Can last months to yearsNo treatment unless infectedHand, Foot and Mouth DiseaseMaculopapular rash caused by a coxsackie virusSpread through direct contact (oral-fecalroute)Common in daycare centers and among toddlersCause painful rashto mouth, throat, gums and on the solesof feetand palms of handsChild may have a fever and refuse foods(because it hurts toeat) DEHYDRATION