Scabies Flashcards
Lifestyle tips (Scabies)
Remember to also apply between fingers and toes, under nails, in skin folds, to belly button, between the buttocks and to groin area.
Treatment may be easier to apply using a soft brush or sponge.
If the hands or any other body part are washed during the treatment period, reapply the lotion/cream to the washed areas.
The morning after each treatment, soft toys, bed linen and clothing that has been in contact with the person in the previous 48–72 hours should either be washed and dried on hot machine settings, dry-cleaned, ironed or stored in tightly sealed plastic bags for at least 3 days.
For people with crusted scabies, additional cleaning (eg household vacuuming) is required to reduce transmission.
Permethrin 5% (Lyclear) (P&BF)
Apply cream from the chin down and wash off with warm, soapy water 8–14 hours later. Rinse thoroughly. Repeat after 7 days.
Also apply to the scalp, neck, face and ears in children <2 years, elderly or immunocompromised people, people who live in central and northern Australia, people who have had treatment failure or those with crusted scabies.
Adult: up to one tube.
5–12 years: up to half a tube.
1–5 years: up to one-quarter of a tube.
2–12 months: up to one-eighth of a tube.
Counselling:
Avoid contact with eyes, mouth and inside the nose.
Treatment with permethrin requires 2 applications 1 week apart.
Avoid excessive treatment; further irritation can occur.
The itch may continue after 2nd course of treatment
Benzyl Benzoate (Ascabiol) (P)
Apply using a paint brush to apply from the neck down. Pay attention to skin folds
Needs to be diluted
Adults can use undiluted- but do a patch test, can dilute if irritating
Leave on for 24hrs
Treatment repeated after 5 days
