Crusted scabies occurs in immunocompromised hosts and may be associated with reduced or absent pruritus. Recom-mended treatments are permethrin 5% cream, oral ivermectin and benzyl benzoate 25% lotion. Alternative treatments are malathion 0.5% aqueous lotion, ivermectin 1% lotion and sulphur 6-33% cream, ointment or lotion. Crusted scabies Treatment of classical scabies consists of two applications of scabicide, one week apart. Cases of classical scabies can return to school or work after the first treatment. Treatment of Resistant or Crusted Scabies may require 3 applications of scabicide on day 1, day 3, and day 7 to ensure that enough penetrates the skin crusts to kill all the mites Scabies exposures can be classified as primary or secondary. Primary exposure is defined as direct skin-to-skin contact with the scabies patient/resident. Scabicide treatment and/or prophylaxis is provided to the patient/resident, family member or HCW who has a primary exposure. Secondary exposure is defined as exposure to a person who had direct contact to another person with a primary exposure. Scabicide treatment or prophylaxis is not recommended for secondary exposure to typical scabies It is confirmed by dermatoscopic detection of mites or by microscopic identification of mites, mite eggs or fecal matter (scybala) from skin scrapings.The treatment of choice for common scabies is topical permethrin 5% cream applied for 8-12 hours Treatment of classical scabies consists of two applications of scabicide, one week apart. Cases of classical scabies can return to school or work after the first treatment. Treatment of Resistant or Crusted Scabies may require 3 applications of scabicide on day 1, day 3, and day 7 to ensure that enough penetrates the ski
Crusted scabies therapy requires a topical scabicide and oral ivermectin. Mass treatment of large populations with endemic disease can be performed with a single dose of ivermectin (200 micrograms/kg of bodyweight). Partner management needs a look-back period of 2 months. Screening for other STI is recommended Treat post-scabetic itch with crotamiton 10% cream (2-3 times a day) or, if the scabies mites have definitely been eradicated, with topical hydrocortisone 1%.Night time use of a sedative antihistamine (e.g. chlorpheniramine or hydroxyzine) may help with sleepand reduce scratching. Dry skin/eczema can be treated with emollients First-line treatment of scabies is topical permethrin 5% cream. Clothing and bedding of persons with scabies should be washed in hot water and dried in a hot dryer. Pediculosis and scabies are.. Scabies Treatment Options (2) •Oral anti-parasitic agent -Ivermectin (Mectizan or Stromectol) -Often prescribed but not currently approved by FDA Guidelines •Scabies Prevention and Control Guidelines Acute and Sub-Acute Care Facilities (August 2015) 26 Available PDF online
Guideline for the diagnosis and treatment of scabies in Japan (third edition): Executive Committee of Guideline for the Diagnosis and Treatment of Scabies. J Dermatol 2017; 44:991. Heukelbach J, Feldmeier H. Scabies. Lancet 2006; 367:1767. Strong M, Johnstone P. Interventions for treating scabies. Cochrane Database Syst Rev 2007; :CD000320 Permethrin is the drug of choice for the treatment of scabies. Topical permethrin should be administered every 2-3 days for 1-2 weeks to treat crusted scabies. Benzyl benzoate 25% (with or without tea tree oil) Benzyl benzoate may be used as an alternative topical agent to permethrin. However, this agent may cause immediate skin irritation Human scabies is an intensely pruritic skin infestation caused by the host-specific mite Sarcoptes scabiei var hominis. A readily treatable infestation, scabies remains common primarily because of diagnostic difficulty, inadequate treatment of patients and their contacts, and improper environmental control measures
An inviolable principle of scabies treatment is to treat all significant contacts. In practice this means all members of the family should have at least one treatment. Patients with definite or probable scabies should have two treatments Treat post-scabietic itch with crotamiton 10% cream or, if the scabies mites have definitely been eradicated, with topical hydrocortisone 1%. Night time use of a sedative antihistamine (e.g. chlorphenamine or hydroxyzine) may help with sleep and reduce scratching. See the section on prescribing information for further details
Topical lotions are the mainstay of scabies treatment, although oral ivermectin has been used more recently in special circumstances. First-line treatment continues to be 5% permethrin cream or lotion, which is applied to the skin from neck to toes, usually for several hours - often overnight - then washed off Treatment options for classical scabies. The mainstay of treatment for classical scabies is a topical agent (Table 2). First-line treatment for scabies is topical permethrin 5% cream, which should be applied to the whole body (excluding the head and neck in patients other than infants) and washed off after eight hours No over-the-counter treatment is available for scabies. The most commonly prescribed cream is permethrin, 5%, which is applied from neck to toes, left on for 8 to 14 hours, washed off, and reapplied 1 week later. Crusted scabies requires multiple treatments of oral and topical medications as directed by a doctor Scabies treatment involves eliminating the infestation with medications. Several creams and lotions are available with a doctor's prescription. Your doctor will likely ask you to apply the medication to your whole body, from the neck down, and leave the medication on for at least eight to 10 hours
The purpose of this guideline is to provide a best standardized practice approach to the diagnosis, treatment, management and prevention of scabies, as well as new therapeutic • In adults with classical scabies, treating the face is controversial, but in babies, the face must be treated, because transmission may occur frombreastfeeding Guideline for the diagnosis and treatment of scabies in Japan (third edition) scabies, treatment algorithm for common and crusted (hyperkeratotic) scabies, and prevention. The major change from our second edition is the treatment algorithm. As phenothrin is now available, the ﬁrst-line therapy for com Scabies Infection Prevention and Control Guidance (Policy) for General Practice. Scabies is a skin infestation caused by mites known as Sarcoptes Scabiei. The main symptoms of scabies are due to the body's allergic reaction to the mites and their waste. Symptoms include an itchy, widespread rash (often worse at night-time) which occurs mainly between the [
Scabies: Management in Residential Care Facilities (PDF, 106kB) - these guidelines describe escalating levels of response to a scabies outbreak in a residential care facility, based on specific features of the outbreak situation. Last updated: 11/11/2015 4:06:34 PM Scabies Infestations. Selective treatment protocol can be used. 1 2. The diagnosed and probable infested cases and symptomatic contacts should receive treatment with subsequent monitoring for effectiveness of treatment. A skin scraping should be done on the symptomatic cases 1 month after treatment, 2 particularly if rash and symptoms persist Scabies. Scabies is a skin infection that is caused by tiny insects (mites) that burrow under your skin, causing a very itchy rash. The scabies rash looks like small blisters surrounded by red patches. Scabies mites are very tiny - the size of a pinhead - so they can be very hard to see
Permethrin 5% cream is recommended as the first line topical treatment for scabies according current guidelines (2)(3) (4) (5) and, meta-analysis (6-7). Different treatment schedules have been. Scabies treatment failure in the correctional setting can lead to outbreaks of scabies. Oral ivermectin, administered with direct observation, is highly efficacious for treating scabies. Two treatments are recommended—an initial treatment and a repeat treatment 7 days later. ABLE 1 for contraindications, dosing, and treatment guidelines. Treatment Schedules use the recommendations in this document to develop proactive policies and procedures managing an outbreak through treatment of scabies infeation and stations, identific treatment of potentially exposed persons, post-treatment assessments, and assessments. Scabies is an itchy skin condition caused by the microscopic mite Sarcoptes scabei. It is common all over the world, and can affect anyone. Scabies spreads quickly in crowded conditions where there is frequent skin-to-skin contact between people. Hospitals, child-care centers, and nursing homes are examples Scabies. Scabies is a skin condition caused by a microscopic mite called Sarcoptes scabiei. The mites burrow under the skin and the females lay eggs. The itch results from the inflammatory response to mite excreta and other components. It is a common problem in many remote Aboriginal communities within the Northern Territory where in some areas.
. Management of Stage 1: Isolated case/s of classical scabies . 1.1 Treatment • Warm shower/bath with soap. Dry thoroughly. • Medication should be applied in the evening and left overnight. • Apply medication from the neck down, ensuring all skin folds are treate In children between 2 months and 2 years permethrin dermal cream should be applied over the whole body as directed for adults and children over 2 years, but should include the face, neck, scalp and ears. All members of the affected household should be treated simultaneously. For difficult to treat scabies, cases in assisted care facilities or. The 2 most widely used treatments for scabies are permethrin cream and malathion lotion (brand name Derbac M). Both medications contain insecticides that kill the scabies mite. Permethrin 5% cream is usually recommended as the first treatment. Malathion 0.5% lotion is used if permethrin is ineffective Effective treatment option for scabies patients unresponsive to 1st-line/2nd-line treatment Combination therapy with topical scabicides is considered to be the best option for crusted scabies May have a role in the treatment of refractory infestations and immunocompromised patients, or when administration of head-to-toe topical therapy would be.
typical response, scabies is often missed by the healthcare provider. Diagnosis Diagnosis of scabies usually is made by physicians/dermatologists or nursing staff with experience in diagnosing scabies based on the appearance and distribution of the rash, and the presence of burrows Selective Treatment Protocol If a single case of scabies (Group I, above) occurs within the population of residents or employees, a selective treatment protocol may be utilized: Identify the case and make a line list of all contacts (roommate, care providers including radiologists, physical therapists, etc., sexual contacts, family members, or. threatening, scabies is a nuisance disease that is commonly found in health care facilities and can result in crisis, fear, and panic. Scabies outbreaks can be costly to control and may easily reoccur if not properly contained and treated. This manual has been created to provide sensible recommendations to health car Scabies is an infestation of the skin by the burrowing mite Sarcoptes scabiei. Infestation is easily spread through direct skin-to-skin contact with sexual partners and household members, and may also occur by sharing clothing, towels and bedding. In adults, the areas most commonly affected are between the fingers and on the wrists, ankles and buttocks, although in the elderly, infection may.
Scabies can spread quickly and must be treated as soon as it is found. DISCHARGE INSTRUCTIONS: Return to the emergency department if: You develop a fever and red, swollen, painful areas on your skin. Contact your healthcare provider if: The bites become crusty or filled with pus. You have worsening itching after scabies treatment Guidelines were consistent on the use of topical permethrin 5% and/or malathion 0·5% in the treatment of classical scabies. The recommended role of oral ivermectin was more varied. Nine (45%) recommended its use in classical scabies, although this recommendation mostly appeared in supplementary algorithms rather than within the main guideline.
Human scabies is caused by infection with a mite known as Sarcoptes scabiei var. hominis. Scabies is normally acquired by skin-to-skin contact with someone else who has scabies. It is frequently acquired from children and can also be sexually transmitted. This chapter is set out as follows: History. Clinical findings Permethrin and lindane are the 2 most commonly studied topical treatments for scabies. Benzyl benzoate is used as well. It is important that sexual, close personal, and household contacts are also treated, regardless of whether symptoms are present or not, because individuals may be infested without having symptoms
Topical treatments may not penetrate the crusted, thickened skin, leading to treatment failure. Crusted scabies may be misdiagnosed as psoriasis or eczema. Diagnosis Diagnosis is commonly made clinically by examining the burrows or rash. The diagnosis may be confirmed by scraping the burrows with a needle or scalpel blade, and identifying the. Background: Scabies is a neglected skin disease, and little is known about current incidence and treatment patterns in the United States. The purpose of this study was to examine demographic data, treatment types, success of treatment, and misdiagnosis rate of scabies in an outpatient dermatology clinic. Methods: A retrospective chart review of patients diagnosed with scabies within the past 5. Scabies burrow under the skin and cause severe itching and an unsightly rash. They can affect anyone, with outbreaks typically occurring in densely populated areas, care homes, hospitals, prisons, child care facilities, and where large groups gather. Let's learn how to treat scabies and rid your home of them for good Federal Bureau of Prisons Scabies Protocol Clinical Guidance January 2017 1 1. PURPOSE The purpose of the BOP Scabies Protocol is to provide recommended procedures for detection, diagnosis, treatment, and prevention of scabies in the correctional setting
It is possible to spread scabies from the moment of first contact until after all treatment is completed. Persons with symptoms should be checked and treated by their doctor as quickly as possible. Scabies is diagnosed by a doctor or nurse looking at the rash and/or by taking a scraping from the skin Scabies is a condition of very itchy skin caused by tiny mites that burrow into your skin. The itching is caused by an allergic reaction to the mites. Scabies spreads very easily from person to person. It can affect people of all ages and from all incomes, social levels, and living situations. With treatment, the scabies mites die and the. To guide PCH ED staff with the assessment and management of scabies. Definition. Scabies is a skin condition resulting from the infestation of Sarcoptes scabies mites. Background. Sarcoptes scabiei mites are transmitted by prolonged direct human contact, and rarely by fomites; Pruritus is cased by hypersensitivity to the eggs, faeces and mite . Intense itching occurs in the area where the mite burrows. The urge to scratch may be especially strong at night. Scabies is contagious and can spread quickly through close physical contact in a family, child care group, school class, nursing home or.
. Permethrin (5%) cream is the first-line treatment for conventional scabies. Apply the cream over the entire body (from the neck down), leaving it on for 8-12 hours or overnight. Then wash the cream off and reapply 1 week later. Treat household members and close contacts similarly Tea tree oil is an effective topical treatment for scabies since it relieves itching and heals the rash on the skin, but it doesn't work as well on the eggs deeper in the skin Find out what scabies in cats are, learn to identify the different symptoms and the treatment to put in place to treat it. What is cat mange? Scabies, or rather scabies, are skin conditions called dermatitis. They are caused by dust mites and appear in the ears and / or the body. Several types of mites are likely to infect cats; some live on. Eligibility Guidelines . New Australian-Pacific scabies treatment has lasting results, study finds Update of the world's first comparative trial of mass drug administration against scabies
treatment, and repeated application of the scabicide should be avoided unless additional application is part of the initial treatment regimen. Two or more applications, each about a week apart, may be necessary to eliminate all mites, especially when treating crusted scabies. Demonstrable living mite Basic Guidelines To Follow With Scabies Treatment. Posted on October 28, 2015 by dr-scabies-admin2017. 28 Oct. Scabies is a highly contagious skin infestation which can happen to anybody at any point of time and the only way to get rid of scabies is by proper treatment in the form of lotions and creams and by following some basic precautions Permethrin should be applied to clean and cool skin. The patient should not take a hot bath or shower prior to treatment. 1% creams and lotions are ineffective against scabies. Pay particular attention to the areas between the fingers and toes, under fingernails and toenails, wrists, armpits, genitals, buttocks and perianal area Lice & Scabies. A health professional's guide to epidemiology and treatment . 11. Appendices . Appendix 1: Scabies Treatment Instructions for application of cream or lotion . Appendix 2: Action Plan for the Management of Scabies in Health and Social Care Establishmen
Topical treatment with permethrin or oral treatment with ivermectin has been used successfully, although ivermectin currently is not FDA-approved for treatment of scabies. Medications Elimite (5% permethrin cream) The currently recommended first-line treatment for scabies is 5% permethrin cream symptoms of scabies are present, treatment of these persons. Family contacts should also be treated. • Institute in-service training for staff regarding scabies and its treatment. Staff fears of spreading the infestation to family members must be dealt with. Staff and residents should be kept aware of the control measures SA Health has developed the Scabies management in care facilities, 2012 (PDF 382KB) guideline to assist operators of care facilities to take a rational approach to the prevention and control of scabies. Once diagnosed, most scabies infestations can be easily treated using anti-scabie medications called scabicides The usual treatment for adult scabies in Singapore is the use of topical malathion or permethrin. A combination of topical permethrin and oral ivermectin is used for crusted scabies. Keywords: mites, sarcoptes, scabies. Mdm Lee, who was alert and communicative, was wheeled into your consultation room for follow-up of hypertension
Scabies treatment from over-the-counter sources can help with symptoms, particularly itching. However, store-bought permethrin is not the same as the clinical strength version that your doctor. 5. Know the principles of managing scabies, including pharmacologic treatment and the prevention of recurrence. Scabies is a parasitosis caused by the mite Sarcoptes scabiei var hominis , with crusted scabies being more contagious than classic scabies because of a larger mite burden Treatment with scabicidal agents is generally effective. Exposure or outbreaks of scabies may be complicated by overuse of topical scabicidals, with resultant irritant dermatitis, which may be mistaken for treatment failure. Pruritus may persist after successful treatment.2 Treated persons in whom pruritus persists should be evaluated carefully. Your doctor will probably prescribe antihistamine drugs to relieve pain and discomfort caused by scabies mites. If this treatment is not enough, it's possible that your doctor also prescribes corticoids to calm down the itching. This way, you'll need to follow your doctor's recommendations when it comes to pharmaceutical treatment, as well as the time and way to apply them
Scabies - diagnosis and management. Scabies manifests as an itchy skin rash, as a result of an allergic reaction to the female scabies mite. Infection is easily spread from person to person with direct skin contact. Clinical diagnosis can be made if burrows are observed on the skin. Permethrin and malathion are effective treatments for the rash Medical Treatment The most appropriate treatment is for a topical medication or cream to treat the scabies and anti-itch medications for relief. • The medication most commonly used to kill the mites is called Elimite (or permethrin cream). The medication is applied from the head area to the bottom of the feet
Canadian Paediatric Society (CPA): Position statement - Scabies (2015) United States Centers for Disease Control and Prevention (CDC): Sexually Transmitted Diseases Treatment Guidelines - Ectoparasitic infections: Scabies (2015) Europe European guideline for the management of scabies (2017 . 44, no. 9, pp. 991-1014 treatment. Persons with typical scabies generally have fewer than 50 live mites on their skin at any given time. If diagnosis and treatment are delayed, the number of live mites multiplies resulting in heavier or atypical infestations. Keratotic or crusted scabies, sometimes referred to as Norwegian scabies, was first described in persons diagnose
Scabies is a very itchy skin condition caused by a tiny mite (bug). Scabies is contagious and spreads quickly. If you have scabies, the whole family may need to be treated. What are the symptoms of scabies? Scabies causes intense itching and sometimes a rash. It looks like tiny red lumps and threadlike tracks on the skin. The rash is due to an. Scabies is a rash that develops as a reaction to the mite's proteins and feces. Scabies causes a severe itch, and is transmitted by skin-to-skin contact. The rash can also be transmitted through sexual contact. Thus, many consider scabies as a sexually transmitted disease (STD). In some cases, people pick up mites from from infested items. .Sarcoptes scabiei var. hominis is transmitted by direct skin-to-skin contact of sufficient duration Scabies is a common dermatological problem managed by general physicians, family physicians, and dermatologists. Scabies manifests itself in various forms in different individuals. The treatment of scabies has undergone developments with the evolution of new treatment strategies and antiectoparasitic drugs. The advent of drugs such as permethrin and ivermectin has revolutionised treatment
Scabies is an irritating condition caused by insects called mites. Over time, mites can burrow into the skin, inflaming areas of the body. Without proper treatment, scabies can get worse and require medical attention. Using Cetirizine for Scabies. Cetirizine is part of a range of medications called antihistamines Crusted scabies, or Norwegian scabies as it was formally known, is a highly contagious hyperinfestation with Sarcoptes scabiei var hominis. It is a presentation of scabies in immune compromised patients. It may also result from misdiagnosis as psoriasis or seborrhoeic dermatitis and treatment of these disorders
In order to control scabies cases as well to prevent outbreaks within hospital wards or nursing homes there is an obligation of implementation of strict guidelines regarding treatment of scabies. Treat Scabies Recommendations Oral ivermectin is recommended if topical treatments have failed and with a medical consult. Topical crotamiton is safe in infants, but permethrin is recommended above topical crotamiton. Topical permethrin is recommended for the treatment of scabies in pregnant women Treatment for Scabies. Treatment for scabies has three main goals: eliminate the mites, stop the severe itching, and prevent secondary bacterial infections. Various topical and oral mite-killing treatments are available. Unfortunately, the more effective treatments are limited by potentially serious side effects Scabies is a skin infection caused by tiny mites that burrow in the skin. The pregnant female mite burrows into the top layer of the skin and lays about 2 to 3 eggs per day before dying after 4 to.
Scabies is contagious and can spread quickly through close physical contact in a family, child care group, school class, nursing home or prison. Because scabies is so contagious, doctors often recommend treatment for entire families or contact groups. Scabies can be readily treated What is scabies? Scabies is a fairly common infectious disease of the skin caused by a mite. Scabies mites burrow into the skin producing pimple-like irritations or burrows. Who gets scabies? Scabies infestations can affect people from all socioeconomic levels without regard to age, sex, race or standards of personal hygiene Scabies treatment is usually recommended for members of the same household, particularly for those who have had prolonged skin to skin contact. Household members and other potentially exposed persons should be treated at the same time as the infested person to prevent possibl A short guide to scabies treatment 2016 1. A Short Guide to Scabies Treatment 2. Presentation Objectives Provide an overview of scabies Description Transmission Symptoms Diagnosis and treatment Control measures 3. Scabies Searches Worldwide Cases of Scabies has been increased rapidly in decade 4 Treatment for scabies. Treatment involves applying a cream or lotion specifically used for treating scabies. This is available from a pharmacist. To effectively treat scabies: Apply creams after a shower and towel drying for better absorption. Apply a thin layer of the treatment to your entire body surface, from the chin down
There are at least 4 treatments that are shown to have a higher scabies kill rate than permethrin and ivermectin. Combine those treatments together, and you have a fool-proof treatment guaranteed to destroy scabies in its tracks. If you use those treatments correctly, in 7 days mites should be dead. In 30 days you should be clear of symptoms Scabies is treated with a lotion or cream. You can buy it from a chemist without a prescription, but it is better to see your doctor first. The treatment most commonly used (permethrin) is recommended to be applied twice, one week apart. Everyone should be treated at th Treatment is low risk and the downside of treating an individual when the diagnosis is equivocal is minimal when compared to treating the whole facility for an outbreak. We do not recommend the enforced and routine treatment of all new residents to a facility who do not have scabies
Oral ivermectin is recommended by three guidelines for the treatment of scabies and topical ivermectin is recommended as an alternative treatment by one guideline. Oral ivermectin is recommended for the treatment of crusted scabies alone in one guideline and in combination with permethrin cream in another guideline, though these recommendations d British Association for Sexual Health and HIV - BASHH (Add filter) Published by British Association for Sexual Health and HIV, 11 November 2016. This is a review of the previous 2007 BASHH guideline on Scabies. This guideline is aimed primarily at over 16 year olds presenting to Level 3 sexual health clinics in the UK EDF Guidelines and consensus statements. Show all documents Acne Actinic Keratosis Androgenetic Alopecia Atopic Eczema Cutaneous Lupus Erythematosus (CLE) Dermatopathology Extracorporeal Photopheresis Herpes Zoster Hidradenitis suppurativa Immunoglobulins Lichen planus Lichen Sclerosus Pemphigoid Pemphigus Photodermatoses Photodynamic therapy. Scabies is generally a clinical diag Skin scrapings or microscopic evaluation in the clinic can be used for confirmation. Treatment. Permethrin 5% cream: apply to all areas of the body from the neck down to the toes and wash off after 8-14 hours. Repeat after 1 week
The only way to treat scabies is to ask a doctor for prescription medication. The CDC have warned people never to use scabies treatments that the manufacturers intended for use in domestic or farm. A third got the standard treatment prescribed in Fiji: skin lotion containing permethrin was given to people with scabies and their family members. (Permethrin is an insecticide used in insect. Prompt diagnosis, proper treatment of cases and exposed individuals and education of staff are the most important elements of scabies control in health care facilities. Clinical Characteristics and Epidemiology. Scabies is an infestation or parasitic disease of the skin caused by the mite, Sarcoptes scabiei. The mite is primarily transmitted by. 10. Natural Home Remedies For Scabies In Adults And Children - Bleach. Bleach is also one of the best natural home remedies for scabies on scalp and on skin because it can help to kill mites effectively. Follow these simple steps to kill mites with the support of bleach: Mix together 4 parts of water and 1 part of bleach Guideline for the diagnosis and treatment of scabies in Japan (third edition): Executive Committee of Guideline for the Diagnosis and Treatment of Scabies. J Dermatol. 2017 Sep;44(9):991-1014. doi: 10.1111/1346-8138.1389
Scabies. Content 1. The scabies mite is the only arthropod known to infest human skin. It lives under the human skin and causes scabies. They do not need human blood for survival but instead they feed on the dissolved human skin tissue. Scabies infestations are difficult to diagnose initially as symptoms can take up to a month to develop Check prices and reviews of 24 quality Scabies Treatment clinics in Malaysia, rated 4.9 over 5 from 2178 verified reviews by our community medical support network. View doctor profiles, clinic contact information and photos. All clinics verified by ministry of health Malaysia. Send an enquiry and get response fast - Updated Jun 202 The Indian government hasn't included ivermectin in its treatment guidelines, although apparently there are claims on social media of the contrary. In fact, ICMR hasn't recommended the use of the anti-parasite drug for the treatment of COVID-19 Scabies, a skin infestation with the mite Sarcoptes scabiei, is often intensely pruritic and distressing. Although clinicians frequently diagnose and treat scabies in children and young adults, very old people (ie, older than 85 years) can be highly affected, and outbreaks are common in residential and nursing care for elderly people The only way to get rid of scabies is with topical medication that kills the mites. If you don't treat scabies, the eggs laid during the initial infestation will hatch, reproduce, and lay more eggs. This is why it's important to treat anyone who's had close contact with someone diagnosed with scabies, as they can become infected without knowing it