Management Being one month of age, Paco is especially at risk for systemic bacterial infection. Had he been febrile, or toxic appearing, admission for a septic work up and intravenous antibiotics may have been warranted. Since he was afebrile and well appearing such measures would not be deemed necessary. Treatment of the scabies was reserved until the secondary staphylococcal infection was resolved. The lotion should be washed off the following morning.
Some sources suggest repeating application of the lotion in seven days.
It is also contraindicated in pregnant women. Household contacts, including children and family members with whom there is intimate contact should all be treated. Upon arising from overnight scabicide treatment, all bed linen and bed wear should be washed.