Scabies: Care Instructions (2024)

Overview

Scabies is a very itchy rash caused by tiny bugs called mites. These tiny mites dig just under the skin and lay eggs. An allergic reaction to the mites causes the itching. It can take 4 to 6 weeks after a person gets scabies for the allergic reaction to start.

Scabies is usually spread by close contact with another person who has scabies. Sometimes scabies is spread through shared towels, clothes, and bedding.

Scabies can be treated with medicine if you follow directions carefully. Usually everyone in the house needs to be treated. The medicine kills the mites within a day. But the itching commonly lasts for 2 to 4 weeks after treatment because the allergic reaction continues.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Use the medicine your doctor recommends or prescribes. Follow your doctor's instructions carefully. Two treatments may be needed to cure scabies.
  • Wash all clothes, bedding, and towels that you and others in your household used in the 3 days before you started treatment. Use hot water, and use the hot cycle in the dryer. Another option is to dry-clean these items. Or seal them (including any stuffed animals) in a plastic bag for 3 days.
  • On the day you start treatment, vacuum the room or rooms used by anyone who had scabies.
  • An oral antihistamine may help stop itching. You also can use a non-prescription anti-itch cream. Read and follow all instructions on the label.
  • Do not have physical contact with other people or let anyone use your personal items until you have finished treatment. Do not use other people's personal items until your treatment is done. Tell people with whom you have sexual or close contact that they will likely need treatment.

When should you call for help?

Scabies: Care Instructions (1)

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

  • You have signs of a worsening infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Pus draining from a bite area.
    • A fever.
  • You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter S480 in the search box to learn more about "Scabies: Care Instructions".

Current as of: March 21, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Scabies: Care Instructions (2024)

FAQs

What are the washing instructions for scabies? ›

Do
  1. wash all bedding and clothing in the house at 60C or higher, and if possible in a hot dryer, on the first day of treatment.
  2. put clothing that cannot be washed in a sealed bag for 3 days until the mites die.

Do I need to clean my house if I have scabies? ›

Normal washing of clothes and bedding is recommended. Crusted Scabies: There are so many mites, which may fall off as “crusts” (like flakes of skin) that all clothing and bedding should be washed in a hot wash, and floors & chairs vacuumed well.

How do you take care of someone with scabies? ›

If someone has crusted scabies, it is important to thoroughly clean the affected person's environment to remove any skin scales in dust. This includes vacuuming carpets and furniture, washing bedding, clothes, curtains and cushion covers.

What is the protocol for scabies? ›

Apply 5% permethrin cream to all skin areas including scalp, temples, forehead, and under nails. (Staff member should apply permethrin to the skin of the resident.) Day 2 (AM) Bathe or shower to remove the cream after permethrin has been on skin for 8-14 hours). Inform person that itching may persist for weeks.

Can scabies be spread through laundry? ›

It's also possible – but rare – for scabies to be passed on by sharing clothing, towels and bedding with someone who's infected. It can take up to 8 weeks for the symptoms of scabies to appear after the initial infection. This is known as the incubation period. Read more about the causes of scabies.

Do scabies live in mattresses? ›

If you have a scabies infestation, you should treat all clothing, furniture, and household items you came into contact with over the past few days. Scabies mites can live on your mattress for three days, so sleeping on it before you treat yourself and the mattress could lead to reinfection.

How do I decontaminate my house from scabies? ›

What to do After a Confirmed Scabies Infestation
  1. Strip all bedding, towels, sheets, pillows, and pillowcases, wash them in warm water, and dry them at high heat for at least 30 minutes.
  2. Anything that can't be washed at home should be taken to a dry cleaner, who should be notified of the issue.
Oct 26, 2018

Can I sleep in my bed after scabies treatment? ›

You can continue sleeping in your bed while undergoing scabies treatment. However, taking precautions to prevent the spread of scabies is essential.

How long is scabies contagious? ›

The eggs hatch and become adult mites within 10 days. Symptoms, primarily itching, appear approximately four weeks from the time of contact as a result of sensitization to the presence of immature mites. How long are you infectious? A person with scabies is considered infectious as long as they have not been treated.

Can you feel scabies crawling on you? ›

No, you can't feel the mites crawling on you because they're tiny and crawl slowly. The only thing you can feel is the itchiness or inflammation they cause to your skin.

Is it safe to be around someone with scabies? ›

Scabies is contagious and can spread quickly through close person-to-person contact in a family, child care group, school class, nursing home or prison. Because scabies spreads so easily, health care providers often recommend treating the entire family or any close contacts.

What are scabies attracted to? ›

Attracted to warmth and odor, the female mite is drawn to a new host, making a burrow, laying eggs and producing secretions that cause an allergic reaction. Larvae hatch from the eggs and travel to the skin surface, lying in shallow pockets where they will develop into adult mites.

Do I need to quarantine if I have scabies? ›

If you have scabies or are being treated for scabies, do not have close or sexual contact with someone until you finish treatment for scabies. Tell your sexual partners and household members if you have scabies so they can be checked and treated if necessary.

Should a person with scabies be quarantined? ›

Isolate suspected or confirmed case of crusted (Norwegian) scabies in a single room until all treatments have been successfully completed. With crusted (Norwegian) scabies, treatment may be prolonged.

What should you avoid when treating scabies? ›

Treatment of Scabies
  • Complete your medication as prescribed.
  • Wash bedding, clothing, and towels in hot water and dry in a hot dryer. ...
  • Dry-clean or seal items in a plastic bag for at least 72 hours to up one week that can't be washed traditionally.
  • Avoid direct skin-to-skin contact with others until treatment is finished.
Jan 12, 2024

Can scabies stay in washing machine? ›

Those with symptoms and/or a diagnosis of scabies may require a further treatment, usually a week later. What about bed linen and clothing? A normal hot wash in a domestic washing machine will suffice. Scabies does not survive on curtains, upholstery, carpets etc.

What household cleaner kills scabies? ›

Permethrin spray is a liquid solution that's used to disinfect surfaces that can't be washed. Permethrin is an insecticide that's used to kill scabies mites. If you decide to use permethrin spray, be sure to follow the directions. In general, you might need to avoid the room for about 30 minutes.

How do you wash off scabies cream? ›

Leave the permethrin cream on the skin for 8 to 14 hours. Wash off by taking a shower or bath. Change into clean clothes. After treatment, itching may continue for up to 4 weeks.

Can scabies live on furniture? ›

It gets its name from the thick crusts of skin that form from large numbers of scabies mites and eggs. Scabies can live on the human body for 1 to 2 months. They can live in bedding or furniture for 2-3 days.

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