Can You Sleep on a Mattress with Scabies? Essential Care Tips - Dermatology

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Can scabies patients lie on a mattress, or should they only sleep on the floor?


Dear Doctor,
I recently unfortunately contracted this condition and have done a lot of research.
1.
I am very troubled by this condition, especially since I have to care for my mother who is unable to take care of herself.
The hot weather makes it necessary for me to help her bathe every day.
Given my situation, I am unsure how to manage this condition, and I would greatly appreciate your guidance.
2.
Additionally, since my mattress cannot be disinfected at high temperatures, and I do not have any medications or cleaning agents that can immediately kill scabies mites, does this mean I cannot sleep on the mattress? Should I disinfect my room daily with a 1:100 bleach solution? Can scabies mites infest any surface? Since I work night shifts and then care for my family, it would be helpful to know if scabies mites can only live on certain materials, so I wouldn't have to clean all the furniture and floors I come into contact with every day.
Would plastic or metal surfaces be less likely to harbor scabies? Thank you for your patience in reading this.

Li Xin, 30~39 year old female. Ask Date: 2018/05/23

Dr. Wu Yuxin reply Dermatology


Scabies mites can survive outside the human body for a few days.
If cleaning or disinfection is not possible, it is recommended to isolate the items for 2 weeks without use.
Of course, if possible, it is best to dispose of them.

Reply Date: 2018/05/23

More Info


Dealing with scabies can be quite challenging, especially when you have caregiving responsibilities. Scabies is caused by a mite called Sarcoptes scabiei, which burrows into the skin, leading to intense itching and discomfort. Here are some essential care tips and considerations regarding your concerns about sleeping on a mattress infested with scabies.

1. Understanding Scabies Transmission: Scabies mites are primarily transmitted through direct skin-to-skin contact with an infested person. They can also survive on clothing, bedding, and furniture for a short period (typically 2-3 days). However, they do not live long away from human skin, which means that while they can be present on surfaces, they are unlikely to remain viable for extended periods.

2. Sleeping on a Mattress with Scabies: If you have scabies, it is advisable to avoid sleeping on the same mattress without treating it first. While the mites may not survive long on the mattress, they can still be present and may cause re-infestation if you come into contact with them. Ideally, you should treat the scabies infestation with appropriate topical medications prescribed by a healthcare provider. After treatment, it's crucial to clean your sleeping environment.

3. Cleaning and Disinfecting: Since you mentioned that your mattress cannot be high-temperature sanitized, here are some steps you can take:
- Encasement: Consider using a mattress encasement designed to trap scabies mites. This can prevent them from escaping and re-infesting you after treatment.

- Washing Bedding: Wash all bedding, pillowcases, and any clothing that may have come into contact with your skin in hot water (at least 130°F or 54°C) and dry them on high heat. This will help kill any mites present.

- Vacuuming: Vacuum your mattress, carpets, and any upholstered furniture thoroughly. After vacuuming, dispose of the vacuum bag or empty the canister outside to prevent re-infestation.

4. Disinfecting Surfaces: Using a diluted bleach solution (1:100) can help disinfect surfaces, but it is not necessary to do this daily. Focus on areas where you spend a lot of time, such as your bed and any furniture you frequently touch. Scabies mites are less likely to survive on hard surfaces like plastic or metal, so these materials are generally safer.

5. Care for Your Mother: Since you are also caring for your mother, ensure that she is treated for scabies if she shows any signs of infestation. It is essential to treat all close contacts simultaneously to prevent re-infestation.
6. Personal Hygiene: Maintain good personal hygiene by showering regularly and using clean towels. Avoid sharing personal items like towels, clothing, or bedding until the infestation is resolved.

7. Consult a Healthcare Provider: It's crucial to follow up with a healthcare provider for proper diagnosis and treatment. They may prescribe topical treatments such as permethrin cream or oral medications, depending on the severity of the infestation.

In summary, while it is not ideal to sleep on a mattress infested with scabies, taking appropriate cleaning and treatment measures can help manage the situation. Focus on treating the infestation, cleaning your environment, and maintaining good hygiene practices. If you have further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.

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Dr. Wu Yuxin reply Dermatology
There is still a possibility of infection. The typical incubation period is about 2 weeks, but it can take 2 to 4 weeks from infection to the appearance of a rash, so it is important to remain vigilant.

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Dr. Huang Ruiyun reply Dermatology
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Dr. Wu Yuxin reply Dermatology
Therefore, intimate clothing and bedding must be disinfected.

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The chances are low, so there's no need to worry. Just go home and take a good shower.

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