Hi i was traveling in Europe and seem to picked scabies. how do I deal with them? I assume I can get cream and shampoos but what about my personal stuff like clothes, shoes, hats and my car has cloth seats and I spend a lot of time driving in it. Also will they show up in everydays things that I use even things like books and the like. I spend a lot of time reading books and reports. I live alone but just how contagious are they. Any help would be greatly appreciated. Treatment
Medications
Treatments basically fall into a few different categories: topical "pesticide" applications, systemic "tablet" doses which have the advantage of ensured total coverage, and the least toxic treatment is 10% sulfur ointment, a cost-effective treatment with the least long-term side-effects.Topical (surface) medications are often effective and must be applied thoroughly to all skin from the neck down, especially to areas known to be primarily affected (skin folds, hands, etc.). The topical medication of choice is 5% permethrin because it is safe for all age groups: it should be applied for eight to twelve hours (overnight is the most convenient) then washed off. A second treatment of permethrin a week later may be recommended. Multiple applications of the cream is usually required to completely rid the body of the bugs.
Lindane (hexachlorocyclohexane) creams or lotions are considered historical treatments, and should be avoided because they have been shown to have neurotoxic effects in children and infants; Lindane is no longer available in the UK or Australia, but is still available in the U.S.. Similarly, 5鈥?0% sulfur ointments are considered historical.
Although the mites are rapidly killed by treatment, itching can last for up to four weeks after treatment. A single dose of ivermectin (dosing: 200 碌g/kg) has been reported to cure, but is an off-label use; some authorities recommend repeating treatment at 14 days.
Additional topical treatments include 10% crotamiton (except to eyes, nose, mouth), 25% benzyl benzoate cream or lotion.
A person can be reinfected with scabies: all household contacts must be treated simultaneously, even if asymptomatic.
The following agents have been used in the treatment of scabies:
Lindane: (Kwell庐, Kwellada庐). For use with patients where permethrin use is contraindicated.
Malathion: Common pesticide, nervous system toxin in high quantities, no known mutagenic or carcinogenic properties in humans have been confirmed.
Permethrin: Another pesticide, lacks carcinogenic and teratogenic testing in humans although animal tests showed no signs of carcinogenic or teratogenic effects. Toxicity may resemble allergic reactions.
Crotamiton (Eurax庐): Less toxic, but less effective. Must use for roughly 3 days.
Benzyl benzoate: Less toxic, but can cause asthmatic and allergic reactions. Must use for a week on 1st, 4th, and 7th day.
Ivermectin (Stromectol庐): Broad spectrum anti-parasite medication. Newest scabies treatment. Safer than other alternatives and is the easiest and quickest to use.
10% sulfur ointment: Safest treatment. Non-toxic. Used in pregnant women and infants under two months of age but effective in everyone if used for 7 days. It is available over-the-counter, and is also the cheapest treatment. May be used as often with no risk of toxicity. Drawbacks include: messy, stained clothes, therefore, one should not wear white sheets and T-shirts after application.
Steroids or corticosteroids should not be used to combat itching. These can cause a weakened immune system creating various new diseases and the worst type of scabies. Options include antihistamines such as cetirizine. Prescription: Doxepin (Sinequan庐 - oral or Zonalon庐 - topical).
Without a host, scabies mites survive for a few hours in the environment (the mites rapidly dry out). Therefore it is recommended, after treatment, to wash all material (such as clothes and bedding) that has been in prolonged contact with the infested person or persons in the last four days.
Approximately 300 million cases of infestation with scabies occur worldwide annually.
Scabies also occurs in dogs; see article at mange. Dog mites can easily be transferred to humans. Although mites that infect dogs are not able to complete their life cycle on humans, they can cause quite a bit of itching before they finally die. Dogs with mange should be treated to avoid continuously re-infecting humans.
Bird mites have also be noted to cause a similar disease.
http://www.reference.com/search?q=scabie... http://www.cdc.gov/ncidod/dpd/parasites/...
http://firstaid.webmd.com/scabies_treatm...
Follow these links.
Hope they help. Hope this helps.
http://www.drgreene.org/body.cfm?id=21&a...
http://www.ehow.com/how_4221_treat-scabi... |
