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My mother has been working at a nursing home for about the last month and a half. She found out today that a patient she was treating (who had had a rash for quite some time) was diagnosed with scabies. I work at an inpatient psychiatric facility. I have not been to the doctors yet as it is a holiday (and a Sunday). Should I call out tomorrow just in case so as to not spread it and go to the doctors instead? I just feel guilty going in and not knowing if I have it or not and could use some advice.

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Scabies is easy to treat. Don't worry. Scabies spreads through eggs or direct contact with the affected individual. If you keep your skin clean you shouldn't be contagious. If you start to have symptoms, e.g. itching with small lines showing the mite is burrowing, you will recognize them.
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If you had scabies (mange) you would know. So go to work. I am a wildlife rehabber and familiar with mange.
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People don't get scabies from animals with mange. It is a different kind of mite. (But mange mites can cause discomfort and itching in people -- but not scabies.)

If you are not showing any symptoms, can testing be effective? I don't know! But I'd call a nurse help line and ask tonight.

If your mother does have scabies, how much close physical contact have you had with her?

If you do have scabies mites, how likely are you to come into the kind of contact at work that cause them to transfer to someone else? I just don't know how much of a risk it would be. Do you hug people? Have skin-to-skin contact? Again, in deciding what to do tomorrow I would call a nurse help line with these questions.

You are being considerate to worry about spreading something you are not even sure you have. Good for you! But you might be overly cautious as well. I hope you have access to one of those 24-help lines that can give you professional advice.
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Here's your problem - well, one of them anyhow - it's actually two to SIX weeks before symptoms of scabies show and until you present some sort of bump or rash there's no way to determine if you have it. So unless you plan on hiding yourself away for an extended period of time - you may need to carry on, hoping for the best. Scabies is spread through prolong physical contact with someone who is infected - so you can do your best to limit any physical contact with others until your past the incubation period.
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Ooo yes they do Jeanne! Or at least as near as makes no difference - as was explained to me by the amused South African vet who was treating our dog and observed us all scratching in his treatment room. Segue to hilarious scenes at the all-night chemist and the entire family doused head to toe in smelly lotion... A mite's a mite for a' that...

Martha, you're at quite some remove from this. Is your mother experiencing any symptoms she'll admit to? Have you been in close physical contact with her? If not, you're most unlikely to have caught anything; but if you're still worried then you'd better call work, report the facts of the situation (just the facts, not your fears), and get their instructions.
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CM, it apparently makes a difference in how soon the symptoms show (almost immediately vs up to 6 weeks!) and also how they are treated. Not, I guess, in how miserable you are.
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But it takes 2-4 weeks to show symptoms when you've never had it before and yet you're still contagious.
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Fooey. I know a woman who cuddled up a baby fox who had mange. By that afternoon, she complained of a rash. Mange mites burrow under your skin and boy does that itch.
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If your Mom or you are not showing signs of symptoms, I doubt that you have anything to worry about. Continue good hygiene and frequent hand washing techniques. If symptoms appear, seek medical care, the sooner the better.

In the meantime, I hope the facility your Mom works for, is treating this patient.

Treatment is very simple, the patients is showered, lotioned/creamed down/covered in the medicated preparation, there are several on the market. Then allow it to absorb into the skin, dress, and wash off the skin after 8 hours or the next day, depending on the treatment. The Scabie mites can continue to cause intense itching for days to weeks after treatment, which comes from the debris (feces/waste) that the mites leave behind in their tracts/burrowing, but the treatment is extremely effective if done properly the first time, and the mites themselves are usually dead, but often it is advised to repeat treatment in one week.

Antihistamines help to quell the intense itching, but do watch for secondary infection, such as Staph. Topical steriods sometimes help itching on the site of infection, but not on open skin.

Common sites of concern are hands and feet, especially the webs of the fingers, breasts, underarms trunk, arms and legs. Red raised bumpy, lines/tracts, and extremely itch, especially when the patient is warm.

If you've got it, you know it, and there's no reason to worry, until you do have it, other than to use good hand washing techniques, and avoid direct contact with the affected person.
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There is a very good Lidocaine ointment available by prescription (extremely expensive) also an OTC with a little less Lidocaine which is cheap and "almost " as good but has a more liquid base and does not seem to stick as well. The prescription stuff lasts a very long time and i have been using it for my now 6 year old post hepatic neuralgia which is very painful and itchy when acting up. Yes the pain from Shingles does last that long so everyone get vaccinated if you have had chickenpox. I went down with it just before the vaccine became readily available. I had requested it and was told only the health dept could do it and they told me they had to wait till 20 people requested it they could not give it as it came in a 20ml vial. Now it's everywhere in single doses. Many pharmacies give it as they do flu shots.
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