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Insect repellents: recommendations for use in children

OBJECTIVE: To present a literature review about the use of insect repellents on children, highlighting the protection against mosquitoes. DATA SOURCES: Pubmed and Lilacs databases were searched for articles in English and Portuguese published in the last ten years with the following key-words: "insect repellents", "children", "mosquitoes", "N,N-dietil-metatoluamida (DEET)". DATA SYNTHESIS: Concerning topical repellents, DEET, icaridine and natural oil of lemon eucalyptus are effective to prevent mosquito bites in children and adults and have favorable safety profile when used in appropriate concentration. They are generally recommended for children older than two years-old. Physical barriers are essential for infant protection, especially if they are six months old or less, with special interest in the permethrin-treated nets. CONCLUSIONS: Mosquitoes are vectors of a variety of infectious and parasitic diseases which annually affect millions of people and cause thousands of deaths worldwide. The combat to mosquitoes includes individual and environmental measures. Topic repellents for children's individual protection demand specific handling attention and knowledge about the ideal product for each age, especially regarding their efficacy and safety.

insect repellents; culicidae; DEET; children


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