How Often Should You Wash Bedding During Scabies Treatment? - Dermatology

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Regarding environmental cleanup?


Currently, I am using scabicide lotion for treatment.
During the treatment process, should I wash the bedding and sheets daily, or should I wait until the end of the treatment course (3 days) to wash them?

Xiang, 20~29 year old female. Ask Date: 2023/01/13

Dr. Wu Yuxin reply Dermatology


It is recommended to do it daily.

Reply Date: 2023/01/13

More Info


When undergoing treatment for scabies, maintaining proper hygiene and cleanliness in your living environment is crucial to ensure effective eradication of the mites and prevent reinfestation. The question of how often to wash bedding during scabies treatment is a common concern among patients.


Frequency of Washing Bedding
During the treatment of scabies, it is advisable to wash bedding, including sheets, pillowcases, and blankets, at least once a week. However, if you are in the midst of an active infestation, it is recommended to wash your bedding every day or every other day, especially if you are experiencing significant itching or have had close contact with others who may also be infested. This frequent washing helps to eliminate any mites or eggs that may have been shed during the night.


Washing Guidelines
1. Water Temperature: Use hot water (at least 130°F or 54°C) when washing bedding. This temperature is effective in killing scabies mites and their eggs. If the fabric can withstand it, using a hot dryer cycle is also beneficial, as the heat will further ensure that any remaining mites are killed.

2. Drying: After washing, dry the bedding on a high heat setting for at least 20 minutes. This additional heat treatment is crucial for eliminating any mites that may have survived the washing process.

3. Non-Washable Items: For items that cannot be washed, such as comforters or decorative pillows, consider sealing them in a plastic bag for at least two weeks. This duration is sufficient for any mites to die off without a host.


Additional Cleaning Measures
In addition to washing bedding, it is important to clean other items that may come into contact with your skin, such as towels, clothing, and even soft furnishings like sofas. Here are some additional tips:
- Clothing: Wash all clothing that has been worn in the past week in hot water and dry them on high heat. If unsure about what clothing may have been contaminated, it is safer to wash everything worn during the infestation period.


- Soft Furnishings: For items like sofas or chairs, vacuum them thoroughly and consider using a steam cleaner if available. You can also use a fabric-safe insecticide designed for scabies, but ensure to follow the manufacturer's instructions carefully.


Post-Treatment Considerations
After completing the treatment regimen (typically 3-5 days), continue to wash your bedding and clothing regularly for at least another week. This helps to ensure that any remaining mites are eliminated and reduces the risk of reinfestation.

Conclusion
In summary, during scabies treatment, it is best to wash your bedding daily or every other day to effectively eliminate the mites. Use hot water and high heat for drying, and take care of non-washable items by sealing them away. Maintaining a clean environment is essential not only for your recovery but also for preventing the spread of scabies to others. If you have any further concerns or experience persistent symptoms, consult your healthcare provider for additional guidance.

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