Treatment should be initiated for all suspected, clinical, or confirmed cases of
scabies. Patients affected should be adequately isolated, and high-risk groups
with close contact histories should be treated regardless of their symptoms.
Optimal treatment strategies can be selected based on age, clinical subtype, and
the patient's health status. In Korea, commercially available
preparations for scabies treatment include topical 5% permethrin, topical 10%
crotamiton, and oral ivermectin. Topical 5% permethrin is the first-line
selective treatment for both classic and crusted scabies. Alternative treatments
include topical 10% crotamiton and oral ivermectin. After completing treatment,
follow-up visits at 2 and 4 weeks are recommended to monitor the therapeutic
response. Treatment is considered to have failed if scabies mites or burrows are
detected, new clinical characteristics develop, or there is an aggravation of
pruritus. Scabies itch should be adequately managed with emollients, oral
antihistamines, and topical corticosteroids. Preventive measures, including
personal hygiene, patient education, and environmental control, should besd
implemented to reduce the transmission of scabies.