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1. SCABIES
RATHEESH R L

2. • It is one of parasitic infection which is caused
by sarcoptes scabies.
• It is commonly found in between the fingers,
inner surface of wrist and elbow, axilla, female
nipple and penis.

3. • Mainly transmitted because of sharing the
cloths and linen between persons.

4. symptoms
Scabies has two main symptoms:
• Severe itching that is usually worse at night.
Small children and older adults tend to have
the worst itching.
• A rash with tiny blisters or sores . Children
tend to have worse skin reactions than adults.

5. Symptoms are more likely to occur:
• Between the fingers and on the palm side of the
wrists.
• On the outside surfaces of the elbows and in the
armpits.
• Around the waistline and navel.
• On the buttocks.
• Around the nipples, the bra line, and the sides of
the breasts (in women).
• On the genitals (in men).

6. DIAGNOSIS
• The skin scrapings or cells are examined under
the microscope for the presence of scabies
mites and its feces

7. TREATMENT
• Lindane or Crotamiton or 5% permithrin
cream is applied to the entire skin except face
and scalp.
• Allow to left for 12 to 24 hrs and after that
patient can take bath.
• All beddings and cloths should be washed in
hot water and it should be dried under sunlight

8. • All the family members should apply scabicide
at the same time and same day and in the
next morning the bedding, cloths etc should
be washed in hot water and should dried
under sun light.
• Advice the person to not use the scabicide
lotion on more than prescribed level as it
cause itching.

10. The term eczema was derived from the greek
which means boil out.
It is also known as atopic dermatitis

11. CAUSES AND RISK FACTORS
• THE EXACT CAUSE IS UNKNOWN, BUT THE
RISK FACTORS INCLUDE,
– Harsh soap and detergents
– Low humidity
– Lotions
– Excessive sweating
– Over use of rubber and plastic gloves
– Allergy to food such as egg, milk etc

12. CLINICAL FEATURES
• Itching
• Oozing of lesions
• Rashus
• Formation of plaques
• Thickening of the skin
• Hyperpigmentation of skin
• Formation of cracks
• Puffy and red eye lids

13. DIAGNOSIS
• History collection
• Physical examination
• Skin biopsy
– The samples of the scales from the skin may need
to examine under microscopically to find out the
presence of micro organism.

14. TREATMENT
• Eczema can be managed at home by changing
detergents or soap that may causing irritation.
• Avoid tight fitting or rough clothing
• Avoid scratching over the affected area
• Start anti inflammatory drugs
• Administer corticosteroids
• Provide antibiotics

15. NURSES ROLE
• Instruct the patient to avoid use of rubber
gloves or plastic gloves.
• Change the diet which causes food allergy
such as egg and milk
• Avoid exposure to hard soap and detergents.
• Provide lubricate jelly or lotions for eczema.