Frequently asked questions about scabies

Scabies is transmitted through close skin contact. The mites move slowly, so contact must be prolonged, lasting around 5 to 10 minutes. Shaking hands or hugging does not usually lead to infection. Scabies can also be transmitted via clothing or bedding, but the mites die on such surfaces after around 48-72 hours.

After infection, it takes two to five weeks for the first symptoms to appear. Typical signs are severe itching, especially at night. Small, mite-like tunnels can be seen under the skin, often in skin folds such as on the hands, feet, armpits or in the genital area. Scabies can only be detected under a microscope. In children, the head or face may also be affected.

A doctor usually diagnoses scabies by examining the skin and asking questions about possible contact with infected people. In some cases, the skin is examined to see the mites or their eggs under a microscope. It is important to have the diagnosis confirmed by a doctor in order to receive the correct treatment.

Yes, scabies is curable. However, without treatment, the infection will persist. In addition to medication, certain hygiene measures must be observed to prevent scabies from returning.

Scabies is treated with special creams or tablets. Adults are usually given a cream to apply to the entire body. This must be washed off after 12 to 15 hours. In some cases, a tablet is prescribed, especially if the cream is difficult to apply. The treatment is adjusted by the doctor depending on the age and health of the person.

The cream should be applied thoroughly to the entire body, including behind the ears. In small children and immunocompromised individuals, the head must also be treated. It is advisable to cut your nails and take a bath beforehand. If you wash your hands after application, the cream must be reapplied.

Clothing, bed linen and towels should be washed at a minimum temperature of 50 to 60 °C. Items that cannot be washed should be placed in a plastic bag for 48 to 72 hours. Upholstered furniture and carpets should be vacuumed. Mattresses only need to be cleaned in special cases.

People with ordinary scabies do not need to be isolated. After the first treatment, children can return to school and adults can return to work. However, intimate contact should be avoided until both partners have been treated.

Crusty scabies occurs in people with weak immune systems. There are a large number of mites on the skin and the infection is highly contagious. Crusty scabies requires intensive treatment and strict hygiene measures.

The Bremen Health Authority provides advice in the event of outbreaks in institutions. It coordinates measures and monitors the process. However, the Health Authority does not make diagnoses or prescribe treatments.