Dermatophyte Infection - Skin

NHSL Antimicrobial Guidelines
NHS Lanarkshire

Dermatophyte infection - skin

CKS: Fungal skin infection - body and groin

CKS: Fungal skin infection - foot

CKS: Fungal skin infection - scalp

 

Terbinafine is fungicidal: treatment time shorter than with fungistatic imidazoles.

If candida possible, use imidazole.

If intractable, send skin scrapings, and if infection confirmed, use oral  terbinafine/itraconazole.

Scalp: discuss with dermatology, oral therapy indicated.

Drug details

Drug

Topical Terbinafine

(Not licensed in under 16s)

Dosage

BD

Duration

1-2 weeks continue for 1-2 weeks after healing (e.g. 4-6 weeks)

Drug

Or
Topical Imidazole (e.g. Clotrimazole 1% cream)

Dosage

BD

Duration

1-2 weeks continue for 1-2 weeks after healing (e.g. 4-6 weeks)

Editorial Information

Last reviewed: 22/03/2021

Next review date: 22/03/2024

Author(s): NHS Lanarkshire Antimicrobial Management Committee, Dr Dundas, Dr Hylands, S McCormick.

Approved By: AMC; ADTC

Reviewer name(s): NHS Lanarkshire Antimicrobial Management Committee.