Scabies

12 min read

Scabies is a contagious skin condition caused by a mite known as Sarcoptes scabiei. It is spread through direct contact with an infected person or through contact with contaminated items such as clothing, bedding, and furniture. Scabies is most common in crowded living conditions, such as nursing homes, prisons, and daycare centers. It is also common in people who have weakened immune systems.

Transmission of Scabies

Scabies is spread through direct skin-to-skin contact with an infected person. It can also be spread through contact with contaminated items such as clothing, bedding, and furniture. Scabies mites can survive for up to 48 hours on clothing and bedding, so it is important to wash these items in hot water and dry them on a hot setting.

Signs and Symptoms of Scabies

The most common symptom of scabies is intense itching, especially at night. Other signs and symptoms may include:

  • Small red bumps or blisters on the skin
  • Thick, scaly patches of skin
  • Sores caused by scratching

Diagnosis of Scabies

Scabies is usually diagnosed based on a physical examination and a review of the patient's medical history. A doctor may also take a skin scraping to look for mites, eggs, or mite feces. This can help confirm the diagnosis.

Prevention of Scabies

The best way to prevent scabies is to avoid contact with an infected person or contaminated items. It is also important to practice good hygiene, such as washing hands frequently and avoiding sharing personal items. If you have scabies, it is important to treat it promptly to prevent it from spreading to others.

Take the Scabies Assessment

Symptoms

Itching

The most common symptom of scabies is intense itching, especially at night. The itching is caused by an allergic reaction to the mites and their waste products. Itching can be so severe that it interferes with sleep.

Rash

A scabies rash usually appears as small red bumps or blisters. The rash may be concentrated in certain areas, such as the wrists, elbows, armpits, and between the fingers. The rash may also spread to other parts of the body, such as the abdomen, chest, and legs.

Burrows

Scabies mites burrow into the skin, leaving behind thin, wavy, grayish-white lines. These burrows are usually found on the hands, wrists, elbows, armpits, and between the fingers. They may also be found on the shoulders, buttocks, and genitals.

Sores

Scratching the rash can cause sores to form. These sores may become infected if they are not treated. Infected sores may be filled with pus and may be painful.

Other Symptoms

In some cases, scabies may cause other symptoms, such as fever, swollen lymph nodes, and fatigue. If you experience any of these symptoms, it is important to seek medical attention.

Causes

Transmission of Scabies

Scabies is spread through direct contact with an infected person or through contact with items that have been in contact with an infected person. This includes clothing, bedding, and towels. It can also be spread through sexual contact. Scabies can also be spread through contact with animals, such as cats and dogs, that have been infected with the mite.

Risk Factors for Scabies

Anyone can get scabies, but there are certain factors that can increase the risk of getting the condition. These include living in crowded conditions, having a weakened immune system, and having contact with someone who has scabies. People who work in healthcare, childcare, or other settings where they come into contact with many people are also at an increased risk of getting scabies.

Preventing Scabies

The best way to prevent scabies is to avoid contact with people who have the condition. It is also important to practice good hygiene, such as washing hands regularly and avoiding sharing clothing, bedding, and towels. If you think you may have been exposed to scabies, it is important to seek medical attention right away.

Getting a Diagnosis

Clinical Examination

The diagnosis of scabies is usually made based on the presence of typical symptoms and signs. During a physical examination, the doctor will look for burrows, which are small, raised, grayish-white lines on the skin. These burrows are caused by the female mite as it tunnels into the skin. The doctor may also look for other signs of scabies, such as red bumps, blisters, and scaly patches.

Skin Scraping

In some cases, the doctor may perform a skin scraping to confirm the diagnosis. During this procedure, a small sample of skin is scraped off and examined under a microscope. This can help to identify the presence of mites, eggs, or mite feces.

Treatment

Once the diagnosis of scabies is confirmed, treatment can begin. Treatment typically involves the use of topical medications, such as permethrin or crotamiton. These medications are applied to the skin and left on for a period of time before being washed off. Oral medications may also be prescribed in some cases.

Prevention

To prevent the spread of scabies, it is important to practice good hygiene and to avoid close contact with people who have the condition. It is also important to wash all bedding, clothing, and towels in hot water and to vacuum carpets and furniture.

Questions for Your Doctor

Symptoms

The most common symptom of scabies is intense itching, especially at night. Other symptoms may include a rash, small bumps, or blisters on the skin. It is important to tell your doctor about any symptoms you are experiencing so they can make an accurate diagnosis.

Treatment Options

Your doctor will likely prescribe a topical cream or lotion to treat scabies. It is important to follow the instructions carefully and apply the medication as directed. Your doctor may also recommend other treatments such as oral medications or light therapy. Be sure to ask your doctor about any potential side effects of the medications they prescribe.

Prevention

Once you have been treated for scabies, it is important to take steps to prevent it from spreading to others. This includes washing all bedding, clothing, and towels in hot water and drying them on the highest heat setting. It is also important to avoid close contact with anyone who may be infected. Be sure to ask your doctor for any other tips on preventing the spread of scabies.

Follow-up Care

Your doctor may recommend follow-up care to ensure that the scabies has been completely eliminated. This may include a follow-up appointment or additional tests. Be sure to ask your doctor about any follow-up care they recommend.

If you think you may have scabies, it is important to speak to your doctor about it. Be sure to discuss your symptoms, treatment options, prevention methods, and follow-up care with your doctor. This will help ensure that you get the best possible treatment for your condition.

Treatment

Medications

The most common treatment for scabies is a topical medication, such as permethrin cream. This cream is applied to the entire body from the neck down and left on for 8 to 14 hours. After this time, it should be washed off with soap and water. Another option is ivermectin, which is taken orally. This medication is usually prescribed for severe cases of scabies.

Home Remedies

In addition to medications, there are several home remedies that can be used to help relieve the itching and discomfort associated with scabies. These include applying cool compresses to the affected area, taking oatmeal baths, and using calamine lotion. Tea tree oil and neem oil are also popular home remedies for scabies, as they have natural antiseptic and anti-inflammatory properties.

Prevention

The best way to prevent scabies is to avoid close contact with an infected person. It is also important to wash bedding, clothing, and towels in hot water and dry them on the highest heat setting. Vacuuming furniture and carpets can also help to reduce the risk of spreading the mites.

Drugs & Medications

Topical Medications

Topical medications are the most common treatment for scabies. These medications are applied directly to the skin and are usually available in cream or lotion form. Common topical medications used to treat scabies include permethrin, crotamiton, and lindane. These medications are applied to the entire body, from the neck down, and left on for 8 to 14 hours before being washed off. It is important to follow the instructions on the package carefully to ensure the medication is used correctly.

Oral Medications

In some cases, oral medications may be prescribed to treat scabies. These medications are taken by mouth and work by killing the mites that cause scabies. Common oral medications used to treat scabies include ivermectin and doxycycline. These medications are usually taken as a single dose, but may need to be repeated if the infection does not clear up after the first dose.

Other Treatments

In addition to medications, there are other treatments that may be used to treat scabies. These treatments include hot water washing of clothing and bedding, vacuuming of carpets and furniture, and the use of insecticides. It is important to follow the instructions on the package carefully when using insecticides to ensure they are used correctly.

Prevention

The best way to prevent scabies is to avoid close contact with an infected person. It is also important to wash clothing and bedding regularly and to vacuum carpets and furniture to remove any mites that may be present. If you have been in contact with someone who has scabies, it is important to seek medical attention as soon as possible to prevent the spread of the infection.

Diet

Foods to Eat

Eating a healthy, balanced diet can help reduce inflammation and promote healing. Here are some foods to include in your diet:

  • Fruits and vegetables: Fruits and vegetables are rich in antioxidants, which can help reduce inflammation and promote healing.
  • Whole grains: Whole grains are a good source of fiber, which can help reduce inflammation and improve digestion.
  • Lean proteins: Lean proteins such as fish, chicken, and beans are a good source of essential nutrients that can help reduce inflammation and promote healing.
  • Healthy fats: Healthy fats such as olive oil, avocados, and nuts are a good source of essential fatty acids that can help reduce inflammation and promote healing.

Foods to Avoid

Certain foods can worsen inflammation and make symptoms worse. Here are some foods to avoid:

  • Refined carbohydrates: Refined carbohydrates such as white bread, pasta, and pastries can worsen inflammation and make symptoms worse.
  • Processed foods: Processed foods such as chips, crackers, and cookies are high in unhealthy fats and additives that can worsen inflammation and make symptoms worse.
  • Sugary drinks: Sugary drinks such as soda and juice are high in sugar and can worsen inflammation and make symptoms worse.
  • Alcohol: Alcohol can worsen inflammation and make symptoms worse.

Conclusion

While there is no specific diet for scabies, eating a healthy, balanced diet can help reduce inflammation and promote healing. Avoiding certain foods such as refined carbohydrates, processed foods, sugary drinks, and alcohol can also help reduce symptoms and promote healing.

Lifestyle

Keep Skin Clean and Dry

Keeping the skin clean and dry is one of the most important lifestyle tips for scabies. Regularly washing the skin with soap and water can help reduce the risk of infection and improve symptoms. It is also important to keep the skin dry, as moisture can make the condition worse. Avoiding tight-fitting clothing and using breathable fabrics can help keep the skin dry.

Avoid Sharing Personal Items

Scabies is highly contagious and can be spread through contact with contaminated items. To reduce the risk of infection, it is important to avoid sharing personal items such as towels, clothing, and bedding. If you must share items, make sure to wash them in hot water and dry them on the highest heat setting.

Treat All Family Members

If one family member has scabies, it is important to treat all family members to prevent the spread of infection. All family members should be treated with the same medication to ensure that the infection is completely eliminated. It is also important to wash all bedding, clothing, and towels in hot water and dry them on the highest heat setting.

See a Doctor

If you suspect that you or a family member has scabies, it is important to see a doctor for diagnosis and treatment. A doctor can prescribe medications that can help reduce symptoms and eliminate the infection. It is important to follow the doctor’s instructions and complete the full course of treatment to ensure that the infection is completely eliminated.