Scabies is a highly contagious skin condition caused by a microscopic mite known as Sarcoptes scabiei. Causes of scabies is by skin to skin contact as well as sharing of items such as clothing,towels or beddings. Close living conditions, such as crowded households, nursing homes, or prisons, can facilitate the rapid spread of scabies.
Scabies Symptoms
The most common symptom of scabies is intense itching, particularly at night. This itching is a result of the allergic reaction to the mite's saliva, faeces, and eggs. Other symptoms include small, raised bumps on the skin, rashes, and blisters. They typically occur between fingers, wrists, elbows, armpits, buttocks, and genitals. In children, scabies may also affect the scalp, palms, and soles of the feet.
How to treat Scabies
You can treat scabies by using over the counter treatment called lyclear 5% dermal cream or Permethrin cream. Permethrin is an insecticide that paralyses and kills the mite as well as their eggs. You apply the cream to the whole body, go to sleep, leave overnight for 8 to 12 hours and wash off in the morning with water and soap. To get rid of scabies completely, you can repeat the treatment 14 days later.
If permethrin does not work, the next treatment option for scabies is Malathion 0.5% lotion but you have to leave on the skin for 24 hrs before washing off.
It is advisable to treat the whole household to prevent spread of scabies as well as getting re-infected again.
Scabies Prevention
You also need to wash your beddings, clothes, towels at high temperatures above 50c, and any items you cannot wash should be sealed in a plastic bag for at least 72hrs as the mites need the human body to survive and die after 36 to 72 hrs
If treatments for scabies have not worked or you have crusted scabies (Norwegian scabies, which is a more severe form of scabies), then you need to see a dermatologist who might treat with oral steroids or oral ivermectin. Oral ivermectin is taken as two doses 7 or 14 days apart and it is not licensed for use of scabies treatment in the UK.
If you suspect scabies or experience persistent itching and skin irritation, seeking medical attention is recommended for accurate diagnosis and appropriate treatment.
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