Sulphur is the oldest antiscabietic in use. The topical and oral agents that are used in both in developed and developing countries are discussed below.
Lindane (gamma benzene hexachloride) 1% lotion or cream.īenzyl benzoate 10% and 25% lotion or emulsion. The various topical agents that are used in the treatment of scabies are summarised in box 3 (drugs that are not used now are not listed). Scabicidal drugs can be broadly divided into topical agents and oral agents. As yet, no drug can be considered an ideal scabicide. An ideal scabicide should be effective against adult and egg, easily applicable, non-sensitising, non-irritating, non-toxic, and economical 2 it should also be applicable in all ages. Various treatment modalities have been used since time immemorial but the search for an ideal scabicide is ongoing. Modified from Alexander’s Arthropods and Skin 2
You may itch for few days but do not repeat the treatment.Įveryone in the house should be treated at the same time. Treatment is best done at night before going to bed.Īvoid touching your mouth or eyes with your hands.Ĭhange your underclothing and sheets the next day and launder them. All parts of the body from chin downwards, whether involved or uninvolved should be treated. The medication provided should be rubbed into the skin. Start with a warm bath and dry thoroughly afterwards.
Scabies is caused by itch mite and it can be easily cured if the following instructions are followed carefully: Instructions for the treatment of scabies Further, if there is a clinical suspicion the diagnosis is scabies until proven otherwise. In many countries where scabies is endemic these facilities do not exist and hence diagnosis is made based on the history and clinical features. Though this procedure is simple, a skilled technician or dermatologist is required to obtain good results. The presence of any stage of the mite is diagnostic. The scrapings and oil are placed on a glass slide and covered with a cover slip for examination. At first, a drop of mineral oil is placed on a sterile scalpel blade and five to six suspicious lesions are scraped. Skin scrapings from the burrow or the papule are useful in diagnosis of scabies. The scabies mite can be picked from the end of the burrow but this requires skill and practice. 9 Definitive diagnosis is made by microscopic identification of mites, eggs, or mite faeces (scybala) from skin scrapings or epiluminescence microscopy. 14 Epidemiological history, the occurrence of itching, distribution of the lesions, and pruritus form the basis of the diagnosis. Scabies is one of the easiest and yet most difficult diagnoses in dermatology.
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