It's scabies.
A? Commonly used treatments (1) Once found infected with scabies, it should be isolated and treated immediately.? Scabies is highly contagious, living together in a room or a family is very easy to be infected, even if the initial infection of scabies people cured, as long as there are other people in the family is infected, will create a repeat infection, resulting in prolonged healing. Moreover, studies have shown that the more people living together in a room, the more the cure rate decreases, more than 5 people, the cure rate drops from more than 80% when living alone, to 50%. Therefore, treatment must be done in isolation. During the isolation period, you can not go out. (2) People who live together, even if they do not show signs of infection, must undergo prophylactic treatment. The treatment is the same as that of the patient, but you must also sterilize your own clothes, sheets, covers, pillowcases, towels, washcloths, etc. by boiling them for more than 10 minutes at high temperatures. (3) The patient must disinfect his own clothes, especially intimate apparel, bed sheets, covers, pillowcases, pillowcases, towels, bath towels, after boiling for 10 minutes at high temperature, and then wash them, in order to prevent scabies from spreading to pots and washers, and these items must not be **** used. Other frequently touched items need to be sterilized if they can be boiled. Those that cannot be boiled must be dried at high temperatures. However, ordinary washing and drying do not have the ability to kill scabies (putting items in a black plastic bag and drying them in sunlight above 30 degrees for more than 7 days may have some effect). Toilet seated commode sitting place also need to be sterilized by boiling water for a long time rinse, during the treatment, do not **** use the toilet. (4) commonly used western medicine treatment methods: A?: metronidazole ointment or compound metronidazole ointment (mebendazole cream): Shiyan City People's Hospital, Hubei Province, dermatology Wang Yu et al., in the "Dermatology and Venereal Diseases" journal published in 2005, Issue 2 of the research paper "homemade" compound metronidazole cream "treatment of scabies," reported that: use of the self-made "compound metronidazole cream" to observe the efficacy of the treatment of scabies. In the research paper "Observation on the therapeutic effect of homemade "compound metronidazole cream" in the treatment of scabies" published in the Journal of Dermatology and Venereology, Issue 2, 2005, they reported that the use of homemade compound metronidazole cream with a content of 2% in the treatment of scabies was effective. Methods: patient isolation, with homemade content of 2% metronidazole ointment from the neck to rub the whole body, twice a day, three consecutive days for a course of treatment, after three days of treatment, bathing, replacement of clothing and bedding, clothing and bedding for boiling water disinfection, if the symptoms have not disappeared, to continue the second course of treatment, a week later to observe the results. The cure rate was 84.7%, the effective rate was 91.76%. [1] Zheng Xiaohong and Cao Hongwei of the Department of Dermatology at the Fifth Affiliated Hospital of Zhengzhou University, published in the research paper "Comparison of the efficacy of the two methods of treatment of scabies and the evaluation of the safety of" published in the "Chinese Modern Drugs Drugs Application," Volume II, Issue 22, 2008, reported that: In order to assess the effectiveness of 3% metronidazole ointment and 10% sulfur cream for the treatment of scabies in the period of 2005 - 2007, 360 patients were treated for scabies in the period of 2005 - 2007. Between 2005 and 2007, 360 scabies patients were divided into two groups, respectively using 3% metronidazole ointment provided by Tianjin Pacific Pharmaceutical Co., Ltd. and 10% sulfur cream made by the Department of Dermatology of the Fifth Affiliated Hospital of Zhengzhou University, the method of use is to take a bath and then rub the drug on the whole body under the neck of the skin, once in the morning and once in the evening, for a course of treatment in 3 days, each time about 15 grams of the drug, and rubbing the drug during the period of not taking a bath and changing clothes to manipulate the efficacy of the drug. To maintain the effect of the drug. Boil the changed clothes and bedding to exterminate the insects. Patients in the family or collective dormitory medicine at the same time treatment. The efficacy shows that the cure rate of two courses of 3% metronidazole ointment for 98.30%, 10% sulfur cream for 96.67%. [2] The use of metronidazole ointment can be homemade or purchased from the pharmacy. But in recent years, there are fewer manufacturers. Hospitals are more homemade. B?: Sulfur ointment. Sulfur ointment is the traditional treatment of scabies, cheaper and more effective, but the efficacy is affected by a variety of factors. Treatment method for the patient isolation, daily with four tubes of sulfur ointment coated from the neck down to the skin, three consecutive days for a course of treatment, after three days of medication to replace the clothing and bedding, clothing and bedding for boiling water to disinfect, to continue the second course of treatment, such as not healed, continue the third course of treatment. Henan Puyang Red Cross Hospital Dermatology Qiao Xianen et al, published in the "Chinese Journal of Modern Dermatology," 2005, No. 1 on the research paper "Scabies epidemic status and prevention and treatment countermeasures," reported that the use of 3% metronidazole ointment and 20% sulfur cream to treat 180 scabies patients, three days for a course of treatment, a course of treatment to cure 134 cases, the second course of treatment to cure 32 cases, three courses of treatment or more to cure 14 cases, the study showed that the course of treatment for a course of treatment, the second course of treatment to cure 32 cases, more than three courses of treatment to cure 14 cases, the study shows that the longer the course of treatment, the higher the cure rate. [3] The content of sulfur or sulfur in sulfur ointment or sulfur ointment also affects the efficacy. Gao Yunxia et al, Fuxin City Center Hospital, Liaoning Province, in the Journal of Practical Drugs and Clinics, 2005, Volume VIII, Issue 2 of the research paper, "Changing the concentration of sulfur ointment on the treatment of scabies clinical efficacy observation," reported that 10% concentration of sulfur cream, the treatment of scabies, the clinical efficacy rate of only 59%, while 30% concentration of sulfur cream, the efficacy rate of 100%, the cure rate of 95%, the study The use of sulfur cream for homemade, the method for sublimation sulfur 300 grams of fine research, add 700 grams of melted petroleum jelly, stirring evenly that is obtained. [4] In recent years, there are also studies showing that the cure rate of sulfur ointment used for a short period of time is not high. Lin Aibin et al, from Shantou Skin Hospital, reported in the research paper "Randomized Controlled Trial of Sulfur Soft Soap Wash Combined with 20% Sulfur Cream in the Treatment of Scabies", published in Guangdong Medicine, Vol. 15, No. 3, 2005, that the cure rate of using sulfur cream for 5 days is only 49.2%, so it is necessary to extend the time of use. [5] C:Clomid cream. The treatment is the same as above, and the cure rate of three courses of treatment is above 80%. D: Lindane cream. The effect is also better. However, it should be noted that the main ingredient of Lindane cream is Propecia 666, an isomer of the highly toxic pesticide 666, which is extremely harmful to the human nervous system. Therefore, it must be used in strict accordance with medical advice or instructions, the elderly, infants and young children, as well as pregnant women are strictly prohibited. There are reports from abroad that some children died after using Lindane ointment. (5) commonly used Chinese medicine treatment: Chinese medicine treatment of scabies, a long history, the efficacy is remarkable. A: Hunan County People's Hospital in Shanxi Province, Hou Mingsheng, in the "Chinese folk therapy" in July 2009, Vol. 17, No. 7, published the paper "Chinese medicine decoction of external washing treatment of scabies 180 cases," reported the use of traditional Chinese medicine boiled external washing, the therapeutic effect is very high. Methods: Basic formula: 20 grams of sulfur, 20 grams of hibiscus bark, 30 grams of bitter ginseng, 30 grams of snakebeds, 30 grams of cypress, 30 grams of white fresh skin, 30 grams of dermatophytes, 30 grams of Poria cocos, 20 grams of Cang Er Zi, 30 grams of Tribulus terrestris. If secondary infection plus honeysuckle 30 grams, wild chrysanthemum 20 grams, dandelion 30 grams, serious infection, and with penicillin. One dose per day, water decoction 2 times mixed, divided into two external warm wash. Before treatment, take a bath with hot water and soap, then rub the medicine, from the neck down, first rub the skin lesions, then rub the whole body, 4 consecutive days for a course of treatment. During the rubbing period, no bathing, no change of clothes. At the end of the treatment, change clothes and bedding, and sterilize them by boiling at high temperature. If not cured, repeat the treatment. Usually one or two courses of treatment will cure the disease. During the treatment, pay attention to isolation and sterilization. The cure rate is 98%, and the effective rate is 100%. [6] B:Yu Chunyang et al, Yu Chunyang, Shangcheng County, Henan Province, Yu Ji Town Center Hospital, in the "Journal of Traditional Chinese Medicine External Treatment," October 2007, Volume 16, Issue 5, published a research paper, "Traditional Chinese Medicine External Treatment of Scabies 3258 cases," reported, will be the Chuanhuajiao, snakesnake bedding seed, the groundnut, bitter ginseng, soil poria decoction of 3 times, mixed into the sublimation of sulphur and furnace glycerin, to get the medicine of 5000 milliliters, and then after warming up, sit and bathe. The treatment effect is cured 3011 cases, cure rate 92.42%, apparent effect 247 cases, apparent rate 7.58%. [7] (6)? Oral medication for scabies In recent years, with the emergence of new anthelmintic drugs, at the same time doctors have begun to explore the use of oral medication for scabies. A: Qidong City Hospital of Traditional Chinese Medicine, Chen Wei et al, in the "Dermatology and Venereal Diseases" published in the first issue of 2003 research paper "trial oral albendazole treatment of scabies 72 cases" reported: the use of albendazole tablets for the treatment of 72 cases of scabies, and 10% sulfur ointment treatment of scabies in 63 cases of patients to do a control study, the method: albendazole orally once a day, 400 good grams each time, served for five days! For a course of treatment, one week after stopping the drug, such as not healed and then take a course of treatment. Sulfur ointment treatment group, daily from the neck to the foot of the whole body coated, once in the morning and once in the evening, for 3 days, one week after stopping the drug follow-up, if not cured and then use a course of treatment. Both groups boiled clothes to disinfect. Two courses of treatment showed that: Albendazole group recovery rate of 29.17%, effective rate of 73.61%, sulfur ointment group recovery rate of 41.27%, effective rate of 88.89%. Therefore, albendazole has some efficacy on scabies. [8] Ming Qingping et al, Jianping County Dermatology Hospital, Liaoning Province, published a research paper in China Health Care, Issue 2, 2009, "Oral Albendazole Oral Albendazole Combined with Topical Sulfur Ointment Treatment of Scabies 58 Cases Effectiveness of Observation," reported that: 116 scabies patients were randomly divided into two groups, Group A daily oral albendazole 400 mg once a day for five days as a course of treatment, while Group A took Albendazole 400 mg orally once a day for 5 days, and at the same time applied 10% sulfur ointment all over the body every night, four ointments each time, once a night for five days. group B used 10% sulfur ointment alone, the same as above. Both groups boiled and sterilized their clothes and bedding every day. 53 cases were cured in group A with a cure rate of 93.18% and 37 cases were cured in group B with a cure rate of 63.79% in one course of treatment, and the patients who were not cured continued to use the treatment until they were cured. The results showed that oral albendazole combined with topical sulfur ointment was effective. B?Oral Ivermectin. Mudanjiang Medical College Hongqi Hospital, Department of Dermatology Feng Boqiu, in the "Chinese Journal of Dermatology and Venereology" published in 2005, Issue 7 of the research paper "oral ivermectin treatment of scabies 42 cases of efficacy observation," reported that: 42 cases of patients orally ivermectin 150 μg ~ 200 μg / kg body weight, every 3 days to serve 1 time, **** service 2 times, 2 weeks or 4 weeks of serving to determine the effectiveness of the drug. The results of 2 weeks to cure 28 cases (66.7%), 4 weeks to cure 14 cases, the efficacy is remarkable. (But only one manufacturer in China produces human ivermectin, now discontinued.) C: reported in the 1978 02 issue of the International Journal of Dermatology and Venereology, foreign dermatologists use thiabendazole solution for the treatment of scabies, smear the skin, even 5 days, the cure rate of 80%, the remaining 8 cases are also effective, continue to treat, but also all cured.