WARNING POZOR

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WARNING!POZOR!!!

• Scabies is Highly Contagious!
• a.k.a svrab

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• Scabbies is a transmissible ectoparasite skin
  infection that is caused by a type of mite
• ( roztoc).
• It is characterized by superficial burrows,
  intense pruritus (itching) and secondary
  infection.
• The word 'scabies' in Latin is 'itch'.

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• Scabies is frequently misdiagnosed as intense
  pruritus (itching of healthy skin) before papular
  eruptions form.
• Upon initial pruritus the burrows appear as
  small, barely noticeable bumps on the hands and
  may be slightly shiny and dark in color rather
  than red.
• The itching may not exactly correlate to the
  location of these bumps.
• As the infestation progresses, these bumps become
  more red in color.

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• Scabbies mites (Sarcoptes scabiei) burrow, or
  tunnel, under the outer layer of skin.
• These mites lay eggs under the skin and feed on
  blood.
• The mites are about the size of a pinhead, are
  nearly transparent, and usually cannot be seen.

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Scabbies symptoms

• The most common scabbies symptom is extreme
  itching, particularly at night.
• The itching is the result of an allergic reaction
  to the mites and their waste.
• The scabbies symptoms usually appear from two to
  six weeks after becoming infested. However,
  people who have previously had scabbies can show
  symptoms within a few days.

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The most common areas of skin affected by
scabbies include

• between the toes and fingers
• around the wrist
• folds of the elbow, armpits,
• beltline
• abdomen
• genitalia
• nipples
• buttocks
• the groin.

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• Babies and small children may get it on the face,
  scalp or soles of the feet.

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Sarcoptes scabiei nasty mites
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Crusted scabies
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sarcoptes scabiei
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Scabies of filaria due to Onchocerciasis
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statistics...
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How do you get scabbies

• Scabbies is transferred by direct skin-to-skin
  contact.
• It can also be transferred by contact with
  clothes or bedding that has been contaminated by
  an infected person.
• A very common way to get scabbies is to shake
  hands with an infected person. It can also be
  transmitted during sexual contact ( pohlavní
  styk).

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• You cannot get scabbies from pets. Scabbies mites
  only infest humans. The mites can only survive
  for three or four days if they are away from the
  human body.
• You are contagious and can spread scabbies until
  all the mites and eggs are killed by a treatment.
  

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If You Have Any of These Symptoms...

• If you have any of below symptoms
• Biting or Irritation on your face, in your nose,
  ears or mouth, or anywhere above the neck
• Memory loss, difficulty thinking or "brain fog"
• Chronic Fatigue
• Pain all over the body
• Muscle or Joint Swelling
• Sores or open lesions that do not heal may or may
  not occur
• Hard Nodules under the skin
• Hair-like fibers in your skin
• Black or iridescent specks in your skin
• there is a chance that it might NOT be scabies.

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Exams and Tests

• Skin Scraping
• - Place a drop of oil or saline on top
• of one of the lesions
• - Using a
• the area is scraped
• - Material collected is placed on a
• slide
• - Examine under a
• to observe the presence of mites or
• its eggs

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2) Felt-tip marker test - Take a washable
felt-tip marker across the rash - Wipe
it off with alcohol - This may help to
identify a burrow because the ink goes into
a deeper level of the skin.
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Scabies Treatment

• - start treatment immediately
• - treated at the same time to prevent
  re-infestation with scabies from other persons
  who might be infected but do not have any
  symptoms yet
• infected persons clothing and bedding needs to
  be washed in hot water and ironed so as to kill
  the mite and all of its eggs.

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• The best treatment for scabies is Dermisil

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• treat itching with antihistamine
  medications such as diphenhydramine (Benadryl).

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Follow Up

• After treatment, the itching can last for up to
  4 weeks
• Repeat examination by a doctor in 1-2 weeks is
  recommended

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Preventions

• Wash all clothing, towels, and bed linens in hot
  water. Do not allow air drying. You should use
  the dryer.
• - Use the medication as prescribed and
  instructed. Do not use it more than instructed
  because you risk causing chemical irritation of
  your skin.

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• - Cut your nails and clean under them thoroughly
  to remove any mites or eggs that may be present.
• Vacuum your rugs, furniture, and bedding and
  throw the vacuum cleaner bag away when finished
• for doctor,
• protection with

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THE END mate otazky???
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