Scabies in Infants: Treatment and Care Tips - Dermatology

More Info

---

Scabies, or sarcoptic mange, is a highly contagious skin condition caused by tiny mites that burrow into the skin, leading to intense itching and a rash. In infants, scabies can be particularly distressing, both for the child and the parents. It’s crucial to understand how to effectively treat and care for your child during this time.


Treatment Overview
1. Medications: The primary treatment for scabies is the application of topical scabicides, such as permethrin cream (often referred to as Elimite) or benzyl benzoate. These medications are typically applied to the entire body from the neck down and left on for a specified period before being washed off. In your case, it seems your child has been treated with a topical medication (likely permethrin), which is effective against the mites.

2. Oral Medications: In some cases, especially if the infestation is severe or widespread, oral medications like ivermectin may be prescribed. This is more common in older children and adults but can be considered in infants under specific circumstances.

3. Follow-Up: It’s essential to follow up with your healthcare provider after treatment. If your child continues to experience symptoms like itching or the appearance of new lesions, further evaluation may be necessary. Sometimes, the itching can persist for weeks even after the mites are eradicated due to an allergic reaction to the mites or their waste.


Home Care and Hygiene
1. Cleaning: You mentioned that you have been diligent about cleaning bedding and clothing. This is crucial, as scabies can survive for a short time off the body. Wash all bedding, clothing, and towels in hot water and dry them on a hot cycle. Items that cannot be washed should be sealed in plastic bags for at least 72 hours to kill any remaining mites.

2. Disinfecting Surfaces: Using diluted bleach solutions to wipe down surfaces is a good practice, especially in areas where your child spends a lot of time. However, ensure that the bleach is safe for the surfaces you are cleaning and that the area is well-ventilated.

3. Avoiding Reinfestation: It’s essential to treat all family members simultaneously to prevent reinfestation. If you or other family members are still experiencing symptoms, it may indicate that the treatment was not fully effective, or there may be a new exposure.


Managing Symptoms
1. Itching Relief: For the itching, topical corticosteroids may be recommended to reduce inflammation and discomfort. However, these should be used under the guidance of your healthcare provider, especially in infants.

2. Moisturizers: Applying fragrance-free moisturizers can help soothe the skin and reduce irritation. This is particularly important after the use of scabicides, as they can dry out the skin.

3. Monitoring: Keep a close eye on your child’s symptoms. If the red spots are becoming more pronounced or if new lesions appear, it’s essential to consult your pediatrician. They may need to reassess the situation to determine if another round of treatment is necessary or if there is another underlying issue.


Conclusion
In summary, managing scabies in infants requires a combination of effective treatment, diligent hygiene practices, and symptom management. It’s understandable to feel frustrated and concerned, especially when symptoms persist. Regular follow-ups with your healthcare provider are crucial to ensure that your child is on the right path to recovery. If you notice any worsening of symptoms or new developments, don’t hesitate to seek further medical advice. Your child’s comfort and health are the top priorities, and with the right approach, scabies can be effectively managed.