Effective Scabies Treatment: How to Clean Clothes Properly - Dermatology

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When dealing with scabies, effective treatment and proper cleaning of clothes and personal items are crucial to prevent reinfestation and ensure successful eradication of the mites. Here’s a comprehensive overview based on your questions and the medical knowledge surrounding scabies treatment.

Cleaning Clothes and Fabrics:
1. Temperature and Duration for Washing: It is recommended to wash infested clothing and bedding in hot water (at least 60 degrees Celsius or 140 degrees Fahrenheit) for a minimum of 10 minutes. This temperature is effective in killing scabies mites and their eggs. If you cannot wash items in hot water, you can also place them in a dryer on high heat for at least 20 minutes.

2. Use of Plastic Bags: If you are unsure which items have been in contact with the infected person, it is advisable to place unwashable items (like stuffed animals or certain fabrics) in a sealed plastic bag for at least 72 hours to a week. Scabies mites cannot survive long without a human host, typically dying within 2-3 days. However, sealing them for two weeks provides an extra margin of safety.

3. Steam and Ironing: Using a steam iron can be effective for cleaning items that cannot be washed. The steam should be applied for at least 10 minutes to ensure that the heat penetrates the fabric sufficiently to kill the mites. However, ensure that the fabric can withstand high temperatures without damage.

4. Cleaning Upholstered Furniture: For upholstered items like sofas, using a specialized insecticide designed for scabies or a sulfur solution can be effective. Alcohol (75% isopropyl) can also be used, but it may not penetrate deeply into the fabric as effectively as other methods. Vacuuming the furniture thoroughly before applying any treatment is also recommended.

Treatment and Symptoms:
1. Ongoing Symptoms: It is common for itching and redness to persist even after treatment has begun. This can be due to residual irritation from the mites or an allergic reaction to the bites. If you are on the fourth day of treatment and still experiencing some itching and a few red bumps, it does not necessarily mean the treatment is ineffective. However, if symptoms worsen or new lesions appear, it is advisable to consult your healthcare provider.

2. Frequency of Treatment: The standard recommendation for topical scabies treatments is to apply the medication once daily for 3-5 days, depending on the specific product used. Some treatments may require a second application after a week to ensure all mites are eradicated. Always follow your healthcare provider's instructions regarding the frequency of application.

3. Post-Treatment Care: After treatment, it is essential to continue wearing clean clothes and to maintain good hygiene practices. This includes washing bedding and clothing regularly and avoiding close contact with others until you are sure the infestation has been cleared.

Conclusion:
In summary, effective scabies treatment involves a combination of topical medication and thorough cleaning of personal items. Washing clothes in hot water, sealing items in plastic bags, and using steam or specialized insecticides for furniture are all effective strategies. Persistent symptoms after starting treatment are common, but if there are concerns about the effectiveness of the treatment, it is best to consult a healthcare professional for further guidance. Always prioritize hygiene and cleanliness to prevent reinfestation and protect others from potential exposure.