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Scabies |
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Scabies
Treatment Treatment involves eliminating the scabies infestation with medications. Several creams and lotions are available. You usually apply the medication all over your body, from your neck down, and leave the medication on for at least eight hours. Two medications commonly prescribed are permethrin (Acticin, Elimite) and crotamiton (Eurax). Although these medications kill the mites promptly, you may find that the itching doesn't subside entirely for several weeks. Because scabies spreads so easily, your doctor may recommend that all family members and sexual partners be treated as well, even if they have no apparent signs of scabies infestation. Scabies infections need to be treated by a doctor. Call your child's doctor or dermatologist any time your child has a skin itch or rash that will not go away, especially if the itch is worse at night and seems to center around the wrists or the webbed part of the fingers. If scabies is suspected, the doctor may scrape a small part of the affected skin and examine the scrapings under a microscope for signs of scabies mites. Doctors treat scabies by prescribing a medicated cream or lotion to kill the mites. The cream will need to be applied to the skin all over the body, not just the area with the rash, and usually must remain on the skin for 8 to 12 hours before it can be washed off. After applying it, don't wash your hands - scabies mites love the area between the fingers! You may want to apply the medication before your child goes to bed, then wash it off in the morning. Most often, the treatment needs to be repeated in 1 week. Because scabies can be sexually transmitted, sexually active teens with scabies should be examined for other sexually transmitted diseases (STDs) too. Any sexual partners will also need to be treated for scabies. The doctor may prescribe antibiotics if your child develops a bacterial skin infection such as impetigo in addition to the scabies infection. The doctor may also prescribe an antihistamine to help relieve the itching and a cream like hydrocortisone to help the rash go away faster. Once a child starts receiving treatment for scabies, it usually takes about 1 to 2 days for the itching to go away; however, sometimes the itching can last for a few weeks. If the treatment is effective there should be no new rashes or burrows after 24 to 48 hours.
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