How do you eliminate skin mites? - briefly
Use a topical scabicide—permethrin 5 % cream applied once daily for three consecutive days—to kill the mites, and follow with thorough washing of all clothing, bedding, and towels in hot water (≥ 60 °C) with detergent. Maintain skin hygiene by regular bathing and keeping nails trimmed to prevent secondary infection.
How do you eliminate skin mites? - in detail
Skin mite infestations require a multiphase approach that combines pharmacologic therapy, skin care, and environmental sanitation.
Pharmacologic options include:
- Topical acaricides such as permethrin 5 % cream, applied to the entire affected area and left for 8–12 hours before washing off. Repeat after 7 days to eradicate newly hatched mites.
- Benzyl benzoate 25 % lotion, applied similarly, useful for patients who cannot tolerate permethrin.
- Sulfur ointment (5–10 %) applied nightly for several weeks; effective for children and pregnant women due to low toxicity.
- Oral ivermectin (200 µg/kg) given as a single dose, repeated after 7 days for severe or widespread cases. Monitor liver function and contraindications before prescribing.
Adjunctive skin care measures:
- Gentle cleansing with non‑irritating soap; avoid scrubbing, which can worsen inflammation.
- Moisturizing with hypoallergenic emollients to restore barrier function.
- Antihistamine tablets or topical corticosteroids to control itching and prevent secondary infection.
Environmental control steps:
- Wash all bedding, clothing, and towels at ≥60 °C; dry on high heat.
- Vacuum carpets, upholstered furniture, and mattresses; discard vacuum bags immediately.
- Seal non‑washable items (e.g., pillows) in airtight plastic for at least two weeks to starve residual mites.
- Reduce indoor humidity below 50 % to create an unfavorable environment for mite survival.
Prevention guidelines:
- Maintain personal hygiene with daily showers and regular nail trimming.
- Avoid sharing personal items such as towels or clothing.
- Conduct routine inspections of skin for early signs of infestation, especially in crowded living conditions.
Effective eradication relies on strict adherence to the treatment schedule, thorough decontamination of the living space, and ongoing monitoring to detect recurrence promptly.