{"id":3846,"date":"2024-06-21T10:44:56","date_gmt":"2024-06-21T08:44:56","guid":{"rendered":"https:\/\/ifevet.com\/uk\/?p=3846"},"modified":"2024-06-21T10:44:56","modified_gmt":"2024-06-21T08:44:56","slug":"dermatophytosis-treatments","status":"publish","type":"post","link":"https:\/\/ifevet.com\/amea\/dermatophytosis-treatments\/","title":{"rendered":"Dermatophytosis treatments"},"content":{"rendered":"<p><strong>Topical treatment<\/strong><\/p>\n<ol>\n<li>Twice weekly topical application of lime sulphur, enilconazole or a miconazole\/chlorhexidine shampoo.<\/li>\n<\/ol>\n<p style=\"padding-left: 80px\">a. Miconazole shampoos are most effective when combined with chlorhexidine.<br \/>\nb. Chlorhexidine as monotherapy is not very effective and is not recommended.<\/p>\n<p style=\"padding-left: 40px\">2. For localised treatment: clotrimazole, miconazole and enilconazole.<br \/>\n3. Topical therapies should be maintained until two consecutive negative fungal cultures are obtained within two weeks of each other<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Systemic treatment<\/strong><\/p>\n<ol>\n<li>Itraconazole and terbinafine are the most effective and safest options for the treatment of dermatophytosis.<\/li>\n<\/ol>\n<p style=\"padding-left: 80px\">a. Itraconazole at a dose of 5 mg\/kg once daily for four weeks.<br \/>\nb. Terbinafine at a dose of 30-40 mg\/kg every 24 hours<\/p>\n<p style=\"padding-left: 40px\">2. Ketoconazole and fluconazole are less effective treatment options<\/p>\n<p style=\"padding-left: 80px\">a. Ketoconazole at a dose of 5 to 10 mg\/kg every 24 hours.<br \/>\nb. Fluconazole dose is 5 mg\/kg per 24 hours.<\/p>\n<p><strong>Environmental therapy<\/strong><\/p>\n<ol>\n<li>Sodium hypochlorite (household bleach) has been shown to be an effective disinfectant when used at concentrations ranging from 1:10 to 1: 100, even with short contact times.<\/li>\n<li>Enilconazole is also an effective antifungal product for cleaning. It is highly effective at a concentration of 20 \u03bcl\/L.<\/li>\n<li>Accelerated hydrogen peroxide (AHP) is one of the newer broad-spectrum disinfectants.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Topical treatment Twice weekly topical application of lime sulphur, enilconazole or a miconazole\/chlorhexidine shampoo. a. Miconazole shampoos are most effective when combined with chlorhexidine. b. Chlorhexidine as monotherapy is not very effective and is not recommended. 2. For localised treatment: clotrimazole, miconazole and enilconazole. 3. Topical therapies should be maintained until two consecutive negative fungal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3847,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[],"class_list":["post-3846","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-content"],"_links":{"self":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/posts\/3846","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/comments?post=3846"}],"version-history":[{"count":0,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/posts\/3846\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/media\/3847"}],"wp:attachment":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/media?parent=3846"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/categories?post=3846"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/tags?post=3846"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}