Template:Scabies treatment
Revision as of 20:42, 17 June 2015 by Ostermayer (talk | contribs) (Created page with "===Adults=== *Permethrin 5% cream for all family members<ref>Strong M. Johnstone P. Interventions for treating scabies. Cochrane Database Syst Rev. 2007;(3):CD000320</ref> **A...")
Adults
- Permethrin 5% cream for all family members[1]
- Apply from neck down
- Infants may require application to scalp/face (avoid mucus membranes)
- 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
- Wash 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
Infants
- Permethrin 5% is FDA approved for > 2 months of age although still recommended for neonatal scabies [2]
Avoid
Lindane - previous treatment but associated with potential for toxic manifestations; seizures