Scabies management in Uganda, as in other parts of the world, generally follows standard medical guidelines. Scabies is a parasitic infestation caused by the Sarcoptes scabiei mite, and it requires medical intervention for effective treatment. Here are the common steps in scabies management:

1. Diagnosis:
   • Scabies is often diagnosed based on clinical symptoms such as intense itching, especially at night, and the presence of burrows or rashes.
   • In some cases, a skin scraping may be examined under a microscope to identify the mites, eggs, or fecal matter.
2. Topical Medications:
   • The primary treatment for scabies is the application of topical medications to the entire body, usually in the form of a cream or lotion.
   • Commonly used medications include permethrin or ivermectin. These medications work to kill the mites.
3. Treatment of Contacts:
   • All close contacts, including family members and sexual partners, should be treated simultaneously, even if they are asymptomatic, to prevent reinfestation.
4. Environmental Measures:
   • Bed linens, clothing, and personal items should be washed in hot water and dried at a high temperature to kill any mites or eggs.
   • Vacuuming the living environment can help remove mites from the environment.
5. Symptomatic Relief:
   • Itching and inflammation can be relieved with antihistamines and topical steroids. These medications provide symptomatic relief while the scabicide works to eliminate the mites.
6. Follow-up:
   • It is essential for individuals diagnosed with scabies to follow up with healthcare providers to ensure that the treatment has been effective. Sometimes, a second round of treatment may be necessary.
7. Education and Prevention:
   • Health education about scabies transmission and prevention is crucial to prevent reinfestation. Emphasizing personal hygiene and avoiding close contact with infected individuals can help prevent the spread of scabies.