Case Definition

Tinea capitisB,R

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

Tinea cruris and corporisA

Raised, scaly annular skin lesions with central clearingE

Tinea pedisM,R

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 nailbedC

Tinea versicolorA

Hypo or hyperpigmented areas (“Panos blancos/negros” or “manchas”) on face and armsE,H,M

Red Flags

No relevant red flags for hospital referral.

Management

Tinea capitisB,R

Option 1: Oral treatment
Fluconazole 150mg weekly x 4-16 wksA,E,K
Griseofluvin 15-25 mg/kg/day po for 6-8 wksA,C,E
Terbinafine poA,C

Option 2: Topical treatment
Clotrimazole or miconazole creamC,E

Tinea cruris and corporisA,R

Topical treatment:
Clotrimazole 1% cream BID x14dA,C

Oral treatment (for severe disease):
Terbinafine x7d PO if severeA,C
Fluconazole 150mg (peds: 6mg/kg) weekly x 4 weeksD,K
GriseofulvinD

Tinea pedisM,R

Clean feet with Wet Ones and paper towels to dry feetM , hygieneR, soak feet in 1L clean water with 12 drops CloroxI

Miconazole cream, ketoconazole, fluconazone or griseofulvinE,M

Tinea versicolorA

Hydrating lotionE

Single dose fluconazole 400mg (peds: 12mg/kg) A,K or ketaconazole5

Twice a week lathering with selenium shampoo for 10 minutes and rinsingH,I

Access this guideline on our app
Organization A

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

Organization B

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

Organization C

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

Organization D

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

Organization E

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

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

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

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

Organization I

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

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

Organization K

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

Organization L

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

Organization M

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

Organization N

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

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

Organization P

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

Organization Q

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

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

Organization S

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

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