Update: October 2018
- About Scabies
- Why is itch sometimes difficult to cure?
- Rules for the successful treatment of scabies
- What means of scabies are used in Russia?
- Possible complications of treatment
Today in the pharmaceutical industry a sufficient number of drugs
drugs that are intended for the treatment of scabies, however
in some cases, it is difficult to treat conventional therapy.
Because all ointments from scabies, sprays, solutions are effective only
with proper use and compliance with some hygienic
rules during and after treatment.
The choice of remedy for scabies depends on the experience of the doctor, cost and
availability of medication in local pharmacy chains, ease of use
and other consumer properties.
After infection, after 1-2 weeks, the person begins to manifest
symptoms, sometimes the first signs of scabies may occur a little
earlier or vice versa only in a month. To the main symptoms
- With typical scabies, symptoms begin with localization in
interdigital folds, folds of arms, legs, in the navel, then
The process extends to the rest of the body.
- For scabies, pruritus is most characteristic, and since
mite is active at night, itching increases during sleep.
- With the intensive spread of scabies mites appear
pimples, blisters, rashes, due to constant scratching and
sores can appear when attaching a secondary infection,
- To distinguish scabies from other skin diseases – when
scabies you can notice the scabby moves – these are mite mites, twisted
strips up to 7 mm, whitish, in them the female lays from 10
up to 25 eggs.
Scabies is not transmitted to humans from pets, this
the disease is characteristic only for people. Most common infection
happens among family members, neighbors in a dorm, genital
partners, that is, with close, close contact, it is not rare that
tick occurs when a person is in a hospital,
business trip, on vacation or stay with relatives. Insofar as
ticks are more active at night, and therefore the transmission of the pathogen
usually occurs at night.
Why is itch sometimes difficult to cure?
Nearly 80% of patients go to dermatological centers for
about ineffectively carried out earlier treatment of scabies. Should
Be aware that all substances used for therapy act on
adult ticks without destroying embryos whose development period
is 4 days. Therefore, a non-lump sum is necessarily necessary.
treatment, but also re-skin rehabilitation on the 4th day, which kills
larvae hatched from eggs.
Studies claim that among 195 patients after
single treatment with permethrin cream clinical
recovery was observed only in 46% of patients. Therefore none
of the currently used drugs in Russia should not
Scabies is a disease that is not always easy
diagnostics, as it sometimes complicates other skin diseases:
- Most often, the diagnosis is not difficult to establish, but there are
atypical options for the occurrence of scabies or its combination with other
- The main criterion confirming the diagnosis of scabies is
the result of the study of scraping from the outbreak, as well as clinical
picture of rashes.
- In clean patients who wash their hands thoroughly and each
day take a shower, the rash is usually scanty, the progression and
the spread of the disease is slow, typical
scabby moves are rare.
- In the summer-autumn period, there has recently been observed in Russia
high incidence of scabies.
Read also our articles on home treatment for scabies,
and also about the types of scabies: symptoms, treatment of this parasitic
Rules for the successful treatment of scabies
- Before you begin treatment, you should change the next,
bed linens, washcloths and take a shower.
- You can not take a bath or shower during treatment.
- Any means – ointment against scabies, solutions, sprays
used for the night, the skin of the head under the hair does not handle
need to, should be processed the whole body, not just the affected
- After treatment again, bedding should also be changed.
underwear and take a shower.
- Previously, bedding and underwear should be boiled
5-10 minutes in washing powder or soda solution, but with
the presence of an automatic washing machine is enough to choose
a long program with a maximum temperature – this
will be enough for disinfection. After that, for loyalty,
iron iron on both sides.
- Pillows and blankets should be held outdoors for 5 days.
The same goes for things that cannot be washed or toys,
shoes – they should be sealed in plastic bags and
wait 5 days.
- Upholstered furniture and mattresses to spray with destruction
- Local remedies for the treatment of scabies can not be used
longer than recommended by the doctor, despite continued itching,
as this may provoke an itch already from the drug and cause
the signs overdose.
- If itching continues after treatment, continue taking it.
What means of scabies are used in Russia?
аэрозоль “Спрегаль” (Франция) Insofar as этот препарат не
Spregal and A-pairs are easy to use, have no unpleasant
What scabies ointment helps better? This is benzene benzoate. AT
Medyfox концентрат для приготовления эмульсии
Цена: концентрат для приготовления эмульсии 100-120 rub.
Простая серная мазь и мазь ATилькинсона
(composed of sulfur, naphthalan ointment, liquid tar, water, soap,
A significant disadvantage of the treatment of scabies is sulfur ointment, as well as
Solutions by Demianovich
Prescription form to order, this is 6% hydrochloric acid solution, 60%
How to make the treatment: 1 solution should be slightly heated,
After 10 minutes, rub in 2 solution, the sequence of processing
Very often, dermatitis that occurs on the background of scabies appears in
patients with improper use of drugs on their own
initiative (in 82% of cases), more precisely redundant and longer
application than prescribed and recommended by a doctor. Persistent itching
after treatment is a reaction of the organism to a dead tick, therefore
additional treatment does not require.
Possible complications of treatment
- Post-scab dermatitis
One of the most common mistakes in the treatment of scabies
there is excessive use of scabies ointments, solutions,
therefore, in the future, the patient may develop postskabiozny
dermatitis, that is, contact allergic dermatitis.
This is usually as follows: the patient has completed the treatment,
but itching does not stop, worries with the same intensity. What about
does the patient think this? The drug is not effective, it is necessary
change because the pathogen has turned out to be resistant to it and repeats
a course of therapy with a different drug.
After the new course, itching becomes even more intense, even
there are new rashes that are postskabiosnoe
dermatitis. However, it can arise not only from excessive
treatment, but also from the standard treatment regimen – in individuals prone to
allergic dermatosis, with hypersensitivity to benzyl benzoate
or other drugs.
Its difference from contact allergic dermatitis is
that only the skin of the trunk is affected, in those places where there is more
total has friction clothing, as well as proximal
limbs (which are closer to the body). ATысыпания при этом мелкие, без
clear boundaries, cracked and eroded, with fine peeling
Treatment of post-scab dermatitis is performed by sedatives.
antihistamine preparations (see tablets from
allergies), calcium supplements are prescribed, in some cases
strong rashes used zinc paste or mash. By
for the appointment of a doctor with severe dry skin may use
weak hormonal ointments (Sinaflan, hydrocortisone 1%). Bourne
acid can be applied to crusts and excoriation (Fukortsin).
- Nodular scabies or scabious lymphoplasia
Scabious lymphoplasia is manifested by the following symptoms:
strongly itchy, dense, rounded nodules appear.
up to 1 cm in size, sometimes with a bloody crust. Most often nodules
localized in the inguinal folds, the inner thighs,
armpit, in the navel. It usually arises from excess
treatment, against the background of therapy with 2 drugs consistently.
With this nodular scabies, a combined treatment is carried out:
in the morning, apply hydrocartisone ointment 1%, in the evening – sulfur ointment,
also required the appointment of sedatives and antiallergic
drugs. Scabious lymphoplasia after treatment may persist
within a month.
In order for the treatment to be successful, you should visit
dermatologist for examination on day 7 after the start of therapy, then
every 10 days until a rash stops. With
the presence of scabious lymphoplasia, the doctor must examine the patient 1
once a week until complete cure.
Автор: Мельникова Светлана Георгиевна врач-дерматолог