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SCABIES
Dr. Pallab Kanti Nath (MD)
Senior Resident, Anaesthesiology
Medical College, Kolkata
What is scabies?
The scabies mite
How is scabies transmitted?
 Skin contact with infected person.
 Infected persons can pass the mite on to
others
 Scabies is usually not transmitted via
clothing or bedding its very uncommon (the
usual wash cycle can be used when these
items are laundered)
Scabies Signs and SymptomsScabies Signs and Symptoms
 Pruritus of skin
 Intense scratching especially at night
 Papular rash
SIGNS and SYMPTOMS
 Classical sites of
scabies rash...
 between fingers
 wrists
 auxiliary areas
 female breasts (particularly the
skin of the nipples)
 the umbilical area
 penis and scrotum
 buttocks
 inside of legs
 ankles
Scabies BurrowsScabies Burrows
(arrows point to mites)(arrows point to mites)
DIAGNOSIS
 Definite diagnosis - a definite diagnosis is
made by taking skin scrapings from burrows
and identifying the mites, their eggs or faeces
by microscopy
 Presumptive diagnosis - it is often difficult to
find burrows and obtain suitable specimens,
therefore presumptive diagnosis relies on
history and clinical appearance
TREATMENT
scabicides
 Permethrin cream 5%
 Complete change of linen and clothing
after 1st
treatment and then 8 hours later
shower and rinse off, change into 2nd
issued linen and clothing
TREATMENT
application of lotion or cream
 Other drugs:
Ivermectin (Mectizan, Stromectol) -- Binds selectively
with glutamate-gated chloride ion channels in
invertebrate nerve and muscle cells, causing cell
death.
OUTBREAKS
prevention
 Promote good surveillance of new residents
 Observe for rashes on arrival at the home, then at
3 weeks and at 6 weeks
 Maintain a high level of suspicion if patients present with
undiagnosed skin rashes
 Whole family should be treated at the same time
Thank you

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Scabies

  • 1. SCABIES Dr. Pallab Kanti Nath (MD) Senior Resident, Anaesthesiology Medical College, Kolkata
  • 4.
  • 5. How is scabies transmitted?  Skin contact with infected person.  Infected persons can pass the mite on to others  Scabies is usually not transmitted via clothing or bedding its very uncommon (the usual wash cycle can be used when these items are laundered)
  • 6.
  • 7.
  • 8.
  • 9. Scabies Signs and SymptomsScabies Signs and Symptoms  Pruritus of skin  Intense scratching especially at night  Papular rash
  • 10. SIGNS and SYMPTOMS  Classical sites of scabies rash...  between fingers  wrists  auxiliary areas  female breasts (particularly the skin of the nipples)  the umbilical area  penis and scrotum  buttocks  inside of legs  ankles
  • 11.
  • 12. Scabies BurrowsScabies Burrows (arrows point to mites)(arrows point to mites)
  • 13.
  • 14.
  • 15. DIAGNOSIS  Definite diagnosis - a definite diagnosis is made by taking skin scrapings from burrows and identifying the mites, their eggs or faeces by microscopy  Presumptive diagnosis - it is often difficult to find burrows and obtain suitable specimens, therefore presumptive diagnosis relies on history and clinical appearance
  • 16. TREATMENT scabicides  Permethrin cream 5%  Complete change of linen and clothing after 1st treatment and then 8 hours later shower and rinse off, change into 2nd issued linen and clothing
  • 18.  Other drugs: Ivermectin (Mectizan, Stromectol) -- Binds selectively with glutamate-gated chloride ion channels in invertebrate nerve and muscle cells, causing cell death.
  • 19. OUTBREAKS prevention  Promote good surveillance of new residents  Observe for rashes on arrival at the home, then at 3 weeks and at 6 weeks  Maintain a high level of suspicion if patients present with undiagnosed skin rashes  Whole family should be treated at the same time

Editor's Notes

  1. Let’s now discuss another skin condition that is frequently seen within our institution and that is Scabies. Here is a magnification of the scabies mite (bug). Scabies is a highly contagious skin disorder not visible to the bare eye. 1/100 in size, they burrow under the skin. Transmission is by close contact w infected humans (not casual hug or handshake). The mite does not live long off the human body, however, occasionally, is spread by clothing, towels, or bedding.
  2. Sensitization to the mites & their products begins, resulting in a pruritic papular rash most common on skin folds wrist, elbows or knees, abdomen, penis & Groins and web spaces between fingers. Secondary bacterial infection may occur.
  3. Here you see the tracks or burrowing of the scabies visualized under the dermascope
  4. Notes to trainer on this presentation Recommendations for Standard Precautions are intended primarily for the care of patients in acute hospitals. However, the principles should be applied in other settings where patient care is undertaken. Some healthcare workers still have knowledge gaps and a lack of understanding of certain practices and their effectiveness in reducing the transmission of infections between people. Current practice relies upon risk assessment, where potential risks can be removed, reduced or managed. Historically, infection control has been perceived as a hospital problem, with community issues seen as less significant. Today, as more patients receive their healthcare in community settings (outside of the acute hospitals) infection prevention and control has become relevant to all clinical staff wherever they may practice. This presentation provides healthcare workers with an introduction to the principles and practice of Standard Precautions.