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Scabies, Pediatric

Jessica E. Nash, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Scabies is a parasitic infection caused by the mite Sarcoptes scabiei, which infects the stratum corneum of the skin and results in an intense pruritic rash.

  • Crusted scabies is a subt...

DIAGNOSIS

HISTORY

  • Patients usually present with a history of rash that is intensely pruritic and worse at night because mite activity increases at night based on temperature of the human body.

  • Rash pres...

TREATMENT

MEDICATION

  • Permethrin 5% cream

    • Drug of choice for children and infants >2 months of age

    • Is neurotoxic to the mite

    • The cream is applied from neck to toe, paying special attention to interdigit...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Treatment failure occurs but is usually due to incomplete treatment of all contacts at the same time.

  • Recommend follow-up 2 weeks after treatment...

ADDITIONAL READING

  • American Academy of Pediatrics. Scabies. In: Kimberlin DW, Brady MT, Jackson MA, et al, eds. Red Book: 2015 Report of the Committee on Infectious Diseases. 30th ed. 2015. Elk Grove...

CODES

ICD9

133.0 Scabies 

ICD10

B86 Scabies 

SNOMED

  • 128869009 Infestation by Sarcoptes scabiei var hominis (disorder)

  • 128870005 Crusted scabies (disorder)

FAQ

  • Q: What do I do with the clothes or cloth items that cannot be washed at this time?

  • A: Store them in a plastic bag and put them away for 3 days because the mite cannot live more than 3 days without...

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