Seal non washable items in plastic for several days per guidance
Persistent itch after cure
Post inflammatory pruritus may last weeks
Avoid repeated scabicide dosing without objective failure evidence
Patient Discharge Instructions
copy discharge instructions
Scabies care plan
Permethrin treatment completed as prescribed
Second treatment date scheduled 7 to 14 days after first
All household and close contacts treated same day
Itching expectations
Itch can last 2 to 4 weeks after successful treatment
Moisturizer and anti itch medicines per plan
Home cleaning
Clothing and bedding used in last 3 days washed hot and dried hot
Non washable items sealed in plastic bag for several days
Return for urgent care if
Fever
Rapidly spreading redness
Increasing pain or swelling
Pus or new blisters
Worsening weakness or confusion
Follow up
Recheck if new burrows or new lesions after 2 treatments
Dermatology referral if symptoms persist beyond 4 weeks or diagnosis uncertain
References
Clinical Guidelines and Key Sources
Guideline sources
CDC scabies clinical guidance and treatment recommendations
American Academy of Dermatology scabies guidance
International Alliance for the Control of Scabies consensus criteria
Evidence summaries
Comparative efficacy studies for permethrin versus ivermectin
Crusted scabies combination therapy evidence and outbreak control literature
Infection prevention recommendations for institutional outbreaks
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.