OTC - scabies

Question 1

Scabies symptoms ?

Answer 1

• intense itching, worse at night
• pimple-like rash
• small thread like grey lines
• transmission occurs primarily during person-to-person skin-to-skin contact
• human scabies often found between the fingers

Question 2

Referral criteria?

Answer 2

• secondary bacterial infection caused by scratching
• treatment failure
• unclear diagnosis
• babies and children

Question 3

OTC product?

Answer 3

PERMETHRIN CREAM 2+ YEARS (lyclear): adult single application = 30-60g of cream, leave on for 8-12 hours before washing off

MALATHION 6+ MONTHTS (derbac-M): adult single application = 100ml lotion, leave on for 24 hours before washing off

• 2 treatments - 7 days apart
• apply to whole body
• treat all close contacts at the same time (sexual partners, household members etc)

Question 4

Advice?

Answer 4

• avoid close contact with others
• adults and children can return to work or school after the first treatment
• itch will not stop straight away - crotamiton cream, antihistamines can help
• wash clothes and bed linen >50 degrees at time of treatmemt