A Short Guide to Scabies Treatment -2016

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Published on January 29, 2016

Author: Mikeconschapman

Source: authorstream.com

A Short Guide to Scabies Treatment: A Short Guide to Scabies Treatment Presentation Objectives: Presentation Objectives Provide an overview of scabies Description Transmission Symptoms Diagnosis and treatment Control measures Scabies Searches Worldwide: Scabies Searches Worldwide Cases of Scabies has been increased rapidly in decade Scabies Worldwide: Scabies Worldwide Scabies Description: Scabies Description Contagious infestation of the skin Caused by human mites ( Sarcoptes scabiei subsp. hominis ) Distributed worldwide Reported incidence increasing in US since 1970’s Humans are the reservoir Slide6: Scabies Infestation: Mites burrow under skin to feed and lay eggs Can burrow beneath skin in 2.5 minutes Adult female mite .3 - .4 mm long Scabies Transmission: Scabies Transmission Direct, prolonged, skin–to-skin contact Sexual contact Household contact Indirect transfer from clothing, towels and bedding, only if contaminated immediately before contact Communicable while infested and untreated during incubation period Scabies Symptoms: Scabies Symptoms Symptoms caused by reaction to mites Pimple-like rash or burrows between fingers, on wrist, elbows, armpits, belt line, navel, abdomen, and/or buttocks Intense itching over most of the body, especially at night Sores on the body caused by scratching Incubation period: 2-6 weeks without previous exposure 1-4 days after re-infestation (usually milder) Scabies Rash : Scabies Rash Scabies Diagnosis: Scabies Diagnosis Confirmed by skin scrapings of papules or intact burrows Burrows and mites may be few in number (only 10-12) and difficult to find Scabies Treatment: Scabies Treatment Application of scabicides over entire body below head: Dr. Scabies lotion or cream (wash after 8-14 hrs ) 5% permethrin cream (wash after 8-14 hrs ) 1 % lindane cream (wash after 8-12 hrs ) Ivermectin, single dose, orally Itching may continue for several weeks despite successful treatment In ~5% of cases, 2 nd treatment may be necessary after 7-10 days. Applying Prescription Creams: Applying Prescription Creams Follow package insert Apply thin layer over whole body from neck down, paying particular attention to folds in skin Trim fingernails and toenails, apply under nails Reapply after handwashing Leave on for at least 8 hours, but not longer than maximum time recommended for product Wash off with warm, soapy water and dry skin Scabies Control: Scabies Control Prompt diagnosis and treatment of patients Simultaneous, prophylactic therapy: household members sexual contacts caregivers with prolonged skin-to skin contact Launder all clothing worn within 48-72 hrs. of treatment in hot water and dry in hot dryer Thorough vacuuming of carpets and upholstered furniture Prevention and Handwashing : Prevention and Handwashing Germs are everywhere: People carry millions of germs on their hands. Germs are on also on objects that we touch every day (doorknobs, handrails) “30 second solution” Least expensive way to stay healthy Forming good habits early in life keeps us healthy Biggest factor in preventing spread of infectious diseases! How to Wash Your Hands: How to Wash Your Hands Use warm running water Lather with soap (liquid preferred) Scrub, including between fingers, for 20 seconds Rinse with water Dry thoroughly with a clean dry towel or paper towel Turn off faucet with towel References: References American Academy of Pediatrics. Summaries of Infectious Diseases. Heymann , DL, Control of Communicable Diseases Manual. Washington DC: American Public Health Association; 2004:473-476.  Isada , C. et al. Infectious Diseases Handbook . 6th ed. Hudson, Ohio: Lexi-Comp, Inc.; 2006:293-294. http://www.cdc.gov/ncidod/dpd/parasites/scabies/default.htm Dr. Scabies - http://www.drscabies.com/scabies-wiki

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