Scabies is a very contagious cutaneous parasitosis due to an acaroid, the scabei sarcopte which lives and multiplies in the epidermis.
It gives rise to a very pruritic dermatosis , the symptoms of which are not always recognized early and therefore complications (superinfection, eczematization) and family epidemics or in communities.
The treatment is based on the dermal application or oral administration of an acaricide and the necessary disinfection measures:
The treatment has been complicated in the last two years by the disappearance of the market of the lotion Ascabiol * (benzyl benzoate + sulfiram, Zambon *) because of unavailability of Sulfiram. The certified fairfield dermatology are there to provide thorough skin checkup and treatment for skin.
Currently several treatments are possible:
- Ascabiol * has returned to the market in the form of benzyl benzylate without sulfiram, in emulsion to be applied to the skin. Possible in children from one month.
- Topiscab * 5% cream (permethrin + Codexial) in thin-layer application on the skin can be prescribed to the child from two months.
These two topical treatments are reimbursed by the social security.
- Spark *, in aerosol, is not reimbursed by Social Security, and its effectiveness is more uncertain.
- Stromectol * (Ivermectin), orally, reimbursed by the social security, is taken in two doses spaced 14 days apart. In the case of an epidemic of mange in the community, it is the most effective treatment.
It is important to respect the fairfield dermatology prescription:
Oral treatment should be taken at a distance from a meal, in a single dose, and repeated 14 days later.
Treatment should be applied to the entire tegument, except the face, after a shower in the evening and kept for 8 hours before taking a shower again. The hands of young children should be protected by gloves. Do not forget the neck, neck, palms and plants, between the fingers and toes, under the nails, external genitals, folds and buttocks. This can be easily treated by fairfield dermatology.
Do not apply on wounds, mouth and eyes.
Local treatment should be renewed 8 days later.
On the evening of the oral or local treatment , it is necessary to sleep in sheets and clean linen.
The next morning, bring clean linen.
The itching may persist for one to two weeks without it being a sign of treatment failure. Treatment should not be repeated without medical advice. Fairfield dermatology give general treatment and prescribe some medicines.
Treatment of subjects contacts:
People living in the same household, people who slept in or who came to sleep at home, with whom they shared clothes, sexual partners, children at the school , Scratching work colleagues, nursing staff, etc. should be warned and treated in the same way.
How to disinfect your laundry?
The scabies parasite lives for about a week in contaminated laundry. It is killed at a temperature of 60 ° C.
It is therefore necessary to wash at 60 ° C. all the textiles which can withstand this washing temperature (sheets, towels, cotton underwear etc.).
Textiles which can not be washed at 60 ° C must be enclosed in a plastic bag for 48 hours with an insecticidal powder (A-Par *, Enviroscab *) or at least 72 H at at least 20 ° C ambient temperature, Then wash them at the temperature indicated on the different textiles.
It is recommended to change clothes, sheets and towels (washed at 60 ° C or disinfected) daily for 14 days.
How to disinfect the environment?
All that is in contact with the skin must be disinfected: Shoes, sneakers, plush cushions, but also: mattresses, pillows, blankets, duvets, armchairs, sofas, carpets etc. After sucking vigorously with a vacuum cleaner.
A spray or acaricide powder (A-Par * or Enviroscab * or equivalent) is used, strictly following the instructions and precautions for use in the absence of a child, an allergic person, asthmatics or animals.
Aerate the rooms and wait 12 hours before re-using the disinfected bedding.
The scabies are well treated, but in the absence of a good disinfection of the linen and the environment and the treatment of all contact subjects, recurrences are unfortunately unavoidable.