SCABIES

Scabies is caused by a mite called Sarcoptes scabeii.  It is picked up from others with the condition and can be passed on to others.  It is particlularly common in children and in nursing homes.  Although it is generally regarded as a disease of overcrowding, it is certainly not restricted to any particular group of individuals or social class.  

 

Common sites of scabies involvement are:

 

  • between the fingers

  • the wrists

  • armpits

  • belt line

  • buttocks

  • genitalia

Scabies between the fingers is a common site

Scabies on the abdomen

Treatment

 

Ascabiol

Quellada

Eurax

5% Sulphur ointment

Spregal

Ivermectin

 

Ascabiol

 

Day 1:

Bath

Dry with rough towel

Apply ascabiol from neck to toe

Wait for 15 minutes for ascabiol to dry

Re-apply ascabiol

 

Day 2:

No bath

Apply ascabiol from neck to toe

Wait for 15 minutes for ascabiol to dry

Re-apply ascabiol

 

Day 3: Bath

Do no apply any more ascabiol

Wash all linen, pyjamas, clothing etc in boiling water or washing machine. Hang all items in sunlight.

Iron all items before using. Mattress to be left out in the sun.

All family members and household contacts must be treated at the same time, whether scratching or not.

Below the age of 1 year, ascabiol can be diluted 50% with water and applied in the above manner.

 

Quellada

 

One application from neck to toe, after a bath. Repeat after 7 days.

 

Eurax Cream

 

One application daily after a bath for 5 days. Ideal for children under 1 year as it is not associated with burning sometimes experienced with Ascabiol or Quellada.

 

5% Sulphur ointment

 

One application daily after a bath for 2 weeks. May be applied on the face in kids but avoid the eyes.

 

Spregal 

 

This spray is applied once after a bath.  It can be repeated after one week.  It's main advantage is the lack of irritation.  One can is usually enough to treat the family.

 

Ivermectin

 

This medication has been used successfully for the treatment of resistant scabies.  It is given by injection.  Special arrangements need to be made with the Medicines Control Council to obtain this medication as it is not commercially available.

Typical dermatoscopic image of scabies © Dr N Raboobee

© 2020 Dr N Raboobee

Please note that consultations and opinions are not offered by email. Appointments for consultations can be made with the secretary - Tel: 031 265 1505. This practice is contracted out of medical aid.

031 265 1505