Scabies: recognition and Diagnosis for nurses paramedics and pharmacists

Scabies is a highly contagious skin condition caused by the Sarcoptes scabiei mite, leading to intense itching and a rash. Clinicians in primary care often encounter scabies in patients with persistent itching, especially at night, and in cases of close household or institutional outbreaks. Early diagnosis of scabies is essential to prevent the spread of infection and complications such as secondary bacterial infections. Common scabies symptoms include small red bumps, burrows, and itching. Scabies treatment typically involves topical medications such as permethrin cream or oral ivermectin, along with treating all close contacts to prevent reinfestation. Recognizing variants like crusted scabies in immunocompromised patients is crucial, as they require more aggressive management. Understanding the differential diagnosis of scabies, including conditions like eczema, psoriasis, and fungal infections, helps ensure accurate and effective treatment.

By addressing scabies early and following treatment guidelines, clinicians can reduce the burden of this condition in their communities.