Scabies

Question 1

Scabies - key symtpoms (5)

Answer 1

Intense itching that’s worse at night
Silverly lines on hands (burrows)
Rash
Mainly on hands (webbed parts) but can spread to neck and chest
Crusted: presence of flakes and thick crusts

Question 2

Scabies - extra questions (4)

Answer 2

Presence of crusts
Anyone in household experience this or close contacts
Explore working environement (care homes)
Signs of infection

Question 3

Scabies - risk factors (40

Answer 3

Care homes
Prisons
Institutions
Crusted: elderly, immunocompromised, disabled

Question 4

Scabies - explanation

Answer 4

Parasitic infection where small mites burrow and lay eggs beneath the skin. Can last months but is easily treatable with over the counter cream.

Question 5

Scabies - first-line treatment (product, how it works, how to use it and how long to see effects)

Answer 5

Permethrim cream (Lyclear), an insectiside.
Apply cream all over body (excl. head).
Ensure applied between toes and under nails.
Wash off 8 hours later.
Reapply if hands are washed.
Repeat 7 days later.
Treat household
POM for <2 years

Question 6

Scabies - symptomatic treatment (3)

Answer 6

Itching can continue for 2-4 weeks after treatment
Sedating antihistamine (piriton, chlorphenamine), for night time itch
Eurax cream (crotamiton) for itch relief
Hydrocortisone 1% once scabies are eradicated - 10+ and 7 days max

Question 7

Scabies - lifestyle

Answer 7

Clean bedding/clohting/towels at 60+ degrees
Isolate items for 72 hours
For crusted: wash floors, sofa,chairs
Avoid hot baths (encourages burrowing)
Keep skin clean, cool and dry
Avoid close body contact
Can go to school/work after 1st treatment

Question 8

Scabies - referral (6)

Answer 8

Crusted
Immunocompromised
Infection
<2 years (POM)
Genital
Resistance (POM ivermectin)