Template:Scabies treatment
Revision as of 00:11, 16 September 2019 by ClaireLewis (talk | contribs)
General Care
- Wash all linens/clothes in hot water or bag bulky items and keep sealed for 2wks
- Pruritus may continue for weeks despite successful elimination of infestation
- Consider steroids for symptom relief
Adults
- Permethrin 5% cream for all family members[1]
- Apply from neck down
- Leave on for 8-12hr before washing off
- Has 95-98% success rate, may reapply in 1-2wks if incomplete effect
- Ivermectin 200 mcg/kg may be necessary for severe infection
- Also viable option in adolescent or adult with insecure social situation
- Success rate 70%, increases if give repeat dose 2wks after
- Contraindicated in lactating women and children < 15kg
Infants
- Permethrin 5% is FDA approved for > 2 months of age although still recommended for neonatal scabies[2]
- May require application head to toe (avoid mucus membranes)
- Leave on for 8-12 hours, then wash off
Avoid
- Lindane - effective treatment but associated with potential for toxic manifestations (seizures, neurotoxicity)
- Reserved for refractory cases