Wash all linens/clothes in hot water or bag bulky items and keep sealed for 2wks
Pruritus may continue for weeks despite successful elimination of infestation
Consider steroids for symptom relief
Consider steroids for symptom relief
Permethrin 5% cream for all family members
Apply from neck down
Leave on for 8-12hr before washing off
Has 95-98% success rate, may reapply in 1-2wks if incomplete effect
Ivermectin 200 mcg/kg may be necessary for severe infection
Also viable option in adolescent or adult with insecure social situation
Success rate 70%, increases if give repeat dose 2wks after
Contraindicated in lactating women and children < 15kg
Apply from neck down
Leave on for 8-12hr before washing off
Has 95-98% success rate, may reapply in 1-2wks if incomplete effect
Also viable option in adolescent or adult with insecure social situation
Success rate 70%, increases if give repeat dose 2wks after
Contraindicated in lactating women and children < 15kg
Permethrin 5% is FDA approved for > 2 months of age although still recommended for neonatal<unk> 
May require application head to toe (avoid mucus membranes)
Leave on for 8-12 hours, then wash off
May require application head to toe (avoid mucus membranes)
Leave on for 8-12 hours, then wash off
Lindane - effective treatment but associated with potential for toxic manifestations (seizures, neurotoxicity)
Reserved for refractory cases
Reserved for refractory cases
Scabies
Insect bites
Chilblains
Impetigo
Chancroid
Atopic dermatitis
Tinea
Drug rash