is an infestation of the skin by parasites (mites) that tunnel into the skin and deposits eggs and feces. Scabies mites require a human host to propagate and can spread rapidly under crowded conditions where there is prolonged skin-to-skin contact between people. An infestation can also result from sharing clothing, towels, and bedding. Mites can live up to 72 hours on any surface. An adult female mite can live up to a month on a human host.

Generally, for persons who have not been previously infected, symptoms can take 4-6 weeks to appear. For persons who have been previously infected, symptoms can appear within days. People with weakened immune systems and the elderly are at risk for more severe forms of scabies.

Typical Symptoms

A rash located between the fingers or around the wrists, elbows, navel, nipples, lower abdomen, and genitals.
Intense itching over most of the body.

Note: Sores (caused by scratching) can become infected with bacteria.

Diagnosis
Generally, diagnosis is made by viewing burrows and/or rashes on the skin. In addition, a skin scraping can determine the presence of mites, eggs, or mite fecal matter to confirm the diagnosis. Typically, there are fewer than 10 mites on the entire body of an infested person. This makes it relatively easy for an infestation to be mis-diagnosed.

Traditional Treatment:
Apply lotion to a clean body from the neck down to the toes and leave overnight (8 hours). After 8 hours, take a bath or shower to wash off the lotion. Put on clean clothes. All clothes, bedding, and towels used by the infested person 2 days before treatment should be washed in hot water; dry in a hot dryer. A second treatment of the body with the same lotion may be necessary 7-10 days later. Pregnant women and children are often treated with milder scabies medications. Always follow the directions provided by your physician or the directions on the package insert.

If all family members are to be treated, treatments should be simultaneous to prevent re-infestation.

Generally, itching may continue for a short period after treatment. If no new rashes appear 24 - 48 hours after treatment, the treatment may be considered effective. Your health care provider may prescribe additional medication to provide relief from severe itching.

The information offered in this web site is not intended for self-diagnosis or as a substitute for consultation with a medical practitioner. Unless otherwise indicated, the information offered has not been evaluated by the FDA or Health Canada.

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