Scabies.

Slides:



Advertisements
Similar presentations
Bed Bugs vs. Scabies Workshop: scabies overview
Advertisements

How common are threadworms?
What Is Scabies? Scabies is not an infection, but an infestation. Tiny mites called Sarcoptes scabiei set up shop in the outer layers of human skin. The.
Impetigo 13/04/2017 Impetigo Clinical knowledge summaries:- Impetigo has unpleasant connotations to many. In the past.
By: Melissa Molina and William Havers-Strong
Brought to you by: Steph Covey and Ashley Zawacki
WHAT PARENTS NEED TO KNOW
Chapter 21 Grooming Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Creepy crawlies… Dr Maya Mistry 13th April 2011.
Scabies Community Infection Control Nurses LNR PCT’s
Common Childhood Illness
All About Diabetes By: Joanna Gomola For ages 18+
Chicken Pox By: Ari & Jenn
Parasitic siseases Pediculosis, scabis.
Scabies Sarcoptes scabiei
Rick Lin, DO MPH Texas Division KCOM Dermatology Residency Program
Pubic Lice & Scabies By: Mr. Koch III.
Scabies Amy Weyer.
Treatment of Scabies: Permethrin vs. Ivermectin A04 義大醫院 王柏欣, 陳奕峰, 詹子慶.
Gold Standard in Scabies
Integumentary Health Concerns
Scabies By Percy Taylor.
Scabies Refugee Health Programs March Scabies Scabies is a skin problem caused by a bug called a mite. A female mite lays eggs under the skin of.
PRESENTER DR. MD. ABDAL MIAH ASSISTANT PROFESSOR DERMATOLOGY & VENEREOLOGY MYMENSINGH MEDICAL COLLEGE, MYMENSINGH.
Cutaneous Bacterial Infections and Infestations David R. Carr, MD FAAD Division of Dermatology The Ohio State University.
Kinds Of STD’s (Unit 23.1) Journal What are 3 SERIOUS questions you have about intercourse, birth, and/or STD’s? Make sure you leave space for a response.
LICHEN PLANUS (LP).
Scaly Dermatoses. Dandruff, seborrheic dermatitis, and psoriasis are chronic scaly dermatosis Dandruff inflammatory form and it has a substantial cosmetic.
Chicken Pox.
Scabies is Highly Contagious! a.k.a = svrab
HEAD LICE What to look for, what to worry about, how to prevent or treat it, & where we stand!
Parasitic Infestations
Epidemiology, clinical manifestation and Treatment
SCABIES LeTreon Clea 4th Block.
8 th Grade Health Sexually Transmitted Infections.
Presented by Angela Owings, BSN, RN Public Health Nurse Springfield-Greene County Health Department Things That Creep: Bed Bugs, Head Lice, & Scabies.
S.T.D./S.T.I. Sexually Transmitted Disease Sexually Transmitted Infection.
RASH BEHAVIOR STEPHEN G. MALLETTE, D.O.,F.A.O.C.D. ATHENS, ALABAMA.
Syphilis What is syphilis?
Presentation on Rubella
STD Science fair scabies Emily and Patri Sociology, Pd. 1.
Typhus Letters From Rifka.
Childhood Illnesses & Rashes. Chicken Pox Itchy rash Most happens to kids under 12 Highly contagious Flu-like symptoms Can go away without any treatment.
Male Organ Blisters 101 – Identifying and Banishing Painful, Unsightly Sores By John Dugan.
Sexually Transmitted Infections
Preventive Health Practices 2016
Copyright © 2017 American Academy of Pediatrics.
Chicken Pox.
Umm Al-Qura University
Scabies Dr. Atul Jain MD, Dermatology,
SCABIES Pelin özkan.
“Education is a Progressive discovery of our own ignorance.”
Ambash Riaz Scabies.
Sarcoptes scabiei.
COMMUNITY PHARMACY LECTURE NO.19
Scabies.
Symptoms of measles include:
Scabies- to be used with Word file on sacbies
Are Those Scabies on Your Member: What They Are and How to Fix It
Are Those Scabies on Your Member?: What They Are and How to Treat Them
Presentation transcript:

Scabies

Typical areas

Classic scabies rash

Classic scabies rash cont:

Scabies

Crusted Scabies

Crusted Scabies

Crusted Scabies

Crusted Scabies

Application of treatment Lotion can be poured in a bowl and applied with a sponge for even coverage (new sponge for each person)

Scabies

Norwegian (crusted) scabies Norwegian scabies is characterized by crusted lesions and scaly plaques located mainly on the hands, feet, scalp, and other pressure-bearing areas. These may sometimes generalize. Hyperkeratosis may occur in these lesions. Patients with Norwegian scabies can be infected with hundreds to millions of adult female mites. As a result, this type of scabies is highly contagious and may spread rapidly through patients in an institutionalized setting.

Norwegian (crusted) scabies Nodular scabies: Orange-red nodules located in the axillae and groin define nodular scabies. These nodules are pathognomonic of scabies infection.

Permethrin 5% (Elimite, Nix) Permethrin is a neurotoxin that causes paralysis and death in ectoparasites. It is the most common treatment used today for scabies. particularly for infants, young children, and pregnant or breastfeeding women. The lotion should be applied over the entire body, including the face and scalp in infants. It should be left on for 8-12 hours and then rinsed.

Permethrin 5% (Elimite, Nix) Reapplication one week later is advised; however, no controlled studies exist that show that 2 applications are better than one. No cases of scabies resistant to permethrin have been documented. Infants >2 months: Apply as in adults and also on hairline, neck, scalp, temple, and forehead Children: Apply as in adults if hair not infested

Precipitated sulfur 6% in petrolatum This is the oldest known treatment of scabies. It is safe and effective and the treatment of choice in infants <2 mo and pregnant or lactating women. Sulfur is less acceptable to patients secondary to its odor and messy application. Apply topically to entire trunk and extremities hs for 3 consecutive nights C - Safety for use during pregnancy has not been established.

Lindane 1% Previous standard treatment for scabies, but it is not very safe in children because of transcutaneous absorption leading to neurotoxicity. Overall, permethrin is a safer choice. Apply thin film topically over entire body below the head, leave on 8-12 h before washing off with water; may repeat in 1 wk if necessary; not to exceed 30 g/application

Treatment failure Children removing the treatment from their hands when sucking their fingers Adults inadvertently washing the lotion off their hands Incontinent patients Escaping treatment – pregnant women, people with skin disease, small babies, children who live in more than one household

How do you know if treatment has worked? No new spots emerge Itching and skin lesions gradually subside and may take up to 6 weeks Treatment failure therefore can’t be diagnosed before 6 weeks have elapsed Emollients and topical steroids relieve symptoms