Scabies is a condition of very
itchy skin caused by tiny
mites that burrow into your skin. The itching is caused by an allergic reaction to the mites.
Scabies spreads very easily from person to person. It can affect people of all
ages and from all incomes, social levels, and living situations.
With treatment, the scabies mites die and the itching goes away over a period of days to weeks. Without treatment, the mites continue to reproduce under the skin, causing more sores and itching.
How is scabies spread?
Scabies mites spread from person to person by close contact, such as sleeping in the same bed or touching someone's skin. The mites can
also be spread by sharing towels, clothing, and other personal items.
Scabies often affects several household members at the same time.
You can spread it to another person before you have symptoms.
What are the symptoms?
Scabies has two main symptoms:
itching that is usually worse at night. Small children and older adults tend to
have the worst itching.
If this is the first time you have had scabies, it may be several weeks
before you have itching and skin sores. But if you have had it before, symptoms
will probably start in a few days.
How is scabies diagnosed?
Usually a doctor can diagnose scabies based on your symptoms. Scabies is especially likely if you have had
close contact with other people who have had the same symptoms.
Sometimes you may have a test to confirm that you have scabies. For example, the doctor may gently scrape some dry skin from an affected
area and look at it under a microscope for signs of mites.
How is it treated?
Scabies won't go away on its
own. To get rid of it, and to keep from spreading it to others, you need to use a special cream or lotion that a doctor prescribes. These products contain permethrin or another medicine. In
severe cases, your doctor may also give you pills to take.
or lotions are applied to the entire body from the neck down. The
medicine may also be applied to the scalp, face, and neck, taking care to avoid the
area around the mouth and eyes. In most cases, you leave the medicine on for 8 to 14
hours and then wash it off.
Children can usually return to day care or school after treatment
scabies medicines aren't safe for children, older adults, and women who are
pregnant or breast-feeding. To avoid dangerous side effects, be sure to follow your doctor's instructions carefully.
you have scabies, you and anyone you have close contact with must all be
treated at the same time. This keeps the mites from being passed back and forth
from person to person. Until scabies has cleared up, you should avoid close contact with anyone and make sure not to share any personal items.
To make sure that all the mites are killed:
Immediately after treatment starts,
clean all of your (or the affected person's) bedding, towels, and the clothing that was
worn during the past 2 to 3 days (48 to 72 hours).1
Wash all items in hot water, and dry them in a hot dryer. Or they can be dry-cleaned.
Place any items that cannot be washed or dry-cleaned in a closed plastic bag for at least 7 days.
Clean and carefully vacuum the room or rooms used by the person who had scabies.
After treatment, the itching usually lasts another 2 to 4
weeks. It will take your body that long to get over the allergic reaction
caused by the mites. Antihistamines (such as Benadryl), steroid creams, or, in severe cases, steroid pills can help relieve itching. Before you use these medicines, talk with your doctor about what is best for you (or your child).
If you still have symptoms after 4 weeks, you may need
The American Academy of Dermatology (AAD) provides information
about the care of skin. You can locate a dermatologist in your
area by using their "Find a Dermatologist" tool. Or you can read the latest news in dermatology. "SPOT Skin Cancer" is the AAD's program to reduce deaths from melanoma. There is also a link called "Skin Conditions" that has information about many common skin problems.
American Social Health Association
P.O. Box 13827
Research Triangle Park, NC 27709
The mission of the American Social Health Association is
to improve the health of individuals, families, and communities, with a focus
on sexual health and preventing sexually transmitted diseases.
Centers for Disease Control and Prevention (CDC):
1600 Clifton Road
Atlanta, GA 30333
U.S. Centers for Disease Control and Prevention (CDC)'s website on parasites offers information on diseases caused by parasites. It provides information on topics such as malaria, neglected tropical diseases, and parasitic infections in the United States. There are also links to related information, such as a glossary and a site on healthy water, and other references and resources, such as statistics on parasitic diseases.
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10140 Centurion Parkway
Jacksonville, FL 32256
This website is sponsored by the Nemours Foundation. It
has a wide range of information about children's health—from allergies and
diseases to normal growth and development (birth to adolescence). This website
offers separate areas for kids, teens, and parents, each providing
age-appropriate information that the child or parent can understand. You can
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How this information was developed to help you make better health decisions.