Implications for clinical practice

All of these products are likely to require 2-4 applications and are not particularly cosmetic. They may therefore suffer from compliance problems. However, the low cost and relative safety, apart from skin irritancy, make non-insecticide-based acaricides attractive alternatives to insecticide-based products where mites may have developed resistance or if cost is an issue.

How successful are oral treatments for scabies? Would an oral treatment be suitable for treating an 82-year-old resident in a nursing home? (Figure 37.2)

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