Scabies

Key Points

Overview

Scabies is an itchy skin condition caused by tiny mites that burrow into the top layer of your skin. These mites are microscopic and invisible to the naked eye, leading to an irritating rash and intense itching. It is highly contagious and spreads through direct, prolonged skin-to-skin contact, including sexual contact. It is not related to poor hygiene, and anyone can get it, regardless of their cleanliness. The rash may take up to 8 weeks to appear after infection. Treatment typically involves applying special creams or lotions to the entire body to kill the mites. It is crucial for all close contacts, even those without symptoms, to be treated at the same time to prevent re-infestation and stop the spread.

Signs and Symptoms

• Intense itching, especially at night
• Raised rash or small spots
• Spots may appear red, harder to see on darker skin
• Rash typically spreads across the body, excluding head/neck (except in young children/elderly)
• Common areas: between fingers, wrists, under arms, waist, groin, bottom
• Crusted scabies (rare): flaky rash on elbows, knees, hands, feet

Things That Increase the Risk

• Close skin contact with an infected person
• Living or working in crowded environments (e.g., nurseries, care homes)
• Sexual contact with an infected person
• Sharing bedding, clothing, or towels with an infected person
• Weakened immune system (for crusted scabies)

Diagnosis

• Assessment of symptoms and rash by a healthcare professional
• Pharmacist consultation for typical cases
• Doctor's visit for children under 2 years old
• Doctor's visit for unusual or severe rash presentation
• Doctor's visit if symptoms persist 2-4 weeks after treatment

Treatment & Management

• Apply prescribed cream or lotion to the entire body (avoiding eyes)
• Repeat treatment after 7 days as instructed
• Treat all household members simultaneously, even without symptoms
• Treat any sexual contacts from the past 8 weeks
• Wash all bedding and clothing at 60°C or higher on treatment day
• Seal unwashable items in a bag for at least 3 days
• Avoid sex or close physical contact until treatment is complete
• Do not share bedding, clothing, or towels

Prevention

• Avoid close skin contact with individuals who have scabies
• Ensure all household members are treated at the same time
• Wash bedding and clothing at high temperatures after exposure
• Avoid sharing personal items like bedding, clothing, or towels
• Seal unwashable items in bags for several days if exposed

Related Diseases

• Impetigo
• Eczema
• Psoriasis
• Dermatitis
• Allergic contact dermatitis
• Folliculitis

Available Treatments

Explore our range of treatment options for Scabies: