Fungal skin infection
NICE Clinical Knowledge Summaries - Fungal skin infection - body and groin
NICE Clinical Knowledge Summaries - Fungal skin infection - foot
NICE Clinical Knowledge Summaries -Fungal skin infection - scalp
Skin scrapings not routinely required. If scalp infection or intractable, severe, extensive infection - send skin scrapings to guide use of oral terbinafine.
Scalp: Discuss with dermatology. Oral therapy indicated if confirmed
Drug details
Topical terbinafine 1%
BD
1-2 weeks
Alternative:
Topical imidazole e.g. clotrimazole, miconazole
as per BNF
as per BNF
Alternative for Athlete’s foot:
Over-the-counter undecenoic acid cream or topical preparations containing tolnaftate