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Scabies
Scabies is an
ectoparasite called Sarcoptes Scabies. This is a mite that burrows under
the skin of the infected person. It is very common in day care settings and also in
orphanages.
It is
characterized by intense itching and tiny red raised spots on the face, waist and
armpits and genitals. It may become infected and go on to become impetigo.
Treatment is
with a prescription cream called Elmite 5%. This is applied from the head
down (neck down for an adult) and left on for 12 hours. It takes about two weeks for
the itching to subside. Usually one application of the cream is effective but it can
be applied again a week later.
Clothing
and bedding should also be thoroughly laundered to prevent re-infestation.
Wash in hot water over 120 degrees with borax or an enzyme cleaner.
Parents
should be treated simultaneously. The skin can then be moisturized. An
antihistamine can also help lessen the intense itching. Impetigo should be treated
with an antibiotic prescribed by a physician.
Cindy Sundman, RN, BSN |
