A patient with a non-crusted rash has boon diagnosed with Sarcoptes scabiei. The patient is treated with 5% permethrin and precautions are started. The precautions can be stopped
ForSarcoptes scabiei(scabies),Contact Precautionsshould remainin place until 24 hours after effective treatment has been completed. The first-line treatment is5% permethrin cream, which is applied to the entire body and left on for8–14 hoursbefore being washed off.
Why the Other Options Are Incorrect?
A. When the treatment cream is applied– Themite is still presentand infectiousuntil treatment has fully taken effect.
B. When the bed linen is changed–While changing linens is necessary, it doesnot indicate that the infestation has cleared.
D. 24 hours after the second treatment– Mostcases require only one treatmentwith permethrin, though severe cases may need a second dose after a week.
CBIC Infection Control Reference
According toAPIC guidelines,Contact Precautions can be discontinued 24 hours after effective treatmenthas been administered.
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