How can a person be treated for mite infestation? - briefly
Apply a topical scabicide (e.g., permethrin 5 % cream) to the infested areas, repeat after 7 days, and launder all bedding and clothing in hot water. For widespread or refractory cases, a physician may prescribe oral ivermectin.
How can a person be treated for mite infestation? - in detail
Mite infestations require accurate identification and a coordinated therapeutic plan. Dermatological examination, skin scrapings examined under microscopy, or adhesive tape tests confirm the presence of mites and differentiate species, which influences drug selection.
Topical agents constitute the first line of defense. Prescription‑strength creams and lotions containing permethrin (5 %) or ivermectin (1 %) are applied to the entire body, left for the recommended period, then washed off. Benzyl benzoate (25 %) or sulfur ointment (5 %) serve as alternatives when resistance or intolerance to the primary options arises. Application should cover all affected areas, including folds and hair‑bearing regions, and be repeated after 7–10 days to eradicate newly hatched mites.
Systemic medication supplements topical treatment for extensive or refractory cases. Oral ivermectin, dosed at 200 µg/kg, is administered as a single dose and repeated after 7 days. A second course may be necessary for severe infestations. In select situations, albendazole (400 mg daily for 3 days) provides an additional option, though monitoring for hepatic toxicity is advised.
Adjunctive measures reduce re‑infestation risk. Washing all clothing, bedding, and towels in hot water (≥ 60 °C) and drying on high heat eliminates viable mites. Items unable to withstand heat should be sealed in plastic bags for at least 72 hours. Regular vacuuming of carpets, upholstery, and mattresses removes eggs and larvae; subsequent steaming enhances efficacy. Environmental acaricides applied according to manufacturer instructions can treat heavily contaminated surfaces.
Patient education minimizes recurrence. Instruct individuals to avoid scratching, which can introduce secondary bacterial infection, and to maintain skin hygiene. Follow‑up visits within two weeks assess treatment success, verify symptom resolution, and guide additional interventions if residual lesions persist.
Comprehensive management combines pharmacologic therapy, environmental decontamination, and patient compliance to achieve complete eradication of mite infestation.