How can children be treated for mites? - briefly
Use a pediatric‑approved topical scabicide, such as permethrin 5% cream applied to the whole body and left on for the recommended time, then wash all clothing, bedding, and towels in hot water. For severe cases, a doctor may prescribe a single dose of oral ivermectin under strict supervision.
How can children be treated for mites? - in detail
Mite infestations in children require a systematic approach that combines medical therapy, hygiene practices, and environmental control.
The first step is accurate diagnosis. Clinical examination reveals characteristic lesions—intense itching, papules, or burrows—often located on the wrists, elbows, neck, and between fingers. Confirmation may involve skin scrapings examined under a microscope.
Medical treatment varies with the mite species. For scabies, the recommended topical agents are permethrin 5 % cream applied to the entire body from the neck down, left on for eight to ten hours, then washed off; a second application after 24 hours improves eradication rates. In cases where topical therapy is unsuitable, oral ivermectin (200 µg/kg) can be prescribed, with dosing repeated after one week. For dust‑mite–related allergic dermatitis, antihistamines alleviate itching, while short courses of low‑dose oral corticosteroids reduce inflammation.
Adjunctive measures support pharmacologic therapy and prevent reinfestation:
- Bathe the child daily with mild, fragrance‑free soap; dry skin thoroughly, especially between fingers.
- Wash all clothing, bedding, and towels in hot water (≥ 60 °C) and tumble‑dry on high heat; items that cannot be heated should be sealed in plastic bags for at least 72 hours.
- Vacuum carpets, upholstered furniture, and mattresses; discard vacuum bags immediately.
- Reduce indoor humidity to below 50 % using dehumidifiers; low humidity limits dust‑mite survival.
- Use allergen‑impermeable covers on mattresses and pillows; replace them annually.
- Keep nails trimmed short to minimize skin damage from scratching.
Education of caregivers is essential. Parents should be instructed to apply topical medication to all household members, even if asymptomatic, to interrupt transmission cycles. Follow‑up appointments within one to two weeks assess treatment efficacy; persistence of lesions warrants repeat therapy or alternative agents.
When severe secondary infection, widespread rash, or systemic symptoms develop, immediate referral to a pediatric dermatologist or infectious disease specialist is advised. Prompt, comprehensive management eliminates mites, relieves discomfort, and prevents complications.