skin : scabies 8 Management

Management
Generally divided into antiskabies drug topical medications and oral medications. Scabies treatment as important in making the right diagnosis. The main therapy is a drug - skabisidal topical medications. Some of the things considered in patients handling, among others (Karthikeyan, 2005):
• definite diagnosis
• Medical treatment is appropriate
• Provide drug evenly throughout the body.
National guidelines recommend that treatment be done in the whole body's skin, without exception. Give more attention to areas where there are tunnels or mites that often arise (Anon, 2007).
• Treat all people close or frequent contact with patients.
• Provide medical explanations given verbally and in writing to the patient.
• Treat secondary infection exist.
• Do control over one and four weeks after treatment
• Wash clothes and bedding after treatment is completed.
In addition patients should also be informed about how the use of drugs skabisid. Some things that need to be informed and advised in patients (Karthikeyan, 2005):
• Starting with a regular shower and dried to perfection later.
According to Webster (2007), bath with warm water may increase the systemic absorption of most drugs can trigger scabies and irritation reactions.
• Topical treatment given to certain lubricated the entire skin.
In the areas under the fingernails, can be assisted by lubricate nail brush or a small toothbrush (Webster, 2007).
When will wash their hands or other body parts during treatment, then afterward must re lubricated in the area (Anon, 2007).
• Treatment is best done at night before bed.
• Better for people with children - children remain at home until treatment is complete. And the baby needs more attention so as not to lick the drug spread (Anon 2007).
• Avoid touching the mouth and eyes with his hand directly.
• In women who are breastfeeding, before feeding the nipple should be cleaned from the existing topical medications, to then return after feeding lubricated (Anon, 2007).
• Change underwear, clothes, sheets, and pillowcases and washed the next day.
Clothing, towels and bed linen should be washed with a washing machine at a temperature of 50o C or above after starting treatment. It is expected to kill the mites that may exist. For clothes that had not been washed, should be stored in a plastic bag for 72 hours to accommodate these mites to death. Another alternative is to kill mites on clothing or sheets with iron with a high temperature, dry cleaning, or put in dryer with a high temperature for 10 - 30 minutes (Anon, 2007)
• The itching will still feel in a few days, but do not need to repeat the treatment performed.
• Each person in the house or close and frequent contact with patients should be treated in the same time.
• Control back to the treating doctor in a week.