How can mites on skin be fought? - briefly
Topical acaricides (e.g., permethrin, ivermectin) combined with regular washing of skin, clothing, and bedding effectively eliminate the parasites. Maintaining low humidity, minimizing exposure to known allergens, and practicing strict personal hygiene further prevent reinfestation.
How can mites on skin be fought? - in detail
Skin mites, such as Demodex species and Sarcoptes scabiei, cause irritation, inflammation, and secondary infection when they proliferate on the human epidermis. Effective control requires accurate identification, targeted pharmacotherapy, and strict hygiene protocols.
Diagnosis relies on microscopic examination of skin scrapings, adhesive tape tests, or dermatoscopic visualization. Confirmed infestation directs the choice of therapeutic agents and preventive measures.
Pharmacological interventions include:
- Topical acaricides (e.g., permethrin 5% cream, benzyl benzoate, sulfur ointment) applied to affected areas for a defined period, usually 5–7 days, then repeated after one week.
- Oral ivermectin, dosed at 200 µg/kg, administered as a single dose or repeated after 1–2 weeks for resistant cases.
- Antihistamines or corticosteroid creams to alleviate pruritus and inflammation during treatment.
Adjunctive measures enhance eradication:
- Daily cleansing with mild soap or antiseptic washes to remove excess oils that sustain mite growth.
- Regular laundering of clothing, bedding, and towels at ≥60 °C to destroy residual organisms.
- Avoidance of oily skin products and cosmetics that create a favorable environment for colonization.
- Maintenance of optimal skin humidity and temperature through controlled indoor climate and breathable fabrics.
Follow‑up examinations after treatment confirm clearance; persistent lesions warrant repeat microscopy and possible escalation to combination therapy. Long‑term prevention focuses on personal hygiene, periodic skin assessments for high‑risk individuals, and education on early symptom recognition.