Scabies and Pubic Lice: Infection Risks and Prevention

Scabies and pubic lice infestation?

Hello, doctor.
I am a staff member at a clinic, and we often have patients with scabies or pubic lice coming in for treatment.
However, sometimes we are unsure if they actually have these conditions.
I would like to ask:
1.
If I encounter a patient with scabies or pubic lice and their health insurance card still has funds (since we collect a registration fee), will I be at risk of infection?
2.
If I come into contact with their medical records or pens, is there a risk of transmission?
3.
If I unknowingly touch my own body after coming into contact with them, will I also be at risk of infection? I would wash my hands quickly after realizing, but I cannot wash the areas of my body that I touched.
Is there still a risk of transmission?
I am really scared, so I wash twice every time I shower, scrubbing very hard, and I spend a long time in the shower.
My skin gets very dry, and I wash my intimate areas and groin thoroughly, as these are places where scabies mites might hide.
I hope you can answer my questions.
I would greatly appreciate it! I hope your response can help me a lot!

Niming, 20~29 year old female. Ask Date: 2017/12/23

Dr. Wu Yuxin reply Dermatology

The chances are very low, so please rest assured.
Just adhere to the principle of frequent handwashing.
The risk of infection from money, health insurance cards, and medical records is very low.

Reply Date: 2017/12/23

More Info

Scabies and pubic lice are both conditions caused by parasites that can lead to significant discomfort and concern about transmission. Understanding the risks associated with these conditions is essential, especially in a healthcare setting where you may come into contact with affected individuals. Let's address your questions one by one.

1. Contact with Health Insurance Cards: The risk of transmission from touching a health insurance card belonging to a patient with scabies or pubic lice is extremely low. Scabies is caused by a mite (Sarcoptes scabiei) that burrows into the skin, and it does not survive long outside of its human host. Similarly, pubic lice (Pthirus pubis) are also specific to humans and do not live long without a host. Therefore, the likelihood of contracting either condition from handling a card is negligible.

2. Handling Medical Records and Pens: The same principle applies to medical records and pens. While scabies mites can survive for a short period on surfaces (usually up to 48 hours), they do not thrive outside the human body. Pubic lice can only live for a short time away from human hair. If you were to touch these items and then touch your skin, the risk of transmission is still very low, especially if you wash your hands afterward.

3. Touching Your Body After Contact: If you unknowingly touched your body after coming into contact with items used by a patient with scabies or pubic lice, there is a minimal risk of transmission. Washing your hands promptly reduces this risk significantly. However, if you have touched areas of your body where the parasites could potentially transfer (like the groin area for pubic lice), it is advisable to monitor for any symptoms, such as itching or rash, and consult a healthcare provider if they develop.

4. Hygiene Practices: Your concern for hygiene is commendable, but it is essential to balance cleanliness with skin health. Over-washing or using harsh soaps can lead to skin irritation, which may make your skin more susceptible to infections. It is advisable to wash with a gentle soap and avoid excessive scrubbing, especially in sensitive areas. Regular bathing is sufficient for maintaining hygiene without causing skin damage.

5. Preventive Measures: To further reduce the risk of transmission in your work environment, consider the following preventive measures:
- Use gloves when handling items that may have come into contact with infected individuals.

- Regularly clean and disinfect surfaces and equipment in your clinic.

- Educate patients about the importance of seeking treatment for scabies and pubic lice to prevent outbreaks.

In summary, while it is understandable to be concerned about the transmission of scabies and pubic lice, the actual risk from handling items associated with affected patients is very low. Maintaining good hygiene practices, such as regular handwashing and using gloves when necessary, will help protect you. If you have any further concerns or notice any symptoms, do not hesitate to consult a healthcare professional for advice and potential treatment.

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