{"id":17484,"date":"2023-11-23T15:26:10","date_gmt":"2023-11-23T15:26:10","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=17484"},"modified":"2024-02-06T17:03:05","modified_gmt":"2024-02-06T17:03:05","slug":"scabies-and-pubic-lice","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/sexualreprohealth\/sexuallytransmittedinfectionssti\/scabies-and-pubic-lice\/","title":{"rendered":"Scabies and Pubic Lice"},"content":{"rendered":"\n<p><strong><u>Scabies affecting the genital area<\/u><\/strong><strong><\/strong><\/p>\n\n\n\n<p><strong>Diagnosis:<\/strong><\/p>\n\n\n\n<p>Widespread itch, worse at night.&nbsp; Erythematous papular rash &#8211; lesions on genitals may be nodular (and may persist for weeks following successful treatment). Silvery lines and excoriation on finger web spaces, wrists, elbows and axillary folds.<br><br><strong>Treatment:<\/strong><\/p>\n\n\n\n<p>Please see the <a href=\"https:\/\/formulary.nhs.scot\/east\">East Region Formulary<\/a> as patterns of resistance can change.<\/p>\n\n\n\n<p><strong>Patient Information:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Spread by close body contact including, but not exclusively, sexual intercourse;<\/li>\n\n\n\n<li>Wash clothing and bedding (hot wash&gt;50 degrees C) after treatment. Tumble drying or sealing clothes in a plastic bag for 72hrs will also kill mites;<\/li>\n\n\n\n<li>Discourage shaving of pubic hair;<\/li>\n\n\n\n<li>Regular partners and household contacts should be treated;<\/li>\n\n\n\n<li>Itch may persist for up to 4 weeks after treatment \u2013 <em>discourage repeated re-treatment<\/em>. This can be relieved with Crotamiton cream or lotion available OTC.<\/li>\n<\/ul>\n\n\n\n<p><strong><u>Pubic Lice (Phthirus Pubis)<\/u><\/strong><\/p>\n\n\n\n<p><strong>Diagnosis:<\/strong><br>Visual or microscopic identification of adult lice, eggs or faeces. The adults are usually seen at the base of pubic hairs. The eyebrows and lashes are occasionally affected.<br><br><strong>Treatment: &#8211; please see the Formulary as above.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Note that malathion should be applied to<\/strong>pically to all surfaces below neck line, concentrating on hairy areas. Wash off after12 hours. Repeat application 7 days later. (One bottle is sufficient for 2 applications). Change bedlinen, wash most recently used clothes. (Normal washing only- no need for boiling)<\/li>\n\n\n\n<li>Eyebrows and lashes: Lice can be removed using forceps or treated with an application of yellow soft paraffin.<\/li>\n<\/ul>\n\n\n\n<p><strong>Patient Information:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Spread by close body contact including, but not exclusively, sexual intercourse;<\/li>\n\n\n\n<li>Spread from clothing or bedding only occurs if it is used very soon (a few hours) after the infected individual;<\/li>\n\n\n\n<li>Discourage shaving of pubic hair;<\/li>\n\n\n\n<li>Regular partners should be treated.<\/li>\n<\/ul>\n\n\n\n<p><strong>C.M &amp; S.W. 23-11-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Scabies affecting the genital area Diagnosis: Widespread itch, worse at night.&nbsp; Erythematous papular rash &ndash; lesions on genitals may be nodular (and may persist for weeks following successful treatment). Silvery lines and excoriation on finger web spaces, wrists, elbows and axillary folds. Treatment: Please see the East Region Formulary as patterns of resistance can change.<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4424,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1047],"class_list":["post-17484","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-scabies-and-pubic-lice"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/sexualreprohealth\/sexuallytransmittedinfections-sti\/https-apps-nhslothian-scot-refhelp-scabies-and-pubic-lice\/\" rel=\"tag\">Scabies and Pubic Lice<\/a>","rttpg_excerpt":"Scabies affecting the genital area Diagnosis: Widespread itch, worse at night.&nbsp; Erythematous papular rash &ndash; lesions on genitals may be nodular (and may persist for weeks following successful treatment). Silvery lines and excoriation on finger web spaces, wrists, elbows and axillary folds. Treatment: Please see the East Region Formulary as patterns of resistance can change.","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17484","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=17484"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17484\/revisions"}],"predecessor-version":[{"id":17491,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17484\/revisions\/17491"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4424"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=17484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=17484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}