Case Definition

Tinea capitis2,18

Fine dry scale on scalp; may also involve swelling, purulent discharge or patchy alopecia with short stubs of hairs broken off at surface3

Tinea cruris and corporis1

Raised, scaly annular skin lesions with central clearing5

Tinea pedis13,18

Itching, stinging, burning, dryness, cracking, or peeling of skin between toes or on soles of feet. Thick, crumbly, ragged, discolored toenails that may pull away from nailbed3

Tinea versicolor1

Hypo or hyperpigmented areas (“Panos blancos/negros” or “manchas”) on face and arms5,8,13

Red Flags

No relevant red flags for hospital referral.

Management

Tinea capitis2,18

Option 1: Oral treatment
Fluconazole 150mg weekly x 4-16 wks1,5,11
Griseofluvin 15-25 mg/kg/day po for 6-8 wks1,3,5
Terbinafine po1,3

Option 2: Topical treatment
Clotrimazole or miconazole cream3,5

Tinea cruris and corporis1,18

Topical treatment:
Clotrimazole 1% cream BID x14d1,3

Oral treatment (for severe disease):
Terbinafine x7d PO if severe1,3
Fluconazole 150mg (peds: 6mg/kg) weekly x 4 weeks4,11
Griseofulvin4

Tinea pedis13,18

Clean feet with Wet Ones and paper towels to dry feet13 , hygiene18, soak feet in 1L clean water with 12 drops Clorox9

Miconazole cream, ketoconazole, fluconazone or griseofulvin5,13

Tinea versicolor1

Hydrating lotion5

Single dose fluconazole 400mg (peds: 12mg/kg) 1,11 or ketaconazole5

Twice a week lathering with selenium shampoo for 10 minutes and rinsing8,9

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1. Organization A

Locations: Nicaragua
Trips per year: 4
Format of trips: Mobile medical clinics and standing clinics
Setting: Rural
Type of Organization: Secular

2. Organization B

Locations: Guatemala
Trips per year: Variable
Format of trips: Clinics
Setting: Rural
Type of Organization: Secular

3. Organization C

Locations: Haiti
Trips per year: Variable
Format of trips: Clinic
Setting: Urban
Type of Organization: Faith-based

4. Organization D

Locations: Dominican Republic
Trips per year: 3
Format of trips: Clinic
Setting: Rural
Type of Organization: Secular

5. Organization E

Locations: Haiti
Trips per year: 7
Format of trips: Not mentioned
Setting: Rural
Type of Organization: Secular

6. Organization F

Locations: Honduras, Ecuador, Belize, Guyana, Guatemala
Trips per year: 5
Format of trips: Mobile brigades
Setting: Rural and Urban
Type of Organization: Faith-based

7. Organization G

Locations: Ecuador, Guatemala, Dominican Republic
Trips per year: 100 (spread over 6 sites)
Format of trips: Mobile brigades
Setting: Rural and Urban
Type of Organization: Secular

8. Organization H

Locations: Ecuador
Trips per year: 3
Format of trips: Mobile brigades in schools/Clinics in health centers
Setting: Rural
Type of Organization: Secular

9. Organization I

Locations: Honduras
Trips per year: 1
Format of trips: Mobile brigades in 20 villages
Setting: Rural
Type of Organization: Faith-based

10. Organization J

Locations: Jamaica, Haiti
Trips per year: 4
Format of trips: Mobile brigades, Permanent clinics/hospital medicine
Setting: Rural and urban
Type of Organization: Secular

11. Organization K

Locations: Haiti
Trips per year: 4
Format of trips: Clinic
Setting: Rural
Type of Organization: Secular

12. Organization L

Locations: Guatemala, Nicaragua
Trips per year: 3
Format of trips: Mobile clinics
Setting: Rural
Type of Organization: Faith-based

13. Organization M

Locations: Nicaragua, Honduras
Trips per year: 51
Format of trips: Mobile brigades, Hospital-based
Setting: Rural
Type of Organization: Faith-based

14. Organization N

Locations: Guatemala
Trips per year: 12
Format of trips: Hospital
Setting: Rural
Type of Organization: Secular

15. Organization O

Locations: Honduras
Trips per year: Up to 50
Format of trips: Mobile brigades in school and churches
Setting: Rural
Type of Organization: Faith-based

16. Organization P

Locations: Haiti
Trips per year: Variable
Format of trips: Mobile brigades and clinics
Setting: Rural and urban
Type of Organization: Secular

17. Organization Q

Locations: Dominican Republic, Haiti
Trips per year: 12 to 15
Format of trips: Mobile brigades
Setting: Rural
Type of Organization: Secular

18. Organization R

Locations: Honduras, Nicaragua, Panama
Trips per year: Hundreds
Format of trips: Mobile brigades in community centre or school
Setting: Rural
Type of Organization: Secular

19. Organization S

Locations: Honduras
Trips per year: 4
Format of trips: Mobile brigades, Specialty hospital services
Setting: Rural
Type of Organization: Secular

20. Organization T

Locations: Haiti
Trips per year: Approximately 40
Format of trips: Mobile clinics in 14 villages and Standing clinic
Setting: Rural
Type of Organization: Faith-based