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Centre of Evidence of Dermatology Best practice guidelines

Guidelines classic scabies: in children < 15kg, pregnant or breastfeeding women Updated on january 2024

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The information provided by this website comes from sources deemed reliable. However, the French Dermatology Society recommends that the user ensure the validity of this information. Some may prove to be erroneous or be subject to typos or display errors.

The use of this data is under the sole responsibility of the user. The French Dermatology Society cannot be blamed for a misinterpretation of the data provided by the site, or in the event of erroneous information. This decision tree and all the contents of this site have been developed in the context of updated data from science according to the HAS methodology, expert opinions and reviewers of the various documents and in the context of the French healthcare system.


Associated measures

Back to decision-making tree Print last updated on 10/06/2024

Contact cases, environment

It is important to systematically treat intrafamily contact cases simultaneously to avoid relapses and to take care of the environment.

Decontamination of linen and bedding

Decontamination of linen and bedding must be done:

  • the day after taking Ivermectin
  • or the same day of application of the anti-scabious topical (it will again be necessary to take a clean bath towel, clean clothes and change the bed sheets again after rinsing the anti-scabious topical)

To decontaminate linen and bedding, there are several possibilities:

  • Machine wash laundry at 60°C when possible.
  • Disinfection with an acaricide (storage in a plastic bag with an acaricide product purchased in a pharmacy for at least three hours)
  • Quarantine for three days (classic scabies) to eight days (profuse scabies) in a plastic bag which will be kept at room temperature below 20°C.
  • Otherwise put fragile clothes, especially comforters, in a bag for 48 hours in the freezer.
  • Vacuum carpets and cushions vigorously.

Don't forget to treat the mattress, furniture, stroller and car seats, ideally with an acaricide spray.

However, there should not be any anxiety linked to this environmental treatment and this should not lead to destroying or getting rid of the furniture.

Vulnerability criteria

It is important to carry out a remote assessment of the patient and those around them in the event of vulnerability criteria (precarious family, language difficulty, compliance difficulties, etc.).

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Measures / Child's custody arrangement

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