Scabies

Signs and Symptoms:

. Severe pruritus, especially at night

. Burrows (linear tracks) in skin folds

. Rash with red, itchy papules or vesicles

Management:

First-line Treatment: Topical Permethrin 5%

Alternative Treatments: Oral Ivermectin for those who cannot tolerate topical treatment or for crusted scabies

Topical Lindane as a second-line treatment

Precautions:

i. Treat all household members and close contacts

ii. Wash clothing, bedding, and towels in hot water

iii. Seal non-washable items in plastic bags for at least 72 hours