Can You Catch Scabies from Sitting on an Infected Patient's Bed? - Dermatology

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Scabies issue


If I sit on the bed of a scabies patient (for less than a minute) and have also sat on a chair they used (for about 3 to 4 hours), am I at risk of contracting scabies?

Kuei, 20~29 year old female. Ask Date: 2016/11/09

Dr. Li Yufen reply Dermatology


Hello: For an introduction to scabies, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Index.aspx?CID=15.
Scabies is a condition that is transmitted through direct contact, so there is a possibility of transmission, but it is not guaranteed.
If you have recently noticed any skin abnormalities, it is advisable to consult a nearby dermatologist for diagnosis and treatment.
http://www.derma.org.tw/user_finddoctor.php Thank you!

Reply Date: 2016/11/09

More Info


Scabies, caused by the Sarcoptes scabiei mite, is a highly contagious skin condition that spreads primarily through direct skin-to-skin contact. It can also be transmitted indirectly through infested clothing, bedding, or furniture. Your concern about sitting on an infected patient's bed or chair is valid, as there is a potential risk of transmission, albeit the risk varies based on several factors.

When it comes to scabies, the mites can survive off the human body for a limited time, typically up to 2-3 days on surfaces like bedding or clothing. This means that if you sit on a surface that was recently occupied by someone with scabies, there is a possibility that the mites could be present. However, the likelihood of transmission from brief contact (like sitting for less than a minute) is considerably lower than from prolonged skin-to-skin contact. In your case, sitting on a chair for 3-4 hours does increase the risk compared to a quick sit, especially if the chair or bed was heavily infested.

It is important to note that scabies is primarily transmitted through close, prolonged contact, which is why it is commonly seen in crowded living conditions or among family members. The mites burrow into the skin, causing intense itching and a rash, and they are typically not easily transferred through casual contact or brief encounters.
If you are concerned about potential exposure, it is advisable to monitor for any symptoms of scabies, which include intense itching, especially at night, and the appearance of a rash or small blisters. If you develop any of these symptoms, it would be prudent to consult a healthcare provider for evaluation and possible treatment.

In terms of prevention, if you suspect that you may have been exposed to scabies, it is a good idea to wash your clothes and any bedding or towels that may have come into contact with the infested individual in hot water and dry them on a hot cycle. This can help eliminate any mites that may be present. Additionally, avoid close contact with others until you are sure you are not infected.

In summary, while there is a risk of catching scabies from sitting on an infected patient's bed or chair, the risk is significantly lower with brief contact compared to prolonged exposure. If you have any concerns or develop symptoms, seeking medical advice is the best course of action.

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