Scabies – An infestation of the skin by small insects ...
Scabies – An infestation of the skin by small insects called mites
Signs and symptoms –
• Rash, severe itching (increased at night).
• Itchy red bumps or blisters found on skin folds between fingers, toes, wrists, elbows, armpits, waistline, thighs, genitals, abdomen, lower buttocks, diffuse distribution over body.
• Scabs, ½ - 1mm long, appearing as a result of scratching, tend to be linear rather than circular.
Incubation/Contagious periods –
• Incubation period
o 4-6 weeks for those who have never been infected.
o 1-4 days for those who have been previously infected (repeated exposures tend to be milder)
• Contagious period: Until the insect infestation is treated.
Mode of transmission – Person to person contact and sharing bedding, towels, and clothing
Control measures –
• Consult health professional for diagnosis and treatment.
• Launder bedding and clothing worn next to skin in hot water and hot drying cycle.
• Items that cannot be laundered should be placed in plastic bags for 2 weeks.
• Do not share towels, clothing, bedding.
Responsibilities –
• School
o Report possible infection to school designated inspector (SDI). If SDI concurs with suspicion, notify parent/guardian for immediate pick up. A copy of scabies letter will be given to the parent/guardian to inform them of the need for medical evaluation.
o Isolate student in classroom until parent/guardian pick up.
o Obtain documentation from medical provider regarding clearance to return to class.
o Log students dismissed in the Communicable Condition Log.
o May send classroom letter to inform parents/guardians of possible scabies.
• Parent
o Pick up child immediately and seek necessary medical evaluation.
o Secure documentation from the medical provider regarding treatment plan and return to school clearance.
o Complete course of medication if indicated providing school with medication consent form if treatment required during school hours.
• Nurse
o Education of school personnel, parent/guardian, and student about scabies, including mode of transmission and means of prevention.
o Review Communicable Condition Log weekly providing follow up as indicated or requested.
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