Dialogue «Specialist child» reveals the causes of the spread of scabies .. and methods of treatment


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Dr. Ihab al-Imam, a pediatrician, confirmed that scabies have returned to his head among children in Arab countries during the recent period, especially Saudi Arabia, stressing that treatment is easy and depends on the extent of the patient’s response.
The Imam said in a special interview for Bawabat Akhbar Al Youm that a small parasite causes the disease. The infection is caused by the use of towels and personal utensils, as well as contact with infected animals as well as lack of personal hygiene.
The pediatrician revealed full details of the causes of the disease, symptoms, and treatment, identified in the following dialogue …

Start .. Tell us about the nature of scabies?
It is a skin rash that appears in the form of a skin rash characterized by the presence of severe itching in all parts of the body, especially at night during sleep.
The disease occurs as a result of infection with a type of parasites is very small in size called the crustaceans Sarcoptes Scabiei , And more than 300 million cases of scabies occur annually in the world.

What is the cause of the infection and the incubation cycle?
The parasite is very small in size about 0.4 mm, so it can be seen with great difficulty in the naked eye, and the incidence of about 10-12 parasites adult.

After male and female mating, the male dies. The female completes the march, digging small grooves or tunneling into the surface of the skin to lay eggs.
And put up to 3 eggs per day for a lifetime of up to 1-2 months, then hatch eggs to produce larvae turn into an adult parasite during 10-14 days.
The parasites found in the skin produce toxic substances that cause severe skin allergies, which result in severe itching that occurs within a few weeks or a month of infection with the parasite. The incubation period is the period between infection with the parasite and the appearance of symptoms of the disease between 6-8 weeks.

– How is the infection?
Infections are caused by several points:
1. The use of towels, personal utensils, bedding, clothing for an infected person, as the parasite can live away from the human body more than 48-72 hours, and this explains the injury of all members of the family easily.

2 – Direct contact with infected animals such as cats, dogs, sheep.

3 – direct contact of the injured skin, so spread in crowded places such as schools and places gatherings.
4. The appearance of scabies is associated with personal hygiene as the female parasite causing the disease is attracted to warmth and smell.

– What are the symptoms of scabies?
1 – itchy skin is severe and continuous increase at night during sleep, where the skin becomes warm as it increases after bathing, and usually itching in all parts of the body especially the trunk and limbs, and rarely in the face and scalp.

2 – lines of very thin gray irregular shape in the skin, and represent the small burrows or tunnels that the female parasite drilling to lay eggs, and the presence of these thin lines confirm the disease, but the absence does not eliminate the disease and is examined microscopically.

Since the parasites that cause the scabies prefer warm places of the skin, so are more prevalent in the folds of the skin, armpits, between the fingers, around the navel, buttocks, elbows, the soles of the wrist, around the nipple, the genitals.

3. Skin rash in the form of small bumps or blisters on the limbs and trunk and this skin rash due to skin allergies caused by the parasites and toxic substances that produce them.

It may appear after several weeks of infection with parasites: skin scratches, bubbles on the skin, or lesions that appear to be neglected in treatment and personal hygiene as a result of bacterial infection of the affected skin.

– How is the diagnosis diagnosed?
Diagnosis of scabies through skin examination and the presence of signs of the disease, which is: skin itching at night, the distinctive distribution of skin rash, injury to other members of the family, the presence of thin lines skin or tunnels.
The diagnosis can be confirmed by microscopic examination of the gray lines on the skin or tunnels where parasites and eggs appear.

So what is it? the cure?
The treatment of scabies for the final elimination of parasites causing the disease, using substances that eliminate the parasites and be in the form of local fat and are the following alternatives:
1-benzoyl benzyl solution Benzyl Benzoate 25% , And the skin of the whole body is painted from the neck and even the feet before sleeping every day for 3 days.
Karim Permethrin Permethrin 5% , And paint the entire body well before sleeping from the neck and even the feet and between the fingers and in the folds of the skin, and leave the treatment of scabies for From 8 – 14 hours until morning and then wash the body well, and used this way for a week, preferably dry skin before painting.

3 – Malathion solution Malathion 0.5% .
In cases of children prefer to treat scabies using: sulfur preparations such as sulfur paint 10%, Cream Permethrin 2.5% .
It is cured within 4 weeks of treatment and you should be aware that itching can persist after eliminating the parasites for weeks.
The use of antihistamines and palliative oils such as kalamol to reduce skin itching for several weeks after the eradication of scabies.

Finally, what are the methods of prevention?
The scabies should be treated for the whole family even if there is no symptoms. The patient should be well-washed, bed linen and personal hygiene for the whole family. Personal belongings can also be collected and placed in a plastic bag and placed in a remote location for two weeks to ensure elimination. On parasites where parasites die completely within a week away from the human body.


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