The first time a person is infected with scabies, they will normally show no symptoms for the first two to six weeks; however, scabies is highly contagious and will begin to spread right away. If a single person is infected within a household, everyone in that household should be treated, followed by cleaning the rest of the house. Anyone who has had prolonged skin-to-skin contact with the individual, whether it’s family, friends, or sexual acquaintances, may be at risk of infection as well. The most common way scabies is transmitted from person to person is through physical, sexual contact. There are no over-the-counter treatments that have been tested and approved for use. Scabicides are products that are used to kill scabies mites and their eggs, but are only available with a doctor’s prescription.

The scabicide cream should be applied everywhere from head to toe. As for infants and children, the cream should be applied to their entire head and neck as scabies will infect their face and scalp as well. After the directed amount of time, the cream is to be washed off and clean clothes should be worn. All towels, clothing, and bedding within the household, from everyone, should be washed immediately in hot water and dried with high heat. Clothes may also be placed and sealed in a plastic bag for at least 72 hours. Mites usually cannot survive on their own for more than 3 days.

Since scabies causes a hypersensitive allergic reaction on the skin due to the mites and their feces, the symptoms of itching and redness may continue for weeks even if all the mites and eggs have been terminated. If symptoms persist for more than three to four weeks after treatment or if new rashes or burrows begin to appear, then one may need to be treated again. Additional antibiotics may be prescribed for skin sores that have been seriously infected while carrying scabies.

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