Ringworm - need help and advice - please!!

amyl

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Hi all,

We adopted to Siberian kittens on November 22nd. Unbeknownst to us, the kittens had ringworm. I took them to the vet the very next day (Nov. 23) after getting them, and we noticed a dry patch at the base of the boy's tail. The vet looked at it under the black light (it did not glow), and said she didn't think it was ringworm. She went ahead and did a culture anyway. On November 25th, I stopped by the vet to pick up Micazole (mitroconazole lotion 1%), as I had found two more spots on the boy, and one suspicious spot on the girl. I began treating topically. On November 28th, I requested a shampoo so that I could treat the cats all over. Spot treating seemed pointless as there could be many more unseen spots. They gave me KetoHex and Limeplus Dip to use. I held off on the dip, because the culture wasn't showing anything yet. I shampooed both cats on November 28th and continued to spot treat with the mitroconzaole lotion. By Sunday, December 4th, both my daughter and I had two spots of ringworm each on us. I shampooed both cats that day and did the dip. I called the vet on Monday and told them that the culture was pointless now that we both had ringworm. 

Thankfully, the cats have been isolated in my bedroom and bathroom.  We were keeping them in there initially anyway, but decided to leave them there until we knew what was going on. I shampooed and dipped both cats again on Wednesday, December 7th, and took the boy to the vet because I was finding more spots. The vet prescribed terbinafine oral medication for both cats (cut each 250 mg tablet into fourths). We initially tried to get itrakonzole oral solution, but it was going to cost $250 to have it compounded each refill. I started the oral medication that night.

Since my daughter and I both got it (last Sunday), I began cleaning like crazy. I am vacuuming or using a Swiffer daily. I use Spic and Span (claims to kill ringworm) on the bathroom floor and let it sit for 10 minutes, rinse, dry, and then repeat with 1:10 bleach solution for 10 minutes, rinse, dry. Then, I shampoo and dip both cats and leave them in the clean bathroom to dry while I'm vacuuming my bedroom (wood floors) and clean those with vinegar and water. I am washing the floors and bathing/dipping the cats twice a week. I am washing my blanket on my bed daily, as the kittens have have access to my bedroom.

My spots have cleared up completely in one week using Naftin. My daughter was prescribed ketoconzole cream 2%, and hers are slowly going away (Naftin is for ages 12 and up) 

Here are my questions:

*How long will this take to resolve?

*Should I keep the kittens contained to the bathroom and not let them in my room?

*Do I need to be this vigorous with cleaning?  Or can I chill a little?

*They had a cat tree. I took it out to our back porch, vacuumed it, and sprayed it with Lysol. Then, I used carpet cleaner on it. Do you think the spores are dead on it or do I need to throw it away? Will allowing it to sit in the sun help?  It was very expensive. :( 

*How long before the kittens are no longer contagious? In humans, we are not contagious after 24-48 hours of treatment. I am reading anywhere from 4 weeks to 4 months for a cat?  Why?? Doesn't the lime dip keep them from being contagious?

*Do I really have to throw away the vacuum bag each time I use it? The bags say they can capture particles as small as 0.1 micron and filter 99.7%. I'm literally vacuuming air, because the kittens do not seem to shed much. 

*Any tips you can offer are greatly appreciated!
 
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amyl

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Should read "two" Siberian cats.  In a hurry to get it typed!  :)

Also, I soaked all of their hard toys in 1:10 bleach and then rinsed them.  They should be ok to reuse if I keep doing this bi-weekly, correct?  I have to throw away the cardboard incline scratchers, unfortunately. 
 

stephenq

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Should read "two" Siberian cats.  In a hurry to get it typed!  :)

Also, I soaked all of their hard toys in 1:10 bleach and then rinsed them.  They should be ok to reuse if I keep doing this bi-weekly, correct?  I have to throw away the cardboard incline scratchers, unfortunately. 
Hi

Ive dealt with RW 3 times at home and many times professionally and to all the questions about cleaning and isolation I would say most of it comes down to personal preference and level of concern.  I have never once bleached, cleaned or vacuumed in response to the RW, all i did was treat the cat, wash my hands, and the one occasion where i got a single welt, treated myself.  Yes the spores are hardy, but to what effect?  In my experience, once it was all over, no animal or human was ever re-infected even though that is possible,  so again, personal comfort level comes into play.

I never through anything out, and i didn't isolate the cat in question.  The other cats never caught it, but at least on that issue, they were probably lucky.

As to duration, expect weeks, 3-6 more or less to complete resolution and hair regrowth. 
 
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amyl

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Hi

Ive dealt with RW 3 times at home and many times professionally and to all the questions about cleaning and isolation I would say most of it comes down to personal preference and level of concern.  I have never once bleached, cleaned or vacuumed in response to the RW, all i did was treat the cat, wash my hands, and the one occasion where i got a single welt, treated myself.  Yes the spores are hardy, but to what effect?  In my experience, once it was all over, no animal or human was ever re-infected even though that is possible,  so again, personal comfort level comes into play.

I never through anything out, and i didn't isolate the cat in question.  The other cats never caught it, but at least on that issue, they were probably lucky.

As to duration, expect weeks, 3-6 more or less to complete resolution and hair regrowth. 
Thank you!!  Are the steps I'm following with the kitties sufficient (oral terbinifine, shampoo with KetoHex or Miconahex + Triz, Limeplus dip, and topical Miconazole Lotion on spots??  I will most likely keep up my cleaning routine, as it makes me feel like I'm doing something. But, do you think I need to throw away their cat tree?  Or was cleaning it sufficient?  It was expensive.  :( 
 

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Thank you!!  Are the steps I'm following with the kitties sufficient (oral terbinifine, shampoo with KetoHex or Miconahex + Triz, Limeplus dip, and topical Miconazole Lotion on spots??  I will most likely keep up my cleaning routine, as it makes me feel like I'm doing something. But, do you think I need to throw away their cat tree?  Or was cleaning it sufficient?  It was expensive.  :( 
You're doing essentially every known safe treatment.  As to keeping or tossing the cat tree, again I can't advise you on that, there isn't an objectively correct answer, it depends on your concern and comfort level.  As I said, i never threw anything out, never cleaned once with any of my in home cases.  I'm very unconcerned about ringworm, but that's just me. It's like athlete's foot.  If all your cats currently have it, then no other animal in your home is at risk.  My biggest concern would probably be your child, school contagion, and having other kids over.....

Stephen
 
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amyl

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You're doing essentially every known safe treatment.  As to keeping or tossing the cat tree, again I can't advise you on that, there isn't an objectively correct answer, it depends on your concern and comfort level.  As I said, i never threw anything out, never cleaned once with any of my in home cases.  I'm very unconcerned about ringworm, but that's just me. It's like athlete's foot.  If all your cats currently have it, then no other animal in your home is at risk.  My biggest concern would probably be your child, school contagion, and having other kids over.....

Stephen
Well, my daughter and I already have it, and we are both being treated for it. The pediatrician said we are no longer contagious after treating for 48 hours, but to continue to treat the spots for 2 weeks after they clear.  Do you have any experience with Chlorine Dioxide for killing ringworm (safe around pets) or Accel?  
 

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Well, my daughter and I already have it, and we are both being treated for it. The pediatrician said we are no longer contagious after treating for 48 hours, but to continue to treat the spots for 2 weeks after they clear.  Do you have any experience with Chlorine Dioxide for killing ringworm (safe around pets) or Accel?  
Accel is one of the best products as it is non-toxic, 5 min wait time and no rinse.  Much safer than bleach.
 
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amyl

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Accel is one of the best products as it is non-toxic, 5 min wait time and no rinse.  Much safer than bleach.
Perfect!  I just ordered a gallon from Amazon.  Kind of expensive, but I guess it is concentrated?  
 
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amyl

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Hey guys, 

Any experience with Accel or Rescue cleaner?

Thanks,

Kendrick
Yes!  This has been proven to be as effective as bleach, and is safer around animals. My vet's office uses it.  I purchased a gallon, and used it throughout the duration of our ringworm battle. I'm still using it once a week to clean my bathroom floors because it cleans so well!  I got mine from Amazon.
 

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Ok, there is accel concentrate, spray, and wipes.

Can accel concentrate be converted into spray or is the READY TO USE spray better for certain applications?

Also, when mopping, do you give it a 5min contact time and let the solution dry? Is it safe for animals afterward or must we clean up after disinfection (this is for the cats room).

Thanks,

JC
 
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amyl

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Ok, there is accel concentrate, spray, and wipes.

Can accel concentrate be converted into spray or is the READY TO USE spray better for certain applications?

Also, when mopping, do you give it a 5min contact time and let the solution dry? Is it safe for animals afterward or must we clean up after disinfection (this is for the cats room).

Thanks,

JC
I bought the concentrate and then followed the directions to mix with water. I mixed it in a spray bottle. It is more economical to purchase the concentrate and easy enough to dilute. I saturated the floor/surface and let it sit for a minimum of five minutes. I usually let it sit for 10 minutes. I then rinsed it with water and allowed to dry fully before allowing the cats back in that area.
 

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Amy,

Thank you so much for keeping up with me in this thread.

Question, you can mop with Accel correct?  Also, do you know if the product can be used on drywall being that you cant rinse it but can leave it on to dry?
 
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amyl

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Amy,

Thank you so much for keeping up with me in this thread.

Question, you can mop with Accel correct?  Also, do you know if the product can be used on drywall being that you cant rinse it but can leave it on to dry?
I didn't use an actual mop, but I'm sure you can. I sprayed it on the floor, making sure I got the floor saturated. The key is to let the mixture sit on the floor without drying for at least five minutes, then wipe off. I also used it on my walls and it didn't cause any problems. When I wiped it off, I used a wet rag with a bucket of clean water and kept rinsing the rag. I rinsed my walls also. I would think allowing it to dry on the walls is fine. That's what they do at the vet when they clean the rooms. They just spray it on and allow it to dry.
 
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