TREATMENT GUIDELINES FOR HEALTH STAFF
TREATMENT GUIDELINES FOR HEALTH STAFFSCABIES (Sarcoptes Scabiei)Authorized health and wellness staff may treat scabies as follows:1.Pharmacologic regimens include:Permethrin 5% cream (Elimite) applied topically in a thin layer to the entire body from the neck down and washed off after 8-14 hours. OR Ivermectin 200 ?g/kg po once with food, repeated in 14 days.Oral antihistamines (diphenhydramine/Benadryl or hydroxyzine/Atarax, Vistaril) can be given to reduce itching. Cool baths (Aveeno) and topical 1% hydrocortisone cream topically may also relieve ical or systemic antibiotic therapy is indicated ONLY for secondary bacterial infection of excoriated lesions.Non-Pharmacologic regimens include:Bedding and clothing recently worn should be decontaminated (either machine-washed in hottest water and machine-dried on hottest cycle for 20 minutes or dry-cleaned) or placed in a sealed plastic bag for 72 hours. Fumigation of living areas is not necessary.The rash and itching are due to an allergic reaction and thus patients should be informed that these symptoms may persist for up to 2 weeks after treatment. If patients are still symptomatic after 2 weeks, they may be retreated with an alternative regimen.Sexual contacts should also be treated. Symptoms may take 30 days after exposure to develop.WHEN TO REFER TO THE CENTER PHYSICIANIf the above treatment fails to resolve the scabies infestationIf there is a need for other STD evaluation ................
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