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This article was co-written by Laura Marusinec, MD. Marusinec is a licensed pediatrician at Children’s Hospital of Wisconsin, and she is a member of the Clinical Practice Council. She received her PhD from the University of Wisconsin School of Medicine in 1995 and completed her residency at the University of Wisconsin School of Medicine with a major in Pediatrics in 1998. She is a member of the American Medical Writers Association and the American Medical Writers Association. Children’s Emergency Care Association.
There are 19 references cited in this article that you can view at the bottom of the page.
This article has been viewed 47,815 times.
Scabies is a common disease worldwide and scabies patients of all ages, races, rich and poor. [1] X Trusted Source American Academy of Dermatpogy Go to the source Disease is not related to hygiene. The itch mite (scientific name is Sarcoptes scabiei ) is a skin parasite that causes scabies. Itch mites have eight legs and you can only see them with a microscope. Adult female mites burrow into the epidermis (upper layer of skin) for shelter, foraging, and laying eggs. They rarely dig through the stratum corneum which is the outermost layer of the epidermis. [2] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[3] X Trusted Source American Academy of Dermatpogy Go to Source If you think you have scabies follow the steps below to get it know or diagnose scabies, as well as future treatments and prevention.
Steps
Watch for signs of scabies
- Itching tends to be worse at night and can disturb sleep. [4] X Trusted Source Mayo Clinic Go to Source
- In adults, the most common places to get a rash are the hands, especially in the skin between the fingers, skin folds of the wrists, elbows, knees, buttocks, waist, penis, skin around the nipples, armpits , shoulder blades and breasts. [7] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[8] X Trusted Source American Academy of Dermatpogy Go to Source[9] X Trusted Source World Health Organization Go to Source
- For children, the places where mites like to live are the scalp, face, neck, palms, and soles of the feet. [10] X Trusted Source Mayo Clinic Go to Source
- However, you can hardly find their nest because the average person has only 10-15 mites during a scabies outbreak. [12] X Trusted Source Centers for Disease Contrp and Prevention Go to source
- These bacteria can also cause kidney inflammation and even sepsis, a potentially fatal infection of the blood. [14] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[15] X Trusted Source American Academy of Dermatpogy Go to Source
- To avoid this problem you must not scratch and be gentle with the skin. If you can’t resist yourself, wear cloth gloves or use duct tape to cover your fingertips to avoid injuring your skin. Remember to keep your nails short.
- Signs of infection include redness, swelling, increased pain, and oozing or pus-filled sores. You should seek medical attention immediately if you think the rash has become infected. Your doctor will prescribe topical antibiotics or oral medications to treat the infection.
- Another effect of a weakened immune system is that the itching and rash are less severe or completely absent.
- People who are more likely to develop scabies are older adults with weakened immune systems or HIV/AIDS, lymphoma, or blood cancers. You’re also at risk if you’ve had an organ transplant and have a condition that doesn’t itch, such as a spinal cord injury, paralysis, loss of sensation, or a nervous breakdown. [17] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[18] X Trusted Source American Academy of Dermatpogy Go to Source[19] X Trusted Source World Health Organization Go to Source
Diagnosing scabies
- They scrape off a very small piece of skin with a needle, then look at it under a microscope for mites, eggs or their waste. [21] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[22] X Trusted Source American Academy of Dermatpogy Go to Source
- You should know that you may still have scabies even if the mites, eggs or their droppings cannot be detected with a microscope. Each outbreak has only about 10-15 mites all over the body. [23] X Trusted Source Mayo Clinic Go to Source
- Scabies is sometimes confused with an insect or bed bug bite or sting.
- Impetigo is also a scabies-like disease and is highly contagious. The rash of this disease mainly appears on the face, around the nose and mouth. [26] X Research Source
- Scabies is also easily confused with eczema, which is a chronic form of skin inflammation. The body’s allergic reaction to eczema is a red rash in the form of a bump. [27] X Research Source People with eczema can also get scabies and make it worse.
- Folliculitis is also confusing, often leading to an infection in the area around the hair follicle. This disease produces raised white-headed nodules on the red base, located around or near the hair follicle. [28] X Trusted Source Mayo Clinic Go to Source
- Psoriasis is also characterized by scabies, a type of chronic inflammatory skin disease characterized by an overgrowth of skin cells that results in the formation of thick silvery scales, and numerous itchy, dry red patches. [29] X Trusted Source Mayo Clinic Go to Source
Scabies treatment
- Reapply after 7 days (1 week). Side effects are itching or a tingling sensation.
- You should consult a doctor before treating scabies in babies and young children. Permethrin cream is safe even for babies 1 month old, [31] X Trusted Source American Academy of Dermatpogy Go to source but most experts recommend it also be applied to the head and neck of infants and children small. [32] X Trusted Source Centers for Disease Contrp and Prevention Go to the source However you must avoid getting the medicine in your baby’s eyes and mouth.
- Crotamiton is considered safe if used as directed. [33] X Research Sources However, there have been many reports of this medication failing to cure scabies, meaning it is no longer the most effective or widely used. [34] X Trusted Source Centers for Disease Contrp and Prevention Go to source
- The drug is potentially neurotoxic, meaning it can damage the brain and other parts of the nervous system. [35] X Source of Study The prescribing of lindane should only be given to people who have failed other medications, or cannot tolerate less risky medications. [36] X Trusted Source Centers for Disease Contrp and Prevention Go to source
- Take another dose every 7-10 days. The drug ivermectin is only considered for people who have failed FDA-approved topical medications, or cannot tolerate these medications.
- A common side effect of taking ivermectin is a rapid heart rate. [38] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[39] X Research Source
- Sprinkle more oats or baking soda into the bath for better skin soothing. [41] X Trusted Source Mayo Clinic Go to Source
- You can also use calamine lotion, which has been shown to be effective in treating itching in mildly irritated skin. Your best bet is a Sarna or Aveeno anti-itch moisturizer. Avoid using any products that contain fragrances or dyes as they irritate the skin. [42] X Trusted Source Mayo Clinic Go to Source[43] X Trusted Source Mayo Clinic Go to Source
- Because it’s an allergic reaction, you can also use over-the-counter antihistamines for itching, such as Diphenhydramine, Dorotec, Loratadin and Telfast BD. These medications are especially helpful at night to relieve itching and help you sleep. Diphenhydramine also has a mild sedative effect. An example of an over-the-counter antihistamine is Atarax. [44] X Research Source
- Hydrocortisone 1% topical cream is available over-the-counter and works well for itching.
Scabies prevention
- Crowded living environments are a common cause of scabies outbreaks, [46] X Sources of study so places like prisons, barracks, daycares, nursing homes and schools are common sites for outbreaks. [47] X Research Sources Scabies cannot be spread by animals. [48] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[49] X Trusted Source American Academy of Dermatpogy Go to Source
- For people who have been infected with scabies before, symptoms develop much faster, in just 1-4 days. [50] X Trusted Source Centers for Disease Contrp and Prevention Go to source
- The mechanism of increased risk of disease transmission in these subjects is from skin-to-skin contact.
- On the day scabies treatment begins, all clothing, bedding, and towels used within the past 3 days should be washed in hot water and dried on the highest setting, or dry cleaned. If dry cleaning or dry cleaning is not possible, put them in a sealed plastic bag for at least 7 days. Mites can only live 48-72 hours after leaving human skin. [53] X Trusted Source American Academy of Dermatpogy Go to Source
- Also on the first day you have to vacuum the floor and furniture. Discard the bag or empty the dust and clean the dust container of the machine after vacuuming is complete. If the container cannot be disassembled, use a damp paper towel to wipe away the mites in it. [54] X Trusted Source American Academy of Dermatpogy Go to Source
- Do not treat pets for scabies. The mites that cause scabies cannot live on animals and animals cannot transmit scabies to humans. [55] X Trusted Source American Academy of Dermatpogy Go to Source
- You do not need and should not use insecticidal sprays to get rid of mites in the environment. [56] X Trusted Source Centers for Disease Contrp and Prevention Go to source
Advice
- Children and adults can resume normal activities such as going to school or work after the day treatment begins.
Warning
- See your doctor if your rash doesn’t go away in 2-3 weeks, gets worse, comes back after treatment, or appears to be infected (red, more swollen, or has pus).
This article was co-written by Laura Marusinec, MD. Marusinec is a licensed pediatrician at Children’s Hospital of Wisconsin, and she is a member of the Clinical Practice Council. She received her PhD from the University of Wisconsin School of Medicine in 1995 and completed her residency at the University of Wisconsin School of Medicine with a major in Pediatrics in 1998. She is a member of the American Medical Writers Association and the American Medical Writers Association. Children’s Emergency Care Association.
There are 19 references cited in this article that you can view at the bottom of the page.
This article has been viewed 47,815 times.
Scabies is a common disease worldwide and scabies patients of all ages, races, rich and poor. [1] X Trusted Source American Academy of Dermatpogy Go to the source Disease is not related to hygiene. The itch mite (scientific name is Sarcoptes scabiei ) is a skin parasite that causes scabies. Itch mites have eight legs and you can only see them with a microscope. Adult female mites burrow into the epidermis (upper layer of skin) for shelter, foraging, and laying eggs. They rarely dig through the stratum corneum which is the outermost layer of the epidermis. [2] X Trusted Source Centers for Disease Contrp and Prevention Go to Source[3] X Trusted Source American Academy of Dermatpogy Go to Source If you think you have scabies follow the steps below to get it know or diagnose scabies, as well as future treatments and prevention.
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