Definition, Causes, Signs, Symptoms, Diagnosis, Management - Scabies | 12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases

Chapter: 12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases

Scabies

Scabies is an infestation caused by itch mite due to poor personal hygiene.

Scabies

Definition

Scabies is an infestation caused by itch mite due to poor personal hygiene.

Causes

·              Infestation by the itch mite otherwise called as Sarcoptes Scabiei”

·               skin contact with affected person (physical contact)

·              Direct contact with skin, clothing and furniture containing infected mites.

Signs and Symptoms

·              ITCHING: Itching is a common symptom, often worse at night and can be severe and intense.

·              RASH: When the mite burrows into the skin it forms rashes.

·              SORES: These occur in infested areas where a person has scratched at the skin.

·              THICK CRUSTS: Crusted scabies, is a form of severe scabies.

The most common site of infection

·              In between the finger webs

·              Around finger nails

·              Armpits

·              Waist lines

·              Inner parts of the wrists

·              Inner elbow

·              Soles of the feet

·              Breasts

·              Genitalia

Diagnosis based on

·              Onset of generalized pruritis (itching) and the characteristic eruptions

·              Itchy burrows and vesicles

·              Microscope examination

·              Dermatoscopy

·              Digital Photography

Management

Medical management: 

Tropical application

·              Permethrin 5 % Cream/lotion

·              Benzyl Benzoate 10 – 25% lotion

·              Crotamition 10% ointment

·              Lindane 1% lotion/cream

·               Oral medication according to the severity.

Nursing management

·              Maintenance of personal hygiene

·              Isolation - separate clothing and toiletries.

·              Necessary care to be given to the family members

·              Topical treatment must be applied to the entire skin surface.

·              After completion of treatment patients should use fresh, clean bedding and clothing.

·              Other family members and Close personal contacts should be treated at the same time.

·              Teach them to wash all linens, towels, and clothing used by the patient during the 2 days before treatment in hot water and dry them in sunlight.

 

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12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases : Scabies | Definition, Causes, Signs, Symptoms, Diagnosis, Management

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12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases


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