Public Health Center Presented by Sand Gibbons RN Ringwrom Also known as Tinea corporis which refers to a fungal infection that appears on the scalp between the toes in the groin in a mans beard and other places on the body ID: 754418
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Slide1
Ringworm
Cape Girardeau County
Public Health Center
Presented by
Sand Gibbons R.N.Slide2
Ringwrom
Also known as
Tinea
corporis
-
which refers to a fungal infection that appears on the scalp, between the toes, in the groin, in a man’s beard and other places on the body.Slide3
Symptoms
Small, reddish, itchy, scaly patches that gradually expand outward clearing in the middle, forming a flat, spreading ring-shaped lesion with scaling margins and clear centers.
New legions may form in the middle of an expanding ring.
Usually appear as a single lesion.Slide4
Incubation period
4-10 days. The condition may persist and recur for many yearsSlide5
Period of Communicability
Contagious as long as active lesions are present.Slide6
School and Daycare Attendance
Exclude until effective treatment is started. Usually treated with anti-fungal topical creams or ointments. In severe cases may require oral prescription.Slide7
Contacts/Follow-up
Watch for development of infection in other children and caregivers who provide direct, physical care to young children.
Parents should be notified that there has been a case or cases of ringworm, and advised to watch for the development of symptoms. If found, they should seek medical attention for diagnosis and treatment. Infected children should be excluded form swimming or other activities likely to lead to the exposure of others.Slide8Slide9Slide10Slide11Slide12
Ringworm
Also known as
Tinea
Capitis
-(can also be known as
craddle
cap)
refers to a fungal infection particularly of the scalp, but can also appear in a man’s beard, in the ground and between toes.Slide13
Symptoms
Round, scaly, localized patches on the scalp with short, broken-off hairs.
Redness and
scaliness
may be present and range from mild to severe.Slide14
Incubation Period
10-14 days. The condition may spread for 3-4 months, and then spontaneous regression may occurSlide15
Period of Communicability
As long as active lesions are present or viable fungus persists on contaminated areas(may persist for a long time)Slide16
School Attendance
Exclude until effective treatment is started. Usually requires prescription oral medication and anti-fungal shampoos or other topical treatment.Slide17
Contacts/Follow-up
Watch for development of infection in other children and caregivers who provide direct, physical care to young children. Have family check pets and farm animals for infection and treat if infected.Slide18Slide19Slide20
Facts
Ringworm is not actually caused by a worm, but by fungi
It is a contagious fungal infection caused by mold-like parasites, known as
dermatophytes
, that live on the outer skin.
Ringworm occurs more commonly in warm, tropical environments.
It affects men and women of all ages fairly equally, although it is more common amongst children.Slide21
Transmission
Highly contagious
Transmitted from direct skin-to skin contact with infected people or pets.
By sharing hats and personal hair grooming items (
eg
. hairbrushes, combs)
Contact with locker rooms floors, shower stalls, seats
Clothing from an infected person Slide22
Transmission continued
It can also be spread by touching surfaces contaminated with the fungus, such as door knobs, towels, bedding and soil.Slide23
Other Causes
Having damp skin for an extended period of time (
eg
. sweat)
Lack of hygiene
Minor skin and nail injuries
Close contact with others(
eg
. Sports like wrestling)Slide24
Risk Factors
Contact with surfaces(
eg
. Seat backs, shower stalls), clothing, or personal grooming items used by an infected person
Skin-to-skin contact with an infected person or pet
Age 12 or younger-ringworm of the scalp rarely occurs in children after puberty or in adults
Spending time in nurseries, schools, daycare center, or locker roomSlide25
Diagnosis
Many cases are self diagnosable, but some can mimic other skin conditions.
A primary care physician or dermatologist will likely be able to identify a ringworm, solely by its appearance.
A KOH test will provide an accurate diagnosis
Fungal cultures are rarely taken to identify the exact fungus causing the infection.Slide26
Treatments
Topical anti-fungal cream are applied to lesions twice a day for at least 3 weeks.
The lesions usually clear up within two weeks, but treatment should be continued for another week to insure the fungus is completely gone.
Topical creams can be purchased over-the- counter, or a Dr. may prescribe.Slide27
Treatments continued
When using a topical cream, wash and dry the affected area(s) before applying the cream to the rash.
Be sure to wash hands thoroughly after applying the cream to the rash.
Do not apply bandage over the rashSlide28
Most commonly Topical Creams
Monistic (
miconazole
)
Mycelex (
clotrimazole
)
Nizoral
(
ketoconazole
)
Lamisil
(
terbinafine
)Slide29
Oral treatment
Rarely used (used if severe infection or several lesions)
Taken once a day for 7 days and have a 100 percent clinical cure.
Oral anti-
fungals
medications:
Terbinafine
(
Lamisil
) 250 mg
Itraconazole
(
Sporanox
) 200 mgSlide30
Prevention
Keep skin dry and clean
Avoid contact with infected materials
Maintain proper hygiene habits, especially if participating in sports that require close physical contact with others
Wash hands after handling animals, soils and plants
Do not touch characteristic lesions on other peopleSlide31
Prevention continued
Wear loose-fitting clothing
Keep damp areas where fungi thrive clean, (
eg
. Bathtubs, bathroom floors, sinks etc).Slide32
True or False
Ringworm in general is highly contagious
True—
As long as lesions are presentSlide33
True or False
Ringworm is cause by ingesting food contaminated with the worms?
False-
It is not actually caused by a worm, but fungiSlide34
True or False
Ringworm generally affects older men more than women?
False-
It affects women and men equally, although it is more common amongst children under the age of 12Slide35
Name 3 ways ringworm can be transmitted
Skin-to-skin with infected people or pets
Sharing hats and personal hair grooming items
Contact with locker rooms, shower stalls, and seats
Clothing from an infected person
Touching surfaces contaminated with the fungus, such as doorknobs, towels, bedding and soilSlide36
Name 3 things that may increase your chance of contacting ringworm ?
Having damp skin for an extended period of time
Lack of hygiene
Minor skin and nail injuries
Close contact with others (
eg
. Sports like wrestling)
Spending time in nurseries, schools daycare centers, or locker roomSlide37
True or False
A doctor must diagnose and prescribe treatment for all types of ringworms?
False
Many cases or self diagnosable, by its appearance.
Most ringworm of the skin can be treated with over the counter topical creams
Rarely, oral medicine is used unless severe infection or several lesions.
Also, sometime with ringworm on the scalp, a prescription oral medicine or shampoo is needed.Slide38
Name 3 preventions to take against ringworm?
Keep skin dry and clean
Avoid contact with infected material
Maintain proper hygiene habits, especially if participating in sports that require physical contact with othersSlide39
Name 2 types or ringworm
Tinea
Corporis
-
fungal infection that appears on the scalp, between the toes, in the groin, in a man’s beard and other places on the body
Tinea
Capitis
-a fungal infection particularly of the scalp.Slide40
True or False
The child can return to school as long as he has the area covered with a bandage?
False
You should never cover a ringworm with a bandage, and the child should not return until after proper treatment as been startedSlide41
True or False
You apply cream until you can no longer see the area, then you may stop treatment?
False
The area may disappear after two weeks of applying the cream, but you must continue for three full weeks.Slide42
Remember
Have a policy and a parent letter to send home ready at your daycare, before you need it
Thank you