What is scabies mite
The itch that lives inside the skin of mammals is called the scabies mite. The arthropod, from 0.23 mm to 0.45 mm long and no more than 0.14 mm wide, has a proboscis and 4 pairs of short jointed legs. The female tick, having settled in the upper layer of the epidermis, begins to produce a special secretion that helps her move and make passages.
When passing through the stratum corneum, it lays 10 to 20 eggs, from which larvae emerge a few days later. Adult individuals, of which there are 20–25 under human skin, live no more than 1–2 months. Ticks love comfortable temperatures, above +20˚С.
At temperatures below 0˚ and above +60˚С they die. The scabies mite in humans (photos can be viewed in the medical encyclopedia) is most active at night.
In the first half of the night, females gnaw holes in which they lay eggs, and in the second half they move further, simultaneously feeding on blood. By morning they freeze until the next night activation. This is why severe itching appears at night, which bothers the mite carrier. Since female mites act synchronously, the itching becomes unbearable.
How to get rid of it
To get rid of uninvited roommates, all things must be steamed at high temperatures. Those things that cannot be washed can also be processed - they can be frozen.
In the cold, ticks die in 15-20 minutes. In addition, to completely get rid of pests, you need to call exterminators. All furniture, floors and carpets should be treated.
For disinfestation, chemical agents or special mops with a hot, powerful air flow are used.
In order to get rid of a tick inside a person, you need to consult a doctor. The specialist will prescribe ointments or oral medications.
Scabies mites are very difficult and take a long time to remove, so it is important for the patient to be checked by a doctor every 10 days for two months. During scabies, you should be responsible about your situation and not visit crowded places.
Scabies does not exist as an official diagnosis - it is a collective name for the itching that provokes the movement of mites under the skin. A strong desire to scratch an itchy place leads to the person tearing the place where the parasites live until they bleed. This can contribute to various infections and inflammatory processes.
Therefore, you should not endure until the last minute. It is important to immediately consult a specialist if the itching in one place does not go away after a few days.
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The scabies mite (lat. - Sarcoptes scabiei, popularly - itching) is an insect that parasitizes different layers of human skin, as well as other mammals. In skin cells, the mite develops from an egg to an adult (through the stages of larva, protonymph, teleonymph), feeds, defecates, lays eggs, and only for fertilization do sexually mature females emerge.
It parasitizes, as a rule, on the most delicate areas of the skin. For example, the space between the fingers is a kind of business card of these mites.
Types of scabies mites
The scabies mite can live anywhere on the human body, but the most favorite places are:
- between fingers;
- in the folds of the wrist, elbow or knee;
- around the waist;
- on the chest;
- genitals;
- neck, palms, soles of feet.
The disease spreads from one type of tick – Sarcoptes scabiei, but has different types:
- Typical scabies. Rashes appear on the wrists, arms, and other places except the face and head.
- Nodal. It appears in the groin, armpits, and genitals.
- Infantile scabies. It most often spreads in young children, in the arms, legs, face and head.
Another type is complex scabies, complicated by other skin rashes such as dermatitis, urticaria or impetigo.
Less common is “Norwegian” scabies, a rare clinical form in which there are up to a million individuals in the human epidermis. It is an atypical disease that affects people with low immunity, weakened body resistance and mental illness.
The signs of Norwegian scabies are pronounced, and the general condition of the person is disturbed, the lymph nodes become enlarged, and fever develops. Tick tracts are visible between the fingers, on the wrists, elbows, in women they often appear on the chest, in men in the scrotum area.
Norwegian scabies easily spreads through direct contact of an infected person with healthy people or from things, linen, furniture, clothing with which the sick person has been in contact.
Stages and degrees of scabies mites
The scabies mite in humans (photo below), like the disease itself, develops in stages.
- The first stage is incubation. Lasts from 1 to 6 weeks, when the mite penetrates the skin and begins to reproduce.
- The second stage is the longest. At this time, the full clinical picture appears, when the full extent of infection can be seen. With active treatment, the disease lasts no more than 1 week. In the absence of treatment and complications that arise, the disease lasts for several months or years.
- The third stage is the recovery period. With proper, timely treatment, the mites die, and human skin takes on a healthy appearance.
Thermal disinfection
The scabies mite is resistant to environmental conditions. Comfortable for him is room temperature and body temperature. Mature itching completely dies at +60 °C, but not instantly, but over a period of time (at least an hour). Therefore, in order to destroy parasites, it is better to boil bedding, underwear, towels and other clothes.
Boiling is carried out for 10 minutes because the larvae are more resistant to high temperatures than adults. Add washing powder or 1 tbsp. l. soda per liter of water.
The parasite will die at normal temperatures if there is no access to the host's body for a week. Therefore, all the things of an infected person that cannot be processed in any way can be wrapped in a plastic bag and kept in quarantine.
If it is not possible to boil the laundry, then the washed items are ironed. Therefore, during illness, it is advisable to use bedding and personal clothing made of cotton fabrics. It should be noted that when visiting a sauna or bathhouse, the scabies mite on an infected person does not die.
As an alternative to boiling, you can use steam treatment. Use steam to disinfect items that cannot be boiled:
- blankets;
- mattresses;
- cushioned furniture;
- outerwear;
- indoor shoes.
The second effective way to get rid of intradermal parasites is freezing. Scabies dies already at a temperature of 0 °C. Therefore, small items can be placed in the freezer. In winter, at sub-zero temperatures, everything that requires disinfection is taken outside for several hours.
The human body is attacked daily by a huge number of parasites. Among them are worms, fleas, bedbugs, etc. One of the most dangerous for humans is the scabies itch or mite. This parasite is microscopic in size, but brings significant discomfort. The insect cannot live for long without a host, so it exists on human skin, causing a dermatological disease such as scabies. Where do subcutaneous mites come from and how to fight the parasite?
Symptoms of scabies mites
Primary symptoms appear a week after infection, or even later.
Main symptoms:
- Severe itching at night.
- Detection of tick burrows on the skin. Unlike allergic itching, when scratching you can see oblong stripes and scabies. These are tunnels under dead skin in which the female lays eggs. At the end of the tunnel there are papules in which the mite is visible under a microscope.
- The appearance of small pimples or pus-filled blisters.
- The appearance of ulcers and pus with strong scratching of the affected areas.
- In some cases, fever and insomnia occur.
Some typical symptoms are named after the scientists who discovered them:
- Ardi-Gorchakov symptom , named after dermatologists, is characterized by the presence of pinpoint pustules on the elbows;
- Michaelis symptom , expressed by rashes of blood crusts in the intergluteal folds.
Scabies mite in humans (the photo shows the rising lines of the burrows well), its signs are especially clearly visible on the hands. This is the most typical place where mites develop because the hands are the primary contact with infested objects.
Between the fingers, on the lateral surface of the hands, you can see whitish lines rising above the skin. They can be straight, curved, no more than 10 mm long. At the end of the lines a black dot is visible; this is the so-called ventilation shaft that the female made.
As the mite spreads, bubbles and nodules with a diameter of up to 3 mm appear on the surface of the skin. The skin acquires a hemorrhagic crust. With Norwegian scabies, the face and neck are affected, where thick gray crusts up to 3 cm thick appear, on which ulcers appear. Scabies symptoms are often confused with allergic signs.
This leads to a delay in treatment, which is fraught with the appearance of secondary infections.
Scabies should be distinguished from other skin irritations:
- pseudoscabies caused by a scabies mite that does not penetrate the epidermis and is not transmitted to other people;
- neurodermatitis , a chronic atypical disease that affects the skin and causes itching;
- pruritus or urticaria, a type of allergic itch;
- eczema , a chronic skin disease;
- toxicerma , an inflammatory skin disease that occurs in response to a strong allergen entering the body.
The first signs and symptoms of scabies in humans
The sooner the disease caused by scabies mites is identified, the sooner treatment can begin. The main symptom of scabies is itching. But this doesn't always happen. In some cases, the itching is mild or completely absent, and the parasites are localized in very atypical places. The duration of the incubation period from the moment of contact with a person with scabies is 1-4 weeks.
Symptoms of the disease:
- constant itching, especially severe in the evening and at night, as well as during sleep;
- possible allergic reaction caused by itching;
- small blistering or nodular rashes on the skin;
- scabies paths (passages), especially noticeable when parasites remain under the skin for a long time;
- abrasions remaining after scratching persistently itchy areas.
These are pronounced symptoms. A more careful examination of the skin allows you to consider other signs - burrow points under blood crusts, dry scales and crusts. It is noteworthy that the cleaner a person is, the more difficult it is to notice his scabies and diagnose the disease in time.
In children, the affected areas are different from adults - the passages are often located on the stomach, soles of the feet, palms and even nail plates.
Reasons for the development of scabies mites
The main cause of the development of the disease is a mite that lives in the upper layers of the epidermis and feeds on the skin. Infection occurs with the help of females, who, after fertilization, move under the skin in search of new feeding sites.
The figure shows how the scabies mite appears on human skin.
Males die after mating, and females, having laid eggs in dug canals, rise again to the surface of the skin to mate. At this point, infection occurs. The mites themselves do not cause much harm, but their feces, saliva, and shell residues irritate the skin, cause itching, and signs of scabies appear.
So does he die or not?
Don't go to extremes. But it’s still worth protecting yourself and wisely choosing disinfection methods that are convenient for you and that actually kill the tick.
And, of course, no matter what temperature variations you choose, you must strictly follow the doctor’s instructions and be checked every 10 days for a month and a half.
Diagnosis of scabies mites
The success of any treatment depends on the speed of detecting symptoms, collecting tests and making a diagnosis. In the case of an infectious disease, it is important that the doctor examines not only the patient, but also the immediate environment. A survey of the patient, a visual examination, this is quite enough for an experienced infectious disease specialist to make the correct diagnosis.
At the next stage, the doctor prescribes a microscopic examination of the skin, which is carried out using laboratory methods:
- Use of mineral oil. In order to remove the tick, apply a few drops of oil to the exit hole of the tick. Then, using a thin needle, the mass is removed along with the mite and examined under a microscope.
- Scraping method. A skin scraping is taken from under the patient's nails and examined under a microscope.
- Iodine test. A small amount of iodine is applied to the affected skin, after which it dries, the scabies can be clearly seen.
- Digital photodermatoscopy. Using a special apparatus that displays an image on a computer screen, the scabies tracts are examined.
Express diagnostics are carried out using a 40% aqueous solution of lactic acid. A drop of the solution is applied to the affected area, then the loosened layer of the epidermis is scraped off. Next, the resulting material is studied under a microscope. The effectiveness of diagnosis does not depend on the chosen method, but on the specialist’s ability to find scabies on the skin.
Prices for diagnostic procedures in clinics:
Diagnostic procedure | Price in rub. |
Eyelash microscopy | 500 |
Skin scraping with microscopic examination | 600 |
Scabies test | 600 |
Scraping the skin from under the nails | 350 |
Express diagnostics | 500 |
Digital Research | 800 |
Prevention of scabies mites
Two golden rules for protecting against infectious diseases are washing your hands after all contact with people, objects, at home or on the street, and maintaining personal hygiene.
Preventive measures include general provisions:
- Identifying the source of infection.
- Setting the degree of contact (direct, indirect) for the purpose of sanitization.
- Complete disinfection of clothing and housing with anti-scabies aerosol.
Private preventive measures:
- Use hygiene items: towels, bed linen, washcloths, only individually.
- Wash regularly with a mandatory daily change of linen, which must not only be washed, but also ironed with a hot iron.
- Keep fingernails and toenails clean.
- Do not use things from someone else’s wardrobe: gloves, scarves, hats, underwear.
- Carry out regular cleaning of premises with a 1–2% soda-soap solution.
- When visiting baths, observe sanitary conditions and hygiene standards.
Treatment methods for scabies mites
The scabies mite in humans (photos of medications are presented below) does not disappear on its own. The only way to get rid of it is with prescription medications that kill ticks. For treatment, modern means are used - acaricides, with the help of which the healing process is accelerated to 1-3 days.
Proper treatment includes:
- Simultaneous treatment of all patients registered in one lesion.
- For children under 3 years of age, anti-scabies are rubbed over the entire body, including the head.
- For better delivery of the drug into the scabies canals, coating with ointment is carried out only with your hands.
- To reduce nighttime itching, treatment is best done in the evenings.
- Before applying the ointment, you should take a hot shower using soap and a washcloth to remove the secretions of the sebaceous glands and loosen the epidermis. If there are signs of secondary pyoderma, showering is not recommended.
- During the treatment period, you can wash every day, but on the condition that ointments and sprays must remain on the surface of the skin for at least 12 hours.
- Upon completion of the course of treatment, a follow-up examination should be carried out, first after 3 days and then after 2 weeks.
Medications
There are various forms of drugs used to treat scabies: ointments, gels, sprays, solutions.
Effective means of combating scabies:
- Benzyl benzoate emulsion. For adults, a 20% solution is used, for children – 10%. Before rubbing, the emulsion is shaken and then applied to the affected areas. Rubbing begins from top to bottom: first the hands are treated, then the torso and lower limbs. Treatment is carried out for 10 minutes. 2 times a day, for 2 days. If the disease progresses, a repeat course is prescribed. An antiallergic agent is used simultaneously with the emulsion. Price in pharmacies – 17 rubles.
- Wilkinson's ointment. For scabies, rub once a day. Treat all areas of the skin, starting from the top and moving down. Apply at night for 3 days. Purulent lesions should be pre-treated with ointments with antibiotics or sulfonamides. The drug is not recommended for children and people with delicate skin. Price: 25 rub.
- Spregal. The drug is in the form of an aerosol for external use. Treatment is carried out in the evenings by spraying an aerosol over the entire surface of the body, excluding the face and scalp. After 12–14 hours, the drug must be washed off with soap and water. For many patients, a single application is sufficient. Can be used on small children, but after changing diapers, the buttocks should be treated again. Existing scratches on the face are treated with a cotton swab moistened with an aerosol. One cylinder is enough to treat 3-4 people. Cost: from 800 to 1 thousand rubles.
- Medifox. A 0.4% aqueous emulsion is used, which is rubbed into the affected areas. Course duration – 3 days. Wash off with water after complete treatment. Cost: 130 rub.
- Crotamiton. It tends to accumulate in the body of the tick, and subsequently kills it and eliminates the feeling of itching. Apply 10% cream, ointment or lotion. After washing the body, the drug is rubbed in 2 times a day. The course of treatment lasts 5 days. Not recommended for children under 12 years of age. Price: 1 thousand 700 rub.
- Permethrin. Cream, 5%, is thoroughly rubbed into the affected areas with massaging movements. After 8-12 hours, the drug should be washed off with water. Do not apply to the face, head and neck. Taking a bath or shower is possible only after completion of treatment, on the fourth day. Price of the drug: 450 rub.
For some time after recovery, a feeling of postcabiosis itching persists, which is eliminated by antihistamines.
The effectiveness of scabies treatment:
Drugs | Recovery Number of people in % | Postcabiosis itch Number of people in % |
20% and 30% sulfur ointment | 100 | 0 |
Benzyl benzoate 20% | 82 | 10 |
Medifox | 81 | 11 |
Spregal | 96 | 3 |
Traditional methods
The easiest way to soothe itching is to apply a compress soaked in cold water to the affected area, then wipe the skin dry with a towel and apply calamine lotion. There are other effective home remedies that are based on oils.
Recipes for some preparations:
- Tea tree oil. It contains the compound terpinen-4-ol, which kills the parasite that causes the disease. Tea tree oil, 5 drops, combine with 1 ml of essential oil, jojoba or coconut. Apply to skin 2 times a day for 7 days.
- Neem oil. It is used in the treatment of many skin diseases, including scabies. Add 0.5 ml of pure organic neem oil to 250 ml of jojoba essential oil. Apply to skin 1-2 times a day. Prepare an antiseptic cream by mixing 50 ml of neem oil with an equal amount of freshly ground turmeric powder. Apply cream 2-3 times a day.
- Neem leaves. Helps reduce itching and get rid of mites. Make a paste from a handful of fresh leaves by crushing them with a pestle or mortar. Wash the affected area thoroughly and then apply neem paste. After drying, rinse with water. Carry out the procedure daily until complete recovery. Boil the leaves in 1 glass of warm water. Cool to room temperature. Drink 1 tbsp. l. 3 or 4 times daily. Repeat for 7 days or until scabies disappears completely.
- Turmeric. The antiseptic and anti-inflammatory properties of the substance relieve the symptoms of scabies and reduce itching. Mix 1 tbsp. l. turmeric powder with a few drops of lemon juice to form a thick paste. Apply to itchy areas and leave for 1 hour. Then rinse everything off with warm water. Carry out the procedure once a day until healing. Mix 1 tsp. turmeric powder and 1 tsp. dry neem leaves. Add a little water to form a thick paste. Apply the mixture to the skin once a day and leave until completely dry. Then rinse everything off with warm water.
Blue gum oil and fig bark powder are good for scabies mites.
Other methods
The scabies mite is highly prolific, so it is important to ensure that the disease does not recur in humans.
In the photo you can see how a female tick lays a large number of eggs, so the success of treatment depends not only on the correct use of medical products, but also on sanitary treatment:
- Treating the room, linen, and clothing with a product containing esdepaletrin and piperonyl butoxide.
- Bed and underwear of a sick person and those living with him should be thoroughly boiled, washed in hot water, and ironed with a hot iron after drying.
- Iron items that cannot be boiled and do not use them for 7 days.
How to get rid of it
To get rid of uninvited roommates, all things must be steamed at high temperatures. Those things that cannot be washed can also be processed - they can be frozen.
In the cold, ticks die in 15-20 minutes. In addition, to completely get rid of pests, you need to call exterminators. All furniture, floors and carpets should be treated.
For disinfestation, chemical agents or special mops with a hot, powerful air flow are used.
In order to get rid of a tick inside a person, you need to consult a doctor. The specialist will prescribe ointments or oral medications.
Scabies mites are very difficult and take a long time to remove, so it is important for the patient to be checked by a doctor every 10 days for two months. During scabies, you should be responsible about your situation and not visit crowded places.
Scabies does not exist as an official diagnosis - it is a collective name for the itching that provokes the movement of mites under the skin. A strong desire to scratch an itchy place leads to the person tearing the place where the parasites live until they bleed. This can contribute to various infections and inflammatory processes.
Therefore, you should not endure until the last minute. It is important to immediately consult a specialist if the itching in one place does not go away after a few days.
If you find an error, please select a piece of text and press Ctrl+Enter. We will definitely fix it, and you will get + to karma
Some in childhood or even in older age had to deal with an unpleasant condition when unbearable itching of the skin on the hands, especially between the fingers, occurs.
This condition is caused by an intradermal parasite, the scabies mite, and the infectious disease caused by it is called scabies.
Possible complications
Treatment of scabies is mandatory, otherwise a person risks getting complications that will lead to serious consequences:
- Pyoderma. Skin lesions with ulcers, which come in various forms of complexity, boils, folliculitis, abscesses. In severely advanced forms of scabies, pyoderma leads to sepsis.
- Eczema. With a prolonged illness, a microbial form of eczema, or chronic inflammation of the skin, develops. Lesions in the form of vesicles and weeping appear on the feet, hands, and inner thighs.
- Lymphadenitis. Extensive skin lesions, developing due to inflammation of the lymph nodes, spread under the arms and in the groin.
Often, with advanced types of scabies, secondary infections occur. And this can lead to the development of dermatitis, lymphoplasia, and disorder of internal organs. The sooner you start treatment, the sooner you can achieve results. If the disease is neglected, then the scabies mite will settle for a long time not only in a person, but also in all his things and will remind of itself with frequent relapses.
Author: Belyaeva Anna
Features of scabies treatment
- All patients from the same epidemic. lesions must be treated simultaneously.
- Rub the preparation with bare hands, because the hands are most often affected by scabies.
- Trim your nails: there may be tick eggs under them due to scratching.
- Remember about disinfection of linen and clothes: the tick is reliably killed by boiling for 5-10 minutes in a solution of soda or washing powder, you can also iron the clothes with a hot iron, but for the laziest there is a very simple way: the linen is removed and packed in a plastic bag for 5 days or hung outdoors. After 5 days, the clothes are considered disinfected, because hungry ticks do not survive for that long. Please note that you need to treat all fabrics that come into contact with the body - clothing and bedding. If you don't want to remove your bedding, give your sheets, pillowcases, and duvet covers a good run with a hot iron. If disinfection is carried out poorly, the remaining mites can infect you again.
- Treatment of complicated scabies is best done with benzyl benzoate ointment
or
Spregal
. - Norwegian scabies is treated in a hospital.