Interviewer: Sometimes school sent the child at home. He thinks that he has ring. Is ringworm very, very contagious?
Interviewee: Ringworm is contagious, but the question is what they mean by ringworm. So if it is just walking on the body, you are talking to scalp.
Ringworm, kids do not get in the groin mush. So that is not a common location for kid. The most common group for ringworm would be actually high school.
Interviewer: Did you see ringworm, is that mean the kid cannot go to school?
Interviewee: No. As soon as you start using the kid with topical antifungal. You probably can cure of 50% of the fungus in the first 24-hours.
Interviewer: So how soon do they go back to school?
Interviewee: They can back in one day.
Interviewer: So if they seem him, you treat him and he can go back to the school in the next day.
Interviewee: Yes because it is like a strep throat. In other words when you put the kid on the antibiotics within 24 hours, you killed of enough of the strep the kid it is not going to be able to text somebody else.
Interviewer: If it is persist, you ever have to put them on systemic.
Interviewee: Yes.
Interviewer: When would you decided to do that?
Interviewee: Scalp always.
Interviewer: Okay, when we see in the body which ever do that?
Interviewee: Essentially, to begin in the area, I cannot get enough cream up to a plan because it is going to affect too much. Limited to how much a third quarter pair would give X number 2.
The other problem with ringworm, you do not have it with bacteria. There are no sensitivity studies. Trace four weeks for fungus. So there cannot be a sensitivity play for fungus. So it is always statistical game of which topical is going to work.
So I have a very easy rule of thought. Anything that has been around longer probably has a higher resistance rate. New fungus that has not been around this one, probably you are less resistant. So if I have an option to ride brand, I would. If I cannot ride the brand, I will go with the generic, but a brand will probably work where the older generics would not, which is walking difference to 90% to 99%.
Interviewer: So the basic rule is around the left side the body have been with it.
Interviewee: Yes, because it has been around one time.
Interviewer: If you see it, the type of ringworm in the scalp capitis that for a couple get rid on that, you have to use systemic.
Interviewee: You have to use systemic because when this is on the shaft, you can rid—
Interviewer: What do uses to rid this?
Interviewee: Lamisil if I could.
Interviewer: How long would you have to treat that?
Interviewee: Probably two months. Lamisil use as three times a day for two months. Lamisil is one dose a day for four weeks. The problem is the companies are not going to bring that out for pediatric use. There is no enough money yet.
Interviewer: So in other words you could use it, but you have to tell to the parents.
Interviewee: It is off like.
Interviewer: It is off like.
Interviewee: And the problem is it is pill.
Interviewer: But an older kid is not a big deal.
Interviewee: Yes, it is not a bid deal. So it is far better, the date is better. It is like four weeks instead of eight weeks and so far the same for growth. Quick to treat them because it is really bad rashes.
Interviewer: If you get it in the scalp and if you do not treat correctly, you can have hair loss, right?
Interviewee: Well you think a hair loss has been the secondary infection is toward the scalp and the kid is not going to school with ringworm in scalp. They are not going to let him in.
Interviewer: Okay if you have it with the scalp. How long that be insure you to go back to school?
Interviewee: I bend the rules. So I going to keep—If I start the kid on Thursday and I let him go back in Monday or Tuesday.
Interviewer: It is like four or five day.
Interviewee: Yes, I mean like a radically, they want him clear.
Interviewer: It will not happen.
Interviewee: It is not going to happen so quickly. So if I get in operates of weak drug and I probably have to scalp, external scalp
Transcription by:
Scribe4you Transcription Services