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- Close and generally prolonged physical contact
- Sexual contact
- Age: less than 15 years, or older than 65 years
- Sexual contact with new or multiple partners
- Close, physical contact with a person who has scabies
- Living in close quarters with others (such as in a nursing home or military barracks)
- A weakened immune system
- Close contact with animal scabies
- Intense itching, usually worse at night
- Small red bumps, pimples, or lines on the skin
- Appear crusty
- Become infected and discharge pus
- Hands, especially between the fingers
- Wrists and elbows
- Genitals and pubic area (especially in men)
- Around the nipples (especially in women)
- Bellybutton and lower abdomen
- Areas where clothing is tight
- Under rings, watches, or jewelry
Permethrin Cream 5%
- Corticosteroid cream (Lotrisone)
- Antihistamines and corticosteroids
- If you share living quarters with an infected person and/or have close physical contact, consider treatment even if you do not have symptoms.
- Wash or dry clean all clothing, bedding, and towels that may have become infested. Set washing or drying temperatures to 140ºF (60ºC) or more. Mites may live for at least 2-5 days after they leave a human body. They are probably infectious during some or all of that time, especially in room temperatures of 68ºF (20ºC) and above. Some experts suggest that items that cannot easily be cleaned be “quarantined.” This can be done by placing them in a plastic bag for at least three days.
- Try to avoid contact for several days with hard-to-clean or non-cleanable items, like upholstered furniture. Talk to your doctor about ways to deal with household items that cannot be cleaned.
The American Academy of Dermatology http://www.aad.org/
Communicable Disease Control (CDC) Network Province of Manitoba http://www.gov.mb.ca/
Health Canada http://www.hc-sc.gc.ca/
AHFS Drug Information website. Available at: http://www.ahfsdruginformation.com/ . Accessed July 14, 2009.
American Academy of Dermatology website. Available at: http://www.aad.org/ . Accessed July 14, 2009.
Berkow R, Beers MH, Fletcher AJ, Bogin RM. The Merck Manual of Medical Information—Home Edition . New York, NY: Simon and Schuster, Inc; 2000.
Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2010. MMWR 2010;59(No. RR-12):1-110.
Currie BJ, McCarthy, JS. Permethrin and ivermectin for scabies. New Engl J of Med . 2010: 362:717-725.
Hu S, Bigby M. Treating scabies: results from an updated Cochrane review. Arch Dermatol . 2008:144:1638-40.
Leone PA. Scabies and pediculosis pubis: an update of treatment regimens and general review. Clin Infect Dis . 2007 Apr 1;44 Suppl 3:S153-9. Review. Available at: http://cid.oxfordjournals.org/content/44/Supplement%5F3/S153.long .
Lindane shampoo and lindane lotion. Center for Drug Evaluation and Research. US Food and Drug Administration website. Available at: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm110452.htm . Accessed July 14, 2009.
Medication guide lindane lotion USP, 1%. Center for Drug Evaluation and Research. Food and Drug Administration website. Available at: http://www.fda.gov/downloads/Drugs/DrugSafety/UCM133687.pdf . Accessed July 14, 2009.
Medication guide lindane shampoo USP, 1%. Center for Drug Evaluation and Research. Food and Drug Administration website. Available at: http://www.fda.gov/downloads/Drugs/DrugSafety/UCM133688.pdf . Accessed July 14, 2009.
Mumcuoglu KY, Gilead L. Treatment of scabies infestations. Parasite . 2008;15: 248-51.
National Institute of Allergy and Infectious Diseases website. Available at: http://www3.niaid.nih.gov/ . Accessed July 14, 2009.
Revised lindane lotion label. Center for Drug Evaluation and Research. Food and Drug Administration website. Available at: http://www.accessdata.fda.gov/drugsatfda%5Fdocs/label/2003/006309lotionlbl.pdf . Accessed July 14, 2009.
Revised lindane shampoo label. Center for Drug Evaluation and Research. Food and Drug Administration website. Available at: http://www.accessdata.fda.gov/drugsatfda%5Fdocs/label/2003/006309shampoolbl.pdf . Accessed July 14, 2009.
Strong M, Johnstone PW. Interventions for treating scabies. Cochrane Database Syst Rev . 2007 Jul 18;(3):CD000320. Review.
Tierney LM, McPhee SJ, Papadakis MA. Medical Diagnosis and Treatment . 44th ed. Toronto: McGraw-Hill/Appleton & Lange; 2005.
Wolf R, Davidovici B. Treatment of scabies and pediculosis: facts and controversies. Clin Dermatol . 2010 Sep-Oct;28(5):511-518.
- Reviewer: Purvee S. Shah, MD
- Review Date: 09/2012 -
- Update Date: 09/10/2012 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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