Scabies Or Scabies? STD or STI?

Scabies or Scabies STI or STD? It is scabies mites that cause this and ... Well, we live in the euphemism society. Certain words have been banned because they are "ugly" or "politically incorrect". I recognize that there are problems here and there. But the overwhelming majority of these problems are in our head. Paulistanos, for example, are very fond of saying that “that guy is a good DJ FDP”. It may seem strange to you, but someone else can tell you, but this guy is a very big FDP, bastard, who stole my job.

Within the text there is the context. And within the context there is, in some cases, the pretext, the undeniable intention.

I was talking to the father of a friend of mine, an 80-year-old man, and I started talking to him about HPV and genital warts.

These are scabies mites, they infest. They do not infect. soon…

After five minutes of conversation he interrupted me, telling me that he did not understand what I was talking about and I tried to make him see that I was talking about a STD (nor did I use the expression IST) and he, visibly irritated, exhorted me speaking Portuguese.

Better than that, I opened Yahoo !, looked for HPV images, and when he saw it, he said:

-"Pan! That is “Cock crest”, bad disease, venereal disease ”! Why didn't you just say it ”?

Do I need to explain more? Because if I need it, it will be with drawings.

It's simple to understand Scabies or Scabies!

In this case, scabies, things are different, because scabies is parasitosis, infestation. Nowhere near STI of “! Sexually transmitted infection”!

The message needs to be conveyed clearly. Academiquês, medical jargon need to be between academics and doctors, as well as other health professionals who understand, well, the popular language, or attend in hospitals "High End".

I ask you to think carefully about the quality and clarity of your messages. There is no point, there is no point in writing in a legible and beautiful way if, for many, it is unintelligible!

And that's why I'm here, with another text, trying to answer one more question:

 

What is scabies or scabies?

 

Scabies, or scabies, is an infestation of the skin by the itchy human mite (Sarcopts scabiei there. homminis). The microscopic scabies mite buries itself in the top layer of the skin, where it lives and lays its eggs. The most common symptoms of scabies are severe itching and a pimple-like rash. Scabies mites usually spread by direct and prolonged skin-to-skin contact with a person who has scabies.

Scabies is found worldwide and affects people of all races and social classes. Scabies can spread quickly in crowded conditions, where close contact with the body and skin is frequent. Buses and subways are easily contagious, as well as sexual intercourse.

 Institutions such as nursing homes, long-term care facilities and prisons are often sites of scabies outbreaks. Daycare centers are also common sites of scabies infestations.

What is Scabied Scab (Norwegian)?

Crusted scabies is a severe form of scabies that can occur in some immunocompromised people (with a weak immune system), elderly, disabled or debilitated. It is also called Norwegian scabies. 

People with crusted scabies have thick skin crusts that contain a large number of mites and eggs. 

People with crusted scabies are very contagious to other people and can spread the infestation easily either through direct contact with the skin or through contamination of items such as clothing, bedding and furniture. 

People with crusted scabies may not have the usual signs and symptoms of scabies, such as rash or itching (itching). People with crusted scabies should receive fast and aggressive medical treatment for their infestation, in order to prevent scabies outbreaks.

When do mange symptoms start after infestation?

If a person has never had scabies before, symptoms can take 4 to 8 weeks to develop. It is important to remember that an infested person can transmit scabies during this period, even if they do not yet have symptoms.

In a person who has had scabies before, symptoms usually appear much earlier (1-4 days) after exposure.

The story continues after the publicity

https://soropositivo.org/2019/06/24/vera-primeiros-verdadeiros-amores/

What are the signs and symptoms of scabies infestation?

The most common signs and symptoms of scabies are severe itching (itching), especially at night, and itchy rash (papular). Itching and rash can affect a large part of the body or be limited to common places, such as the wrist, elbow, armpit, membrane between the fingers, nipple, penis, waist, waist and buttocks. The rash can also include small bubbles (vesicles) and scales. Scratching the rash can cause skin sores; sometimes these wounds are infected with bacteria.

Small burrows are sometimes seen on the skin; these are caused by the female scabies mite digging a tunnel just below the surface of the skin. These burrows appear as small, protruding, crooked (serpiginous) white-gray lines or skin-colored lines on the surface of the skin. As mites are generally few (only 10-15 mites per person), these dens can be difficult to find. 

 

They are most often found on the membrane between the fingers, in the folds of skin on the wrist, elbow or knee and on the penis, chest or shoulder blades.

The head, face, neck, palms and soles are often involved in babies and very young children, but generally not in adults and older children.

People with crusted scabies may not have the usual signs and symptoms of scabies, such as rash or itching (itching).

The story continues after the publicity

https://soropositivo.org/2019/07/02/ok-para-esquema-de-comprimido-unico-de-genvoya-e-tenofovir-alafenamide/

How did I get this thing, Sarna?

Scabies is usually transmitted by direct, prolonged skin-to-skin contact with a person who has scabies. The contact should generally be prolonged; a handshake or a quick hug usually does not spread scabies. Scabies is easily transmitted to sexual partners and family members. 

Scabies in adults is often contracted sexually. Scabies are sometimes transmitted indirectly by sharing items such as clothes, towels or sheets used by an infested person; however, this indirect spread can occur much more easily when the infested person has scabies.

The story continues after the publicity

https://soropositivo.org/2020/02/16/apareceu-um-blipe-viral-nossa-e-agora/

How is scabies infestation diagnosed?

The diagnosis of a scabies infestation is usually made based on the usual appearance and distribution of the rash and the presence of burrows. 

Whenever possible, the diagnosis of scabies should be confirmed by identifying the mite, the mite's eggs or the faecal matter of the mite (scybala). 

This can be done by carefully removing a mite from the end of its hole using the tip of a needle or obtaining a skin scrape to examine the mites, eggs or fecal matter of the mites under a microscope. 

It is important to remember that a person may still be infested even though mites, eggs or fecal matter are not found; typically, less than 10-15 mites can be present throughout the body of an infested person who is healthy. 

However, people with crusted scabies can be infested with thousands of mites and should be considered highly contagious.

How long can scabies mites live?

In a person, scabies mites can live for up to 1-2 months. In a person, scabies mites generally do not survive more than 48-72 hours. Scabies mites die if exposed to a temperature of 50 ° C (122 ° F) for 10 minutes.

Can scabies or scabies be treated?

Yes. The products used to treat scabies are called scabies because they kill scabies mites; some also kill eggs. Scabies for the treatment of human scabies are only available on prescription; no “over-the-counter” product (over-the-counter) has been tested and approved for humans.

Always follow the doctor's and pharmacist's instructions carefully, as well as those on the packaging or printed on the label. When treating adults and older children, the scabicide cream or lotion is applied to all areas of the body, from the neck to the feet and toes; in the treatment of babies and young children, the cream or lotion is also applied to the head and neck. The medicine should be left in the body for the recommended time before being washed. Clean clothing should be worn after treatment.

In addition to the infested person, treatment is also recommended for family members and sexual contacts, particularly those who have had prolonged skin-to-skin contact with the infested person. 

All people should be treated at the same time to avoid reinfestation. Retreatment may be necessary if the itching continues more than 2 to 4 weeks after treatment or if new burrows or rashes continue to appear.

Never use a scabicide intended for veterinary or agricultural use to treat humans!

Who should be treated for scabies?

Anyone diagnosed with scabies, as well as their sexual partners and other contacts who have had prolonged skin-to-skin contact with the infested person, should be treated. Treatment is recommended for members of the same household as the person with scabies, particularly those who have had prolonged skin-to-skin contact with the infested person. All people should be treated at the same time to avoid reinfestation.

Retreatment may be necessary if the itching continues more than 2 to 4 weeks after treatment or if new burrows or rashes continue to appear.

How long after treatment will I feel better?

If the itch continues more than 2-4 weeks after the initial treatment or if new bumps or rashes continue to appear (if the initial treatment includes more than one application or dose, the 2-4 period begins after the last application or dose) , retreat with scabies may be necessary; seek the advice of a doctor.

Did I get my pet's scabies?

No. Animals do not spread human scabies. Pets can be infested with a different type of scabies mite that does not survive or reproduce in humans, but causes "scabies" in animals. 

If an animal with "mange" has close contact with a person, the animal's mite can get under the person's skin and cause temporary itching and skin irritation. 

However, the animal mite cannot reproduce in a person and will die alone in a few days. Although the person does not need to be treated, the animal must be treated because its mites can continue to penetrate the person's skin and cause symptoms until the animal is successfully treated.

Can scabies be transmitted by swimming in a public pool?

Scabies is transmitted by prolonged skin-to-skin contact with a person with scabies. Sometimes scabies can also be transmitted by contact with items such as clothing, bedding or towels that were used by a person with scabies, but this spread is very unusual, unless the infested person has scabies scabs.

It is very unlikely that scabies will spread through pool water. Except for a person with crusted scabies, only about 10-15 scabies mites are present in an infested person; it is extremely unlikely that any would appear under damp skin.

Although unusual, scabies can be transmitted by sharing a towel or piece of clothing that was used by a person with scabies.

How can I remove mange mites from my home or carpet?

Scabies mites do not survive more than 2-3 days away from human skin. Items such as sheets, clothes and towels used by a person with scabies can be decontaminated by washing with hot water in the machine and drying in the hot cycle or dry cleaning. Items that cannot be washed or dry cleaned can be decontaminated by removing themselves from any body contact for at least 72 hours.

Since people with crusted scabies are considered to be very infectious, it is recommended to carefully vacuum the bedroom furniture and carpets used by these people.

Fumigation of living areas is unnecessary.

How can I remove scabies mites from my clothes?

Scabies mites do not survive more than 2-3 days away from human skin. Items such as sheets, clothes and towels used by a person with scabies can be decontaminated by washing with hot water in the machine and drying in the hot cycle or dry cleaning. Items that cannot be washed or dry cleaned can be decontaminated by removing themselves from any body contact for at least 72 hours.

My wife and I were diagnosed with scabies. After several treatments, he still shows symptoms while I am cured. Because?

The rash and itchy itch may persist for several weeks to a month after treatment, even if the treatment was successful and all the mites and eggs were killed. Your doctor may prescribe additional medications to relieve itching if it is severe. Symptoms that persist for more than 2 weeks after treatment can be caused by several reasons, including:

  • Incorrect diagnosis of scabies or scabies. Many drug reactions can mimic scabies symptoms and cause itchy rash; the diagnosis of scabies must be confirmed by a skin scrape that includes the observation of mites, eggs or mite faeces (scybala) under a microscope. If you are sleeping in the same bed with your spouse and have not been reinfested, and have not retired for at least 30 days, your spouse is unlikely to have scabies.
  • Reinfestation with scabies from a family member or other infested person if all patients and their contacts are not treated at the same time; Infested people and their contacts should be treated at the same time to avoid reinfestation.
  • Treatment failure due to medication resistance, incorrect application of topical scabicides or non-application of second when necessary; no new dens should appear 24-48 hours after effective treatment.
  • Failure to treat crusted scabies due to insufficient scabicide penetration into thick scaly skin containing large numbers of scabies mites; repeated treatment with a combination of topical and oral medication may be necessary to successfully treat scabied scabies successfully.
  • Re-infestation of items (fomites), such as clothes, bedding or towels that have not been properly washed or dry-cleaned (this is primarily a concern for items used by people with crusted scabies); Potentially contaminated items (fomites) must be machine washed in hot water and dried using the hot temperature cycle, dry cleaned or removed from skin contact for at least 72 hours.
  • An allergic rash (dermatitis); or
  • Exposure to domestic mites that cause symptoms to persist due to cross reactivity between mite antigens.

If the itchiness of this scabies continues for more than 2 to 4 weeks or if new burrows or rashes continue to appear, seek the advice of a doctor; it may be necessary to repeat the treatment with the same scabicide or with a different one.

If I come into contact with a person who has scabies, should I treat myself?

No. If a person thinks they may have scabies, they should contact a doctor. The doctor can examine the person, confirm the diagnosis of scabies and prescribe appropriate treatment. The products used to treat mange in humans are available only with a prescription.

Sleep or have sex with any person infested with scabies has a high risk of transmission. The longer a person has skin-to-skin exposure, the greater the likelihood of transmission. While shaking a person with scabless scabies can be considered a relatively low risk, holding a person with scabies for 5 to 10 minutes can be considered a relatively high risk of transmission. However, transmission can occur even after a brief skin-to-skin contact, such as a handshake, with a mange-scabbed person. In general, a person who has skin-to-skin contact with a mange-scabbed person would be considered a good candidate for treatment.

To determine when prophylactic treatment should be administered to reduce the risk of transmission, consult a health professional who understands:

  1. the type of scabies (that is, no scab vs scab) to which a person has been exposed;
  2. the degree and duration of skin exposure that a person has had to the infested patient;
  3. whether the exposure occurred before or after the patient was treated for scabies; and,
  4. whether the exposed person works in an environment where he would likely expose others during the asymptomatic incubation period. For example, a nurse or caretaker who works in a nursing home or hospital is usually treated prophylactically to reduce the risk of transmitting scabies on the spot.

Translated by Claudio Souza the original Scabies on January 21, 2021.

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