SCABIES
PROBLEM
Scabies is a common condition characterized by severe itching. You may have noticed small burrows between your fingers and in other locations, or you may have some redness and skin irritation that is aggravated by scratching.
CAUSE
Scabies is caused by an infestation of the skin by a mite. You have contracted scabies by coming in close contact with an individual who has the condition.
PREVENTION
You can prevent reinfection of scabies by following these measures:
A.Make sure all close contacts, sexual partners, family, and household contacts are treated.
B.All bedding and clothing that has touched infected skin should be machine washed and machine dried on the highest heat cycle.
C.Any clothing or bedding that cannot be laundered in the previously mentioned way should be placed in a plastic bag that is securely tied for at least a week. The mites cannot live this long away from human skin.
D.Coats, furniture, rugs, floors, and walls do not require any special cleaning or treatment.
TREATMENT PLAN
A.Most patients with scabies are successfully treated with only one overnight application of a cream known as a scabicide.
B.You should let your practitioner know if you are pregnant or breastfeeding.
C.You may itch for up to a week even with successful treatment.
D.If you still have symptoms after 2 weeks, you should see your practitioner, who will determine if you need a second treatment.
Activity: Affected children in day care or school can return the day after treatment is completed.
Diet: There is no special diet.
Medications: The most common medications used to treat scabies include:
A.Permethrin (Elimite cream), which is applied to all body areas from the neck down and washed off in 8 to 14 hours.
B.Lindane (Kwell cream), which is applied to all skin surfaces from the neck down and washed off in 8 to 12 hours.
C.You may be told to use Benadryl 25 to 50 mg if needed for itching.
D.Do not use it near your eyes.
You Have Been Prescribed: ___________________________________________________________
You Need to Take: ___________________________________________________________
You Need to Notify the Office If:
A.You have new symptoms.
B.You have a reaction to the medication.
C.Other: ___________________________________________________________
Phone: ____________________________
RESOURCE
American Academy of Dermatology
9500 W Bryn Mawr Avenue, Ste 500, Rosemont, IL 60018-5216
United States
Phone: (888) 462-DERM (3376)
PATIENT TEACHING GUIDE