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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Dermatology

Scabies (6479)

Scabies (6479) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Dermatology

6479

Scabies

Scabies infestation is caused by a tiny
human mite. It can not be seen by the naked
eye, but can be seen with a microscope. It is
passed only from humans to humans, not
from animals to humans. It is easily spread.
During the first 3 weeks that people have
scabies they do not itch or have itchy
bumps. If you think your child might have
scabies, ask if any household members or
persons in contact with your child have itchy
bumps.

Scabies can be cured by applying a
scabicide, such as 5% permethrin cream. In
children and adolescents, a 98% cure rate
can be attained with this cream if it is
applied for 8 to 14 hours. The treatment has
to be repeated in one week to prevent
recurrence as eggs from the mites may not
be killed completely during the first
treatment. Ivermectin is a pill that is taken
once and has been found to work as well.
Ivermectin should not be used in children
under 5 years of age, in pregnant women,
and women who are breastfeeding.
Permethrin cream can be used for children 2
months of age or older.

Infants and toddlers should have their hands
covered with clothing to prevent licking the
scabicide from the skin. Babies, that have
dozens or hundreds of itchy bumps, may
need a number of re-treatments 7 or 8 days
apart.

Even after complete treatment, affected
individuals may continue feel itchy for
several weeks. Therefore continue treatment
using anti-itch cream or Benadryl may be
needed.

Area Cleaning the House
All washable clothing, towels, and bed
linens which have been in contact with the
infested persons should be machine washed
in hot water (at least 60° C) and machine
dried on high heat for 20 minutes to destroy
the mites. Transmission of the scabies mite
via furniture is unlikely. In cases of
persistent or chronic infestations, bed
mattresses, and upholstered furniture should
be vacuumed or gently ironed.

Family Contacts
Scabies are easily passed from one person to
another. It is common for more than one
person in a family to have them, even if they
have not yet developed a rash. All
household members (as well as babysitters),
who have had contact with the affected
person for more than 24 hours, should be
treated. Children can return to school after
one treatment with the anti-scabies
medicine. Pets do not carry scabies.

UW Dermatology Department
1 S. Park St 7th Floor
Madison, WI 53715
Clinic: (608) 287-2450
American Family Children’s Hospital
Pediatric Dermatology Specialty Clinic
1675 Highland Ave.
Madison, WI 53792
Clinic: (608) 263-6420
Your health care team may have given you this information as part of your care. If so, please use it and call if you have any questions. If
this information was not given to you as part of your care, please check with your doctor. This is not medical advice. This is not to be
used for diagnosis or treatment of any medical condition. Because each person’s health needs are different, you should talk with your
doctor or others on your health care team when using this information. If you have an emergency, please call 911. Copyright © 12/2016
University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing HF6479