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H

ea

l

th

BOS-

P

RD-0

3

04.900001

4.

8 Scabies

4.

8

.1

Genera

l

Sc

ab

i

es

i

s

a

c

ontag

i

o

u

s

,

e

x

treme

l

y

i

t

c

hy

,

s

ki

n d

i

sorder

t

h

at

l

eads

to

a

ras

h

.

I

t

i

s

not

li

n

k

ed

to

a

poor

persona

l

hy

g

i

ene

, i

t

i

s

c

a

u

sed

b

y

an

i

n

f

estat

i

on

w

i

t

h

a

paras

i

te

-

t

h

e

s

c

ab

i

es m

i

te

.

Sc

ab

i

es m

i

tes

are

not

v

i

s

i

b

l

e

to

t

h

e

na

k

ed

e

y

e

. T

h

e

y

li

ve

on

t

h

e

s

ki

n

and

b

u

rro

w

i

nto

i

t

to

l

a

y

eggs

. T

h

e

i

t

c

h

and

ras

h

c

an

deve

l

op

on

an

y

part

o

f

t

h

e

s

ki

n

,

a

w

a

y f

rom

wh

ere

t

h

e m

i

tes

are

a

c

t

u

a

ll

y

b

u

rro

w

i

ng

. T

h

i

s means

t

h

at

y

o

u

are

i

n

f

e

c

t

i

o

u

s

(

and

c

an

spread

s

c

ab

i

es

)

be

f

ore

y

o

u

even

k

no

w

y

o

u

h

ave

s

c

ab

i

es

. I

n

c

u

bat

i

on

t

i

me

c

an

ta

k

e

f

rom

2

to

6

w

ee

k

s

.

Y

o

u

need

cl

ose

s

ki

n

-

to

-

s

ki

n

c

onta

c

t

w

i

t

h

an

i

n

f

e

c

ted

person

to

c

at

c

h

s

c

ab

i

es

. T

h

i

s

i

s

be

c

a

u

se

t

h

e

s

c

ab

i

es

m

i

te

c

annot

j

u

mp

or

f

l

y

.

Most

c

ases

o

f

s

c

ab

i

es

are

probab

l

y

c

a

u

g

h

t

f

rom

pro

l

onged

h

and

-

h

o

l

d

i

ng

w

i

t

h

an

i

n

f

e

c

ted person

. T

h

e

h

and

i

s

t

h

e most

c

ommon

s

i

te

to

be

f

i

rst a

ff

e

c

ted

.

4.

8

.

2 Sy

m

pto

m

s

x

M

i

te

t

u

nne

l

s

(

b

u

rro

w

s

). T

h

ese ma

y

be

seen

on

t

h

e

s

ki

n

as

f

i

ne

,

dar

k,

or

s

il

ver

y

li

nes

abo

u

t

2

-10

mm

l

ong

. T

h

e

y

most

c

ommon

l

y

o

cc

u

r

i

n

t

h

e

l

oose

s

ki

n

bet

w

een

t

h

e

f

i

ngers

(

t

h

e

w

eb

spa

c

es

),

t

h

e

i

nner

s

u

r

f

a

c

e

o

f

t

h

e

w

r

i

sts

,

and

t

h

e

h

ands

. H

o

w

ever

,

t

h

e

y

c

an

o

cc

u

r

on

an

y

part

o

f

t

h

e

s

ki

n

. Y

o

u

ma

y

not

not

ic

e

t

h

e

b

u

rro

w

s

u

nt

il

a

ras

h

or

i

t

c

h

deve

l

ops

.

x

I

t

c

h

i

ng

. T

h

i

s

i

s

o

f

ten

severe

and

tends

to

be

i

n

one

p

l

a

c

e

at

f

i

rst

(

o

f

ten

t

h

e

h

ands

),

and

t

h

en

spreads

to

ot

h

er

areas

. T

h

e

i

t

c

h

i

s

genera

ll

y w

orse

at

n

i

g

h

t

and

a

f

ter

a

h

ot

bat

h

. Y

o

u

c

an

h

ave

w

i

despread

i

t

c

h

i

ng

,

even

w

i

t

h

on

l

y

a

f

e

w

m

i

tes

. Sc

rat

c

h

i

ng

d

u

e

to

i

ntense

i

t

c

h

i

ng

c

an

c

a

u

se m

i

nor

s

ki

n

damage

.

I

n

some

c

ases

t

h

e damaged

s

ki

n be

c

omes

i

n

f

e

c

ted b

y

ba

c

ter

i

a

-

a

se

c

ondar

y

s

ki

n

i

n

f

e

c

t

i

on

.

x

R

as

h

. T

h

e

ras

h

u

s

u

a

ll

y

appears

soon

a

f

ter

t

h

e

i

t

c

h

starts

. I

t

i

s

t

y

p

ic

a

ll

y

a

b

l

ot

c

hy

, l

u

mp

y

red

ras

h

t

h

at

c

an

appear

an

ywh

ere

on

t

h

e

bod

y

. T

h

e

ras

h

i

s

o

f

ten most

obv

i

o

u

s

on

t

h

e

i

ns

i

de

o

f

t

h

e

t

h

i

g

h

s

,

parts

o

f

t

h

e

abdomen

and

b

u

tto

ck

s

,

and

armp

i

ts

. T

h

e

appearan

c

e

o

f

t

h

e

ras

h

i

s

o

f

ten

t

y

p

ic

a

l. H

o

w

ever

,

some peop

l

e

deve

l

op

u

n

u

s

u

a

l

ras

h

es

wh

ic

h

ma

y

be

c

on

fu

sed

w

i

t

h

ot

h

er

s

ki

n

c

ond

i

t

i

ons

.

x

A

ggravat

i

on

o

f

pre

-

e

xi

st

i

ng

s

ki

n

c

ond

i

t

i

ons

. Sc

ab

i

es

c

an

w

orsen

t

h

e

s

y

mptoms

o

f

ot

h

er

s

ki

n

c

ond

i

t

i

ons

,

part

ic

u

l

ar

l

y

i

t

c

hy

s

ki

n

prob

l

ems

s

u

c

h

as

e

c

z

ema

,

or

prob

l

ems

s

u

c

h

as

psor

i

as

i

s

. Sc

ab

i

es

c

an be more d

i

ff

ic

u

l

t

to

d

i

agnose

i

n

t

h

ese

s

i

t

u

at

i

ons

too

.

4.

8

.

3 Preventive

m

eas

u

res

T

o

prevent

t

h

e

spread

o

f

s

c

ab

i

es

,

a

ll cl

ot

h

i

ng

,

bedd

i

ng

and

to

w

e

l

s

u

sed

b

y

someone

w

i

t

h

s

c

ab

i

es

should

be

d

i

s

i

n

f

e

c

ted

. T

h

i

s

c

an

be

done

b

y

h

av

i

ng

t

h

e

i

tems

dr

y

cl

eaned

,

w

as

h

ed

i

n

h

ot

w

ater

(60

°

C),

or

dr

i

ed

i

n

h

ot

dr

y

er

,

or

b

y

p

l

a

ci

ng

t

h

e

i

tems

i

n

p

l

ast

ic

bag

f

or

no

l

ess

t

h

an

7

2

h

o

u

rs

(

s

c

ab

i

es m

i

tes

c

an

s

u

rv

i

ve

o

u

ts

i

de

t

h

e

hu

man

bod

y

f

or

bet

w

een

2

4-

3

6

h

o

u

rs

,

so

i

t

i

s

poss

i

b

l

e

to

be

c

ome

i

n

f

ested

b

y

c

om

i

ng

i

nto

c

onta

c

t

w

i

t

h

c

ontam

i

nated

cl

ot

h

es

,

or

bed

li

nen

).

4.

8

.4

Treat

m

ent

Sc

ab

ici

des

are

t

h

e

prod

u

c

ts

u

sed

to

treat

s

c

ab

i

es

. T

h

ese

l

ot

i

ons

or

c

reams

w

ill

be

pres

c

r

i

bed

b

y

a

do

c

tor

.

T

h

e

l

ot

i

on

should

be

app

li

ed

to

a

cl

ean

bod

y

f

rom

t

h

e

ne

ck

do

w

n

and

rema

i

n

i

n

p

l

a

c

e

f

or

t

h

e

re

q

u

i

red

amo

u

nt o

f

t

i

me be

f

ore

remova

l.

A

l

w

a

y

s

read

and

f

o

ll

o

w

t

h

e

i

nstr

u

c

t

i

ons

c

are

fu

ll

y

.

I

f

someone on

board

s

h

o

w

s

some o

f

t

h

e

s

y

mptoms

li

sted above

,

h

e

shall

see a do

c

tor

or

h

ea

l

t

h

c

are prov

i

der

i

mmed

i

ate

l

y

,

and

t

h

e

rest

o

f

t

h

e

c

re

w

shall

be

i

n

f

ormed

so

t

h

e

ne

c

essar

y

prevent

i

ve meas

u

res

c

an be

ta

k

en

.

V

ers

i

on

0

5

. O

r

i

g

i

na

l

date

:

2

5

/0

5

/

2

01

2

.

V

ers

i

on date

:

3

1/1

2

/

2

01

5

.

V

a

li

d

vers

i

on

on

l

y

on

Q

M

S

s

i

te

.

U

n

c

ontro

ll

ed do

c

u

ment

wh

en

pr

i

nted

.

P

ro

c

ed

u

re prepared b

y

: BOS

Q

HS

E

C

oord

i

nator

.

A

pproved

b

y

: BOS

Q

HS

E

Manager

.

V

a

li

dated

b

y

: BOS

Qu

a

li

t

y

R

epresentat

i

ve

.

1

3

/ 16

803