Treatment of Scabies Treatment of Scabies Simplified! Simplified! Shahid Javaid Akhtar, MBBS, Shahid Javaid Akhtar, MBBS, FCPS FCPS Associate Professor of Associate Professor of Dermatology Dermatology Punjab Medical College, Punjab Medical College, Faisalabad Faisalabad
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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::
0
10
20
30
40
50
60
70
80
90
100
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
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