Bibliographic Info
GuidelineGuidelines on the treatment of skin and oral HIV-associated conditions in children and adults
Year of Publication2014
Issuing InstitutionWHO
Recommendation
Status
Updated
Recommended in favor
Strong
Certainty of evidence
Low
Mild/moderate scabies:
- For scabies in HIV-infected children and adults (including pregnant women) topical application of
permethrin 5% (two applications) is recommended. If permethrin is not available, benzyl benzoate (at least two applications) should be used.
- If there is poor response to treatment, or permethrin treatment is not feasible, then oral ivermectin at
200 µg/kg is recommended.
Notes and Remarks
- 1)Patients should be advised that the itch and rash may persist up to two weeks even after successful treatment.
- 2)In addition to individual patient management, contact tracing and treatment are necessary to prevent spread of disease and ensure treatment success. All family members and close contacts should be treated simultaneously. In close-contact communities such as nursing homes, hospitals, schools and prisons, all patients and staff are required to have treatment. In addition, household items such as clothes, towels and bedding should be washed, or subjected to heat from an iron or hot clothes dryer (Strong & Johnstone, 2007; Group, 2010). Alternatively the clothes can be placed in sealed bags for a week, by which time the mites will have died.