SCABIES

Microscopic Scabie

Infested Wrist

Female laying eggs under the skin

Infested Hand

Location Sites

Introduction
Scabies is a contagious (catching) disorder of the skin caused by very small, wingless insects or mites called the Human Itch mite or Scabies itch mite Sarcoptes scabiei var. hominis (Hering). The female insect burrows into the skin where she lays 1 - 3 eggs daily. A very small, hard to see, zigzag blister usually marks the trail of the insect as she lays her eggs. Other more obvious symptoms are an intense itching (especially at night) and a red rash that can occur at the area that has been scratched. The most common locations for scabies are on the sides of fingers, between the fingers, on the backs of the hands, on the wrists, heels, elbows, armpits, inner thighs and around the waist (belt line). If untreated, the female will continue to lay eggs for about five weeks. The eggs hatch and the new mites begin the cycle all over again. The mites themselves are too small to be seen without magnification. One of the great problems with scabies always has been misdiagnosis. Scabies is spread by personal contact, e.g., by shaking hands or sleeping together or by close contact with infected articles such as clothing, bedding or towels. It is usually found where people are crowded together or have frequent contact, and is most common among school children, families, roommates, and sexual partners. Scabies can be spread by the insect itself or by the egg. Prompt action is required to rid a person of the insects and eggs. Sulfur has been used (6 - 10% in lotion or cream) since Roman times as a scabicide, but you might be allergic.
If you think your child or someone else in the family has scabies - Try a sauna and/or try bathing, washing or soaking in diluted Lice R Gone® Shampoo, Safe Solutions, Inc. Enzyme Cleaner with Peppermint, or sulfur and/or borax - then call your medical provider to be sure you are no longer infected.
If you are still infected, your medical provider or doctor may prescribe a pesticide (poison) lotion - use the prescribed (poison) lotion on the body (from the neck down) of the affected person(s). Follow the instruction on the bottle - very carefully. Try Lice R Gone® shampoo and/or Safe Solutions, Inc.'s Enzyme Cleaner with Peppermint and borax or a sauna first, if your doctor will allow it.
Examine all other family members carefully for the presence of scabies - use a magnifying glass.
To avoid reinfestation, all clothing, towels and bedding should be thoroughly laundered once all those with scabies begin their treatment. Use hot water over 120o F. (equal to hot tap water in most homes). Try washing in Safe Solutions, Inc.'s Enzyme Cleaner with Peppermint and borax.
Combs, brushes, barrettes and anything with which your child has had contact should be soaked in hot water (over 120o F.) and Safe Solutions, Inc.'s Enzyme Cleaner with Peppermint or borax for at least 15 minutes.
Periodically check your child for symptoms which may indicate reinfection. Expect the rash to clear up in about two weeks.
In most cases your child can return to school after the first treatment and after all clothing, towels and bedding have been washed.
Prevention
Try routinely using a sauna - try bathing, soaking or washing in diluted Safe Solution's Enzyme Cleaner enzyme cleaners and/or borax and/or sulfur. Try Lice R Gone® shampoo.
Regularly change and wash all clothing, bedding, towels and under wear.
When laundering towels, clothing and bedding use hot water and enzymes or borax.
Children should not share clothing or other personal articles such as hair brushes, combs or towels with one another.
When an outbreak of scabies is reported be alert for symptoms in member of your family.
If your child has scabies, please notify the school authorities so the school will be alerted to check for any outbreak.
The above measures are suggested to help prevent reinfestation. However, even the medicated (poison) lotion treatment for scabies does not provide long-term protection and reinfestation is always possible. So watch and practice proper prevention - Remember to try to avoid the use of poison on your person or child at all costs.

Testing - According to the American Academy of Dermatology the most common test involves applying a drop of sterile mineral oil to the suspected lesion. The site is then scraped with a scalpel and the scrapings are transferred to a slide. Under a microscope, the doctor should be able to find scabies mites, their eggs and/or feces. Another option is an ink test, in which the doctor applies a blue or black felt-tipped pen to the suspected areas. Then the skin is cleaned. Mite burrows can be revealed if the ink sinks into them.

Note: This information not meant to replace your physician and is simply provided as a free educational service to all our visitors. If you feel that you have a skin problem, please see your doctor.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Resource: American Social Health Association

For Further Information
http://www.ashastd.org/stdfaqs/scabies.html

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