Treatment of Scabies Treatment of Scabies Simplified!Simplified!

Shahid Javaid Akhtar, MBBS, Shahid Javaid Akhtar, MBBS, FCPSFCPS

Associate Professor of Associate Professor of DermatologyDermatology

Punjab Medical College, Punjab Medical College, FaisalabadFaisalabad

04/18/23 2Treatment of Scabies Simplified!

04/18/23 3Treatment of Scabies Simplified!

04/18/23 4Treatment of Scabies Simplified!

04/18/23 5Treatment of Scabies Simplified!

04/18/23 6Treatment of Scabies Simplified!

04/18/23 7Treatment of Scabies Simplified!

KOH examinationKOH examination

04/18/23 8Treatment of Scabies Simplified!

light microscopylight microscopy

04/18/23 9Treatment of Scabies Simplified!

electron microscopyelectron microscopy

04/18/23 10Treatment of Scabies Simplified!

Ivermectin in ScabiesIvermectin in Scabies

N Engl J Med 1995;333:26-30N Engl J Med 1995;333:26-30

Am Fam Physician 203;68:1089-92Am Fam Physician 203;68:1089-92

Dermatol Clin 2003;21:277-82Dermatol Clin 2003;21:277-82

World Health Organization 2004;82:563-71World Health Organization 2004;82:563-71

04/18/23 11Treatment of Scabies Simplified!

objective:objective:

evaluation of compliance & evaluation of compliance & efficacyefficacy

of oral ivermectin for scabiesof oral ivermectin for scabies

04/18/23 12Treatment of Scabies Simplified!

inclusion inclusion criteriacriteria

clinically typical clinically typical

scabiesscabies

informed consentinformed consent

04/18/23 13Treatment of Scabies Simplified!

exclusion exclusion criteriacriteria

previous anti-scabies previous anti-scabies

treatmenttreatment

concomitant disease/therapyconcomitant disease/therapy

pregnancy/lactationpregnancy/lactation

< 15 kg body weight< 15 kg body weight

04/18/23 14Treatment of Scabies Simplified!

ivermectivermectininoral tablet oral tablet 300 micg/kg300 micg/kgrepeated after repeated after weekweek

04/18/23 15Treatment of Scabies Simplified!

Symptomatic Symptomatic therapy:therapy:

oral cetrizineoral cetrizinemoisturizermoisturizerantibactrialantibactrialsteroidssteroids

04/18/23 16Treatment of Scabies Simplified!

Follow-ups:Follow-ups:

one monthone monthtwo monthstwo months

04/18/23 17Treatment of Scabies Simplified!

ComplianceCompliance(n=25)(n=25)

96 %96 %

04/18/23 18Treatment of Scabies Simplified!

resultsresults::

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base-line one month two months

lesions

04/18/23 19Treatment of Scabies Simplified!

conclusion:conclusion:

oral ivermectin is an effective anti-oral ivermectin is an effective anti-scabitic withscabitic with

high patient acceptabilityhigh patient acceptability

no need of application ritual or change no need of application ritual or change of clothing/bed sheathsof clothing/bed sheaths

ideal for selective mass treatment ideal for selective mass treatment