Template
Scabies
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TreatmentChoose one
HouseholdChoose any
ItchChoose any
Secondary infectionChoose any
SchoolChoose one
Follow-upChoose one
CounselingNot in the note with these choices
Give the second dose as prescribed. Treat everyone in the household at the same time. Itching can last several weeks after successful treatment. Recommended supportive care with an emphasis on washing bedding and clothing used in the last 3 days in hot water and drying on high heat, or bagging items for a week, plus moisturizer and cool compresses for itching. Return precautions given including new burrows after the second dose, signs of skin infection, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
Counseling
Apply the treatment to the whole body from the neck down (including the head and face in infants and young children), leave it on as directed, then wash it off; a second treatment is often needed about a week later. Treat everyone in the household at the same time. Itching can last several weeks after successful treatment. Recommended supportive care with an emphasis on washing bedding and clothing used in the last 3 days in hot water and drying on high heat, or bagging items for a week, plus moisturizer and cool compresses for itching. Return precautions given including new burrows after the second treatment, signs of skin infection, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
- Permethrin 5% first line; second application about a week later
- Oral ivermectin for failure or intolerance
- Treat household simultaneously
- Itch may persist; antihistamines, topical steroids
- Laundering 3 days; store items
- Return after first treatment; no exclusion