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Information About Scabies

We Have to Know about the Scabies

  • Scabies caused by an extremely small insect, just visible to the naked eye called “Itch-Mite”
  • Affects areas of skin folds : Axilla, Groin, loin, perineal regions
  • Female “Itch-Mite” burrows into the skin, where it breeds; causes irritation, makes the victim to scratch.
  • It spreads only from person to person, by direct contact or indirectly by contaminated clothes

Causes of Scabies

  • The “Itch-Mite” is the causative organism
  • When Itch-mite burrows into the skin the normally existing bacteria on skin infects the skin resulting in pus formation.

Do’s and Don’ts of Scabies

  • All the clothes / bed sheets should be regularly washed and dried under sun light.
  • Every day morning & evening take regular bath with soap
  • Infected individual should not share bed, clothes with the family members / cohabitant

Signs & Symptoms of Scabies

  • Itching, which is usually worse at night
  • Tiny blisters or grooves where the mites have burrowed
  • Common in webs between the fingers, on the wrists, elbows, armpits, around women’s nipples, on men’s genitals (penis and scrotum), along the belt line, and over the lower part of the buttocks
  • In small children- lesions appear as water-filled blisters on face

Medical advice for Scabies

  • When the condition is severe whole trunk & other areas are affected
  • Scratching has led to an infection Warning
  • In children, if neglected, leads to renal complications

Risk factors of Scabies

  • Poor personal hygiene
  • Poor standard of living
  • Sharing of clothes

Treatment for Scabies

  • Local medicine application

Benzyl Benzoate – 25%

  • It should be applied after warm-water bath and drying with a paint brush or shaving brush to every inch of the body below the chin including the soles of the feet and allowed drying
  • The application should be repeated after 12 hours, and after a further 12 hours a bath given
  • All underclothes, clothes and bed sheets should be changed and washed
  • Not more than two applications of Benzyl Benzoate should be given per week

Gamma benzene hexachloride (gamma – HCH) 0.5% to 1.0 % – in the form of soaps also available in the market

  • Use oral medicines if there are signs of secondary infection
  • OTC – Antibiotics can be used

Other Advice for Scabies

Home Remedy

Neem leaf extract mixed with turmeric powder can be used:

  • It should be applied to every inch of the body below the chin including the soles of the feet and allowed dry
  • Not only does neem deal with the scabies mites but also soothes the itch and softens and moisturizes dry, cracked skin
  • Neem’s antibacterial properties also kill the bacteria responsible for the infection

Self-care for Scabies

  • The treatment of the itch with a mild topical steroid ointment or cream may be necessary for a few days

Investigations for Scabies

  • Physical examination.