In summary <\/h2>\n\n\n\n\n\n\u27a1\ufe0f Scabies is caused by the parasite Sarcoptes scabiei and is transmitted through prolonged skin-to-skin contact with a person who is infested.
\u27a1\ufe0f A person may be contagious before symptoms appear.
\u27a1\ufe0f Treatment for scabies can be topical or oral.
\u27a1\ufe0f It is best to treat those in close contact with the affected person at the same time.
\u27a1\ufe0f Itching may persist for several weeks after treatment without this necessarily meaning that the scabies is still active.
\u27a1\ufe0f Potentially contaminated clothes, bed linen and towels should be washed at 60 \u00b0C or sealed in an airtight bag.<\/p>\n<\/div>\n<\/div>\n\n\n\n
How do you catch scabies?<\/h2>\n\n\n\n![\"\"](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/sarcoptes-scabiei-microscope.png\")
<\/figure>\n<\/div>\n\n\nScabies is caused by Sarcoptes scabiei<\/em><\/a>, a microscopic mite that lives in the outermost layer of the skin. The female burrows small tunnels there to lay her eggs.<\/p>\n\n\n\n\n\n\ud83d\udc49<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong> It is important to note that it does not appear spontaneously on you; it is transmitted by someone who is already infested<\/strong> through direct and prolonged contact with their skin<\/strong>. The parasite is passed on in this way from one person to another [1].<\/p>\n<\/div>\n<\/div>\n\n\n\nThe following situations involving close contact are particularly high-risk:<\/p>\n\n\n\n
\n- between family members;<\/li>\n\n\n\n
- within a couple;<\/li>\n\n\n\n
- during sexual intercourse;<\/li>\n\n\n\n
- in certain communities.<\/li>\n<\/ul>\n\n\n\n\n\n
Please note:<\/strong> Brief contact, such as a handshake, carries a much lower risk of transmitting scabies.<\/p>\n<\/div>\n<\/div>\n\n\n\nCan you catch scabies from clothes or bed linen?<\/h3>\n\n\n\n
Yes, but it is less common. Transmission via clothes or bed linen is mainly possible in severe forms of scabies<\/strong> (profuse or hyperkeratotic), as the person then has many more mites on their skin [2].<\/p>\n\n\n\nThis is why both the person and the textiles must be treated.<\/p>\n\n\n\n
<\/div>\n\n\n\n\nWhat are the symptoms of scabies?<\/h2>\n\n\n\n
The main symptom of scabies is severe itching, which is often worse at night<\/strong>. It is usually accompanied by small red lesions caused by the parasite or by scratching [3].<\/p>\n\n\n\nSymptoms frequently appear:<\/p>\n\n\n\n
\n- between the fingers;<\/li>\n\n\n\n
- on the wrists and elbows;<\/li>\n\n\n\n
- in the armpits;<\/li>\n\n\n\n
- around the navel and waist;<\/li>\n\n\n\n
- on the buttocks;<\/li>\n\n\n\n
- in the genital area.<\/li>\n<\/ul>\n\n\n\n
Small, fine, winding lines<\/strong> may also be visible on the skin. These are the burrows dug by the female sarcoptic mite.<\/p>\n\n\n\nSee also:<\/strong> Scabies: what are the symptoms and how can you recognise it?<\/a><\/p>\n<\/div>![\"\"](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/demangeaisons-gale.jpeg\")
<\/figure><\/div>\n\n\n\nIs scabies contagious?<\/h2>\n\n\n\n
Yes, scabies is a highly contagious condition. It is important to note that a person can pass on scabies before the first signs of itching appear<\/strong>. During an initial infestation, there is in fact an incubation period generally lasting between 4 and 6 weeks<\/strong>, during which there are no visible symptoms (Source: World Health Organisation<\/a>).<\/p>\n\n\n\nHow long is scabies contagious?<\/h3>\n\n\n\n
Once treatment has begun, skin-to-skin contact should be avoided for 3 days to minimise the risk of transmission.<\/strong> The itching, however, may persist for several weeks, but this does not necessarily mean that the person is still contagious.<\/p>\n\n\n\n\n\nThe French National Health Insurance Scheme<\/a> states that itching generally persists for about two weeks after the end of treatment<\/strong>, and sometimes for two to four weeks, even as scabies begins to clear up.<\/p>\n<\/div>\n<\/div>\n\n\n\nHow is scabies treated?<\/h2>\n\n\n\n
Scabies does not clear up on its own; treatment in the form of a cream (topical), tablets or both is necessary<\/strong>. The choice of medication will depend on the patient\u2019s age, their state of health and the type of scabies. It is essential that people in your household are also treated [4].<\/p>\n\n\n\n![\"\"](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/creme-topique-gale.png\")
<\/figure>\nTopical treatments for scabies<\/h2>\n\n\n\n
Topical treatments are medicines<\/strong> scabicides<\/strong> designed to eliminate Sarcoptes mites (the parasites responsible for scabies).<\/p>\n\n\n\nAccording to the EN National Health Insurance Scheme<\/a>, two products in particular can be used to treat common scabies:<\/p>\n\n\n\n\n- 5 per cent permethrin<\/strong>, in cream form;<\/li>\n\n\n\n
- benzyl benzoate<\/strong>, in lotion form [4].<\/li>\n<\/ul>\n\n\n\n
5% permethrin is one of the main standard topical treatments for scabies [5].
The product must be applied carefully to the areas indicated by the doctor, taking care to cover skin folds and other places where the Sarcoptes mite may hide.<\/p>\n\n\n\n
Make sure you follow the doctor\u2019s instructions and the product information leaflet<\/strong>, particularly regardingant les zones \u00e0 traiter, la dur\u00e9e d\u2019application et le renouvellement \u00e9ventuel du traitement.<\/p>\n<\/div><\/div>\n\n\n\n\nOral treatment<\/h2>\n\n\n\n
Ivermectin<\/strong> is the main oral treatment<\/strong> for scabies. This antiparasitic medicine (available on prescription only) acts on the sarcoptic mite\u2019s nervous system to kill it.<\/p>\n\n\n\nThe choice between topical treatment and ivermectin depends, in particular, on the patient\u2019s age, weight, state of health, the type of scabies and the number of people to be treated [4][5].
<\/p>\n<\/div>![\"gobelet](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/medicaments.jpg\")
<\/figure><\/div>\n\n\n\nShould the whole family be treated? <\/h3>\n\n\n\n\n\nIt is best to treat people who have had close and prolonged contact with the person who has been infected<\/strong> at the same time, even if they do not yet have any itching.<\/p>\n<\/div>\n<\/div>\n\n\n\nThis precaution is important because an individual with an infestation may be contagious several weeks before the first symptoms appear<\/strong>. Without simultaneous treatment of those who have been in contact with the individual with an infestation, there is therefore a risk that the parasite will spread amongst members of the household once again.<\/p>\n\n\n\n\nTreating scabies in children or infants<\/h2>\n\n\n\n
In children, treatment for scabies must be tailored to their age and weight<\/strong>. In infants under 2 years of age, the doctor determines, in particular, which product to use and the duration of treatment. Oral ivermectin is contraindicated in children weighing less than 15 kg<\/strong> [4].<\/p>\n\n\n\nAs with adults, treatment is not limited to the child alone: people who have had close contact with the child must be identified and treated at the same time<\/strong>.<\/p>\n<\/div>![\"\"](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/boutons-gale-nourrisson.png\")
<\/figure><\/div>\n\n\n\n![\"\"](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/boutons-gale-jambes.png\")
<\/figure>\nTreating severe or crusted scabies<\/h2>\n\n\n\n
Severe scabies and crusted (or hyperkeratotic) scabies<\/strong> require more intensive medical management, sometimes involving isolation or admission to a single room<\/strong>. These forms are much more contagious than common scabies due to the large number of mites present on the skin.<\/p>\n\n\n\nTreatment generally combines oral ivermectin with the application of a scabicide to the skin<\/strong>. Several doses or applications may be necessary [5].<\/p>\n<\/div><\/div>\n\n\n\n\nHow is scabies treated during pregnancy?<\/h2>\n\n\n\n
Scabies can be treated during pregnancy, but the choice of medication must be made by a doctor<\/strong>. If you are pregnant or think you might be, tell your doctor before starting any treatment and avoid self-medication.<\/p>\n\n\n\nAccording to the EN National Health Insurance Scheme, treatment for scabies in pregnant women involves, first and foremost, the topical application of 5 per cent permethrin<\/a> or 10 per cent benzyl benzoate, to be repeated between 8 and 14 days later.<\/p>\n\n\n\nDuring pregnancy, never start, stop or change a treatment for scabies without consulting a healthcare professional.<\/p>\n<\/div>![\"ventre](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/femme-enceinte.jpg\")
<\/figure><\/div>\n\n\n\n![\"lave](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2024\/11\/machine-a-laver.png\")
<\/figure>\nWhat should you do with clothes, bed linen and towels?<\/h2>\n\n\n\n
If you have scabies, you must eliminate any sarcoptic mites that may be present on your textiles.<\/p>\n\n\n\n
Machine wash at<\/strong> 60 \u00b0C<\/strong> any laundry that may have been contaminated:<\/p>\n\n\n\n\n- clothes and underwear;<\/li>\n\n\n\n
- sheets and pillowcases;<\/li>\n\n\n\n
- blankets;<\/li>\n\n\n\n
- bath towels;<\/li>\n\n\n\n
- other textiles recently used during an infestation.<\/li>\n<\/ul>\n\n\n\n
For clothes and textiles that cannot be washed at 60 \u00b0C, you can treat them with specialised sprays or place them in a bag<\/strong>plastique herm\u00e9tique pendant une semaine<\/strong> [4].<\/p>\n\n\n\n\n\nThe sarcoptic mite does not survive for long when separated from its host \u2013 2 to 3 days, according to<\/strong> the World Health Organisation.<\/p>\n<\/div>\n<\/div>\n\n\n\nTo minimise the risk of further infestation, make sure you treat the affected people and their laundry at the same time.<\/p>\n\n\n\n
See also:<\/strong> Bed bugs: how to wash your clothes and bedding?<\/a><\/p>\n<\/div><\/div>\n\n\n\n\nDo you need to disinfect the whole house?<\/h2>\n\n\n\n\n\nNo, there is no need to disinfect your entire home if you have common scabies.<\/strong> The sarcoptic mite survives for only a short time outside the human skin.<\/p>\n<\/div>\n<\/div>\n\n\n\nYou can still:<\/p>\n\n\n\n
\n- vacuum sofas, armchairs, carpets and mattresses thoroughly;<\/li>\n\n\n\n
- clean surfaces and objects that are used regularly;<\/li>\n\n\n\n
- avoid sharing towels, clothes and bedding whilst treatment is ongoing;<\/li>\n\n\n\n
- dispose of the vacuum cleaner bag after use, or empty and clean the dust compartment.<\/li>\n<\/ul>\n\n\n\n
However, greater precautions are required in cases of severe or hyperkeratotic scabies<\/strong>, as the number of mites present in the environment may be much higher. In this case, demandez conseil \u00e0 votre m\u00e9decin.<\/p>\n<\/div>![\"homme](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/desinfection-maison.jpg\")
<\/figure><\/div>\n\n\n\n<\/div>\n\n\n\nHow long does scabies last after treatment?<\/h2>\n\n\n\n\n\nEffective treatment eliminates the sarcoptic mites, but the symptoms of scabies do not disappear immediately. The itching may persist for several weeks after treatment<\/strong>, even though the mites have been eliminated [5].<\/p>\n<\/div>\n<\/div>\n\n\n\nDepending on how your skin reacts, they may even get worse for<\/strong> one to two weeks after treatment begins<\/strong>. So continuing to scratch does not necessarily mean that the scabies treatment has failed.<\/p>\n\n\n\nHow can you tell if the treatment has worked?<\/h3>\n\n\n\n
In principle, the itching and lesions gradually disappear. However, recovery from scabies must be assessed over time.<\/p>\n\n\n\n
Consult your doctor again if:<\/p>\n\n\n\n
\n- the itching does not subside as expected or worsens persistently;<\/li>\n\n\n\n
- new lesions or new rashes appear;<\/li>\n\n\n\n
- other people in your household develop symptoms;<\/li>\n\n\n\n
- you think you may have been exposed to a person with an infestation again.<\/li>\n<\/ul>\n\n\n\n
If in doubt, do not restart treatment on your own initiative. Your doctor must determine whether this is a case of persistent itching following recovery, treatment failure or re-infection<\/strong>nation<\/strong>.<\/p>\n\n\n\n\nHow can you prevent re-infection?<\/h2>\n\n\n\n
Having had scabies does not protect you against a new infestation. It is therefore possible to catch scabies more than once<\/strong>, particularly if someone you live with is still carrying the parasite [6].<\/p>\n\n\n\nTo minimise the risk of re-infection, three precautions are essential:<\/p>\n\n\n\n
\n- treat all affected people<\/strong> in your household at the same time, even if some do not yet show any symptoms;<\/li>\n\n\n\n
- follow the full course of the prescribed treatment<\/strong>, including where a second application or dose is required;<\/li>\n\n\n\n
- treat laundry and textiles at the same time<\/strong> as the people affected by infestation to prevent further exposure to the parasite.<\/li>\n<\/ul>\n<\/div>
![\"\"](\"https:\/\/www.sereni-d.com\/wp-content\/uploads\/2026\/09\/traitement-topique-gale.png\")
<\/figure><\/div>\n\n\n\n<\/div>\n\n\n\nFAQ<\/h2>\n\n\n\nHow long is scabies contagious?<\/h4><\/div>A person with scabies may be contagious even before the first symptoms appear. Once treatment has begun, the French National Health Insurance Service recommends avoiding skin-to-skin contact with others for three days after taking the first dose of treatment.<\/div><\/div>\n\n\n\nWhen can you go back to work or school after having scabies?<\/h4><\/div>For children and adults with common scabies, a return to community life is possible between 24 and 72 hours after a course of treatment has been followed correctly.<\/div><\/div>\n\n\n\nCan you sleep with someone who has scabies?<\/h4><\/div>Contact should be avoided until the period of contagiousness following the start of treatment has passed. Scabies is transmitted through prolonged skin-to-skin contact.<\/div><\/div>\n\n\n\nCan you catch scabies twice?<\/h4><\/div>Yes. A first infestation with scabies does not confer immunity to the parasite. A person who has recovered can therefore become infected again if they are re-exposed to Sarcoptes scabiei<\/em>.<\/div><\/div>\n\n\n\nShould the whole family be treated?<\/h4><\/div>That is preferable, but the final decision rests with your doctor.<\/div><\/div>\n\n\n\nR\u00e9f\u00e9rences<\/strong><\/p>\n\n\n\n[1] Organisation mondiale de la Sant\u00e9. Scabies (Gale). OMS, fiche d\u2019information<\/a>.<\/p>\n\n\n\n[2] Haut Conseil de la sant\u00e9 publique (HCSP). Survenue de un ou plusieurs cas de gale : conduite \u00e0 tenir. Novembre 2012<\/a>. <\/p>\n\n\n\n[3] Assurance Maladie. Gale : sympt\u00f4mes, diagnostic et \u00e9volution. Ameli.fr, mise \u00e0 jour le 10 novembre 2025<\/a>. <\/p>\n\n\n\n[4] Assurance Maladie. Traitement et mesures \u00e0 prendre en cas de gale. Ameli.fr, mise \u00e0 jour 23 avril 2025<\/a>.<\/p>\n\n\n\n
\u27a1\ufe0f Scabies is caused by the parasite Sarcoptes scabiei and is transmitted through prolonged skin-to-skin contact with a person who is infested.
\u27a1\ufe0f A person may be contagious before symptoms appear.
\u27a1\ufe0f Treatment for scabies can be topical or oral.
\u27a1\ufe0f It is best to treat those in close contact with the affected person at the same time.
\u27a1\ufe0f Itching may persist for several weeks after treatment without this necessarily meaning that the scabies is still active.
\u27a1\ufe0f Potentially contaminated clothes, bed linen and towels should be washed at 60 \u00b0C or sealed in an airtight bag.<\/p>\n<\/div>\n<\/div>\n\n\n\n
How do you catch scabies?<\/h2>\n\n\n\n<\/figure>\n<\/div>\n\n\nScabies is caused by Sarcoptes scabiei<\/em><\/a>, a microscopic mite that lives in the outermost layer of the skin. The female burrows small tunnels there to lay her eggs.<\/p>\n\n\n\n\n\n\ud83d\udc49<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong> It is important to note that it does not appear spontaneously on you; it is transmitted by someone who is already infested<\/strong> through direct and prolonged contact with their skin<\/strong>. The parasite is passed on in this way from one person to another [1].<\/p>\n<\/div>\n<\/div>\n\n\n\nThe following situations involving close contact are particularly high-risk:<\/p>\n\n\n\n
\n- between family members;<\/li>\n\n\n\n
- within a couple;<\/li>\n\n\n\n
- during sexual intercourse;<\/li>\n\n\n\n
- in certain communities.<\/li>\n<\/ul>\n\n\n\n\n\n
Please note:<\/strong> Brief contact, such as a handshake, carries a much lower risk of transmitting scabies.<\/p>\n<\/div>\n<\/div>\n\n\n\nCan you catch scabies from clothes or bed linen?<\/h3>\n\n\n\n
Yes, but it is less common. Transmission via clothes or bed linen is mainly possible in severe forms of scabies<\/strong> (profuse or hyperkeratotic), as the person then has many more mites on their skin [2].<\/p>\n\n\n\nThis is why both the person and the textiles must be treated.<\/p>\n\n\n\n
<\/div>\n\n\n\n\nWhat are the symptoms of scabies?<\/h2>\n\n\n\n
The main symptom of scabies is severe itching, which is often worse at night<\/strong>. It is usually accompanied by small red lesions caused by the parasite or by scratching [3].<\/p>\n\n\n\nSymptoms frequently appear:<\/p>\n\n\n\n
\n- between the fingers;<\/li>\n\n\n\n
- on the wrists and elbows;<\/li>\n\n\n\n
- in the armpits;<\/li>\n\n\n\n
- around the navel and waist;<\/li>\n\n\n\n
- on the buttocks;<\/li>\n\n\n\n
- in the genital area.<\/li>\n<\/ul>\n\n\n\n
Small, fine, winding lines<\/strong> may also be visible on the skin. These are the burrows dug by the female sarcoptic mite.<\/p>\n\n\n\nSee also:<\/strong> Scabies: what are the symptoms and how can you recognise it?<\/a><\/p>\n<\/div><\/figure><\/div>\n\n\n\nIs scabies contagious?<\/h2>\n\n\n\n
Yes, scabies is a highly contagious condition. It is important to note that a person can pass on scabies before the first signs of itching appear<\/strong>. During an initial infestation, there is in fact an incubation period generally lasting between 4 and 6 weeks<\/strong>, during which there are no visible symptoms (Source: World Health Organisation<\/a>).<\/p>\n\n\n\nHow long is scabies contagious?<\/h3>\n\n\n\n
Once treatment has begun, skin-to-skin contact should be avoided for 3 days to minimise the risk of transmission.<\/strong> The itching, however, may persist for several weeks, but this does not necessarily mean that the person is still contagious.<\/p>\n\n\n\n\n\nThe French National Health Insurance Scheme<\/a> states that itching generally persists for about two weeks after the end of treatment<\/strong>, and sometimes for two to four weeks, even as scabies begins to clear up.<\/p>\n<\/div>\n<\/div>\n\n\n\nHow is scabies treated?<\/h2>\n\n\n\n
Scabies does not clear up on its own; treatment in the form of a cream (topical), tablets or both is necessary<\/strong>. The choice of medication will depend on the patient\u2019s age, their state of health and the type of scabies. It is essential that people in your household are also treated [4].<\/p>\n\n\n\n<\/figure>\nTopical treatments for scabies<\/h2>\n\n\n\n
Topical treatments are medicines<\/strong> scabicides<\/strong> designed to eliminate Sarcoptes mites (the parasites responsible for scabies).<\/p>\n\n\n\nAccording to the EN National Health Insurance Scheme<\/a>, two products in particular can be used to treat common scabies:<\/p>\n\n\n\n\n- 5 per cent permethrin<\/strong>, in cream form;<\/li>\n\n\n\n
- benzyl benzoate<\/strong>, in lotion form [4].<\/li>\n<\/ul>\n\n\n\n
5% permethrin is one of the main standard topical treatments for scabies [5].
The product must be applied carefully to the areas indicated by the doctor, taking care to cover skin folds and other places where the Sarcoptes mite may hide.<\/p>\n\n\n\n
Make sure you follow the doctor\u2019s instructions and the product information leaflet<\/strong>, particularly regardingant les zones \u00e0 traiter, la dur\u00e9e d\u2019application et le renouvellement \u00e9ventuel du traitement.<\/p>\n<\/div><\/div>\n\n\n\n\nOral treatment<\/h2>\n\n\n\n
Ivermectin<\/strong> is the main oral treatment<\/strong> for scabies. This antiparasitic medicine (available on prescription only) acts on the sarcoptic mite\u2019s nervous system to kill it.<\/p>\n\n\n\nThe choice between topical treatment and ivermectin depends, in particular, on the patient\u2019s age, weight, state of health, the type of scabies and the number of people to be treated [4][5].
<\/p>\n<\/div><\/figure><\/div>\n\n\n\nShould the whole family be treated? <\/h3>\n\n\n\n\n\nIt is best to treat people who have had close and prolonged contact with the person who has been infected<\/strong> at the same time, even if they do not yet have any itching.<\/p>\n<\/div>\n<\/div>\n\n\n\nThis precaution is important because an individual with an infestation may be contagious several weeks before the first symptoms appear<\/strong>. Without simultaneous treatment of those who have been in contact with the individual with an infestation, there is therefore a risk that the parasite will spread amongst members of the household once again.<\/p>\n\n\n\n\nTreating scabies in children or infants<\/h2>\n\n\n\n
In children, treatment for scabies must be tailored to their age and weight<\/strong>. In infants under 2 years of age, the doctor determines, in particular, which product to use and the duration of treatment. Oral ivermectin is contraindicated in children weighing less than 15 kg<\/strong> [4].<\/p>\n\n\n\nAs with adults, treatment is not limited to the child alone: people who have had close contact with the child must be identified and treated at the same time<\/strong>.<\/p>\n<\/div><\/figure><\/div>\n\n\n\n<\/figure>\nTreating severe or crusted scabies<\/h2>\n\n\n\n
Severe scabies and crusted (or hyperkeratotic) scabies<\/strong> require more intensive medical management, sometimes involving isolation or admission to a single room<\/strong>. These forms are much more contagious than common scabies due to the large number of mites present on the skin.<\/p>\n\n\n\nTreatment generally combines oral ivermectin with the application of a scabicide to the skin<\/strong>. Several doses or applications may be necessary [5].<\/p>\n<\/div><\/div>\n\n\n\n\nHow is scabies treated during pregnancy?<\/h2>\n\n\n\n
Scabies can be treated during pregnancy, but the choice of medication must be made by a doctor<\/strong>. If you are pregnant or think you might be, tell your doctor before starting any treatment and avoid self-medication.<\/p>\n\n\n\nAccording to the EN National Health Insurance Scheme, treatment for scabies in pregnant women involves, first and foremost, the topical application of 5 per cent permethrin<\/a> or 10 per cent benzyl benzoate, to be repeated between 8 and 14 days later.<\/p>\n\n\n\nDuring pregnancy, never start, stop or change a treatment for scabies without consulting a healthcare professional.<\/p>\n<\/div><\/figure><\/div>\n\n\n\n<\/figure>\nWhat should you do with clothes, bed linen and towels?<\/h2>\n\n\n\n
If you have scabies, you must eliminate any sarcoptic mites that may be present on your textiles.<\/p>\n\n\n\n
Machine wash at<\/strong> 60 \u00b0C<\/strong> any laundry that may have been contaminated:<\/p>\n\n\n\n\n- clothes and underwear;<\/li>\n\n\n\n
- sheets and pillowcases;<\/li>\n\n\n\n
- blankets;<\/li>\n\n\n\n
- bath towels;<\/li>\n\n\n\n
- other textiles recently used during an infestation.<\/li>\n<\/ul>\n\n\n\n
For clothes and textiles that cannot be washed at 60 \u00b0C, you can treat them with specialised sprays or place them in a bag<\/strong>plastique herm\u00e9tique pendant une semaine<\/strong> [4].<\/p>\n\n\n\n\n\nThe sarcoptic mite does not survive for long when separated from its host \u2013 2 to 3 days, according to<\/strong> the World Health Organisation.<\/p>\n<\/div>\n<\/div>\n\n\n\nTo minimise the risk of further infestation, make sure you treat the affected people and their laundry at the same time.<\/p>\n\n\n\n
See also:<\/strong> Bed bugs: how to wash your clothes and bedding?<\/a><\/p>\n<\/div><\/div>\n\n\n\n\nDo you need to disinfect the whole house?<\/h2>\n\n\n\n\n\nNo, there is no need to disinfect your entire home if you have common scabies.<\/strong> The sarcoptic mite survives for only a short time outside the human skin.<\/p>\n<\/div>\n<\/div>\n\n\n\nYou can still:<\/p>\n\n\n\n
\n- vacuum sofas, armchairs, carpets and mattresses thoroughly;<\/li>\n\n\n\n
- clean surfaces and objects that are used regularly;<\/li>\n\n\n\n
- avoid sharing towels, clothes and bedding whilst treatment is ongoing;<\/li>\n\n\n\n
- dispose of the vacuum cleaner bag after use, or empty and clean the dust compartment.<\/li>\n<\/ul>\n\n\n\n
However, greater precautions are required in cases of severe or hyperkeratotic scabies<\/strong>, as the number of mites present in the environment may be much higher. In this case, demandez conseil \u00e0 votre m\u00e9decin.<\/p>\n<\/div><\/figure><\/div>\n\n\n\n<\/div>\n\n\n\nHow long does scabies last after treatment?<\/h2>\n\n\n\n\n\nEffective treatment eliminates the sarcoptic mites, but the symptoms of scabies do not disappear immediately. The itching may persist for several weeks after treatment<\/strong>, even though the mites have been eliminated [5].<\/p>\n<\/div>\n<\/div>\n\n\n\nDepending on how your skin reacts, they may even get worse for<\/strong> one to two weeks after treatment begins<\/strong>. So continuing to scratch does not necessarily mean that the scabies treatment has failed.<\/p>\n\n\n\nHow can you tell if the treatment has worked?<\/h3>\n\n\n\n
In principle, the itching and lesions gradually disappear. However, recovery from scabies must be assessed over time.<\/p>\n\n\n\n
Consult your doctor again if:<\/p>\n\n\n\n
\n- the itching does not subside as expected or worsens persistently;<\/li>\n\n\n\n
- new lesions or new rashes appear;<\/li>\n\n\n\n
- other people in your household develop symptoms;<\/li>\n\n\n\n
- you think you may have been exposed to a person with an infestation again.<\/li>\n<\/ul>\n\n\n\n
If in doubt, do not restart treatment on your own initiative. Your doctor must determine whether this is a case of persistent itching following recovery, treatment failure or re-infection<\/strong>nation<\/strong>.<\/p>\n\n\n\n\nHow can you prevent re-infection?<\/h2>\n\n\n\n
Having had scabies does not protect you against a new infestation. It is therefore possible to catch scabies more than once<\/strong>, particularly if someone you live with is still carrying the parasite [6].<\/p>\n\n\n\nTo minimise the risk of re-infection, three precautions are essential:<\/p>\n\n\n\n
\n- treat all affected people<\/strong> in your household at the same time, even if some do not yet show any symptoms;<\/li>\n\n\n\n
- follow the full course of the prescribed treatment<\/strong>, including where a second application or dose is required;<\/li>\n\n\n\n
- treat laundry and textiles at the same time<\/strong> as the people affected by infestation to prevent further exposure to the parasite.<\/li>\n<\/ul>\n<\/div>
<\/figure><\/div>\n\n\n\n<\/div>\n\n\n\nFAQ<\/h2>\n\n\n\nHow long is scabies contagious?<\/h4><\/div>A person with scabies may be contagious even before the first symptoms appear. Once treatment has begun, the French National Health Insurance Service recommends avoiding skin-to-skin contact with others for three days after taking the first dose of treatment.<\/div><\/div>\n\n\n\nWhen can you go back to work or school after having scabies?<\/h4><\/div>For children and adults with common scabies, a return to community life is possible between 24 and 72 hours after a course of treatment has been followed correctly.<\/div><\/div>\n\n\n\nCan you sleep with someone who has scabies?<\/h4><\/div>Contact should be avoided until the period of contagiousness following the start of treatment has passed. Scabies is transmitted through prolonged skin-to-skin contact.<\/div><\/div>\n\n\n\nCan you catch scabies twice?<\/h4><\/div>Yes. A first infestation with scabies does not confer immunity to the parasite. A person who has recovered can therefore become infected again if they are re-exposed to Sarcoptes scabiei<\/em>.<\/div><\/div>\n\n\n\nShould the whole family be treated?<\/h4><\/div>That is preferable, but the final decision rests with your doctor.<\/div><\/div>\n\n\n\nR\u00e9f\u00e9rences<\/strong><\/p>\n\n\n\n[1] Organisation mondiale de la Sant\u00e9. Scabies (Gale). OMS, fiche d\u2019information<\/a>.<\/p>\n\n\n\n[2] Haut Conseil de la sant\u00e9 publique (HCSP). Survenue de un ou plusieurs cas de gale : conduite \u00e0 tenir. Novembre 2012<\/a>. <\/p>\n\n\n\n[3] Assurance Maladie. Gale : sympt\u00f4mes, diagnostic et \u00e9volution. Ameli.fr, mise \u00e0 jour le 10 novembre 2025<\/a>. <\/p>\n\n\n\n[4] Assurance Maladie. Traitement et mesures \u00e0 prendre en cas de gale. Ameli.fr, mise \u00e0 jour 23 avril 2025<\/a>.<\/p>\n\n\n\n
<\/figure>\n<\/div>\n\n\nScabies is caused by Sarcoptes scabiei<\/em><\/a>, a microscopic mite that lives in the outermost layer of the skin. The female burrows small tunnels there to lay her eggs.<\/p>\n\n\n\n \ud83d\udc49<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong> It is important to note that it does not appear spontaneously on you; it is transmitted by someone who is already infested<\/strong> through direct and prolonged contact with their skin<\/strong>. The parasite is passed on in this way from one person to another [1].<\/p>\n<\/div>\n<\/div>\n\n\n\n The following situations involving close contact are particularly high-risk:<\/p>\n\n\n\n Please note:<\/strong> Brief contact, such as a handshake, carries a much lower risk of transmitting scabies.<\/p>\n<\/div>\n<\/div>\n\n\n\n Yes, but it is less common. Transmission via clothes or bed linen is mainly possible in severe forms of scabies<\/strong> (profuse or hyperkeratotic), as the person then has many more mites on their skin [2].<\/p>\n\n\n\n This is why both the person and the textiles must be treated.<\/p>\n\n\n\n The main symptom of scabies is severe itching, which is often worse at night<\/strong>. It is usually accompanied by small red lesions caused by the parasite or by scratching [3].<\/p>\n\n\n\n Symptoms frequently appear:<\/p>\n\n\n\n Small, fine, winding lines<\/strong> may also be visible on the skin. These are the burrows dug by the female sarcoptic mite.<\/p>\n\n\n\n See also:<\/strong> Scabies: what are the symptoms and how can you recognise it?<\/a><\/p>\n<\/div> Yes, scabies is a highly contagious condition. It is important to note that a person can pass on scabies before the first signs of itching appear<\/strong>. During an initial infestation, there is in fact an incubation period generally lasting between 4 and 6 weeks<\/strong>, during which there are no visible symptoms (Source: World Health Organisation<\/a>).<\/p>\n\n\n\n Once treatment has begun, skin-to-skin contact should be avoided for 3 days to minimise the risk of transmission.<\/strong> The itching, however, may persist for several weeks, but this does not necessarily mean that the person is still contagious.<\/p>\n\n\n\n The French National Health Insurance Scheme<\/a> states that itching generally persists for about two weeks after the end of treatment<\/strong>, and sometimes for two to four weeks, even as scabies begins to clear up.<\/p>\n<\/div>\n<\/div>\n\n\n\n Scabies does not clear up on its own; treatment in the form of a cream (topical), tablets or both is necessary<\/strong>. The choice of medication will depend on the patient\u2019s age, their state of health and the type of scabies. It is essential that people in your household are also treated [4].<\/p>\n\n\n\n Topical treatments are medicines<\/strong> scabicides<\/strong> designed to eliminate Sarcoptes mites (the parasites responsible for scabies).<\/p>\n\n\n\n According to the EN National Health Insurance Scheme<\/a>, two products in particular can be used to treat common scabies:<\/p>\n\n\n\n 5% permethrin is one of the main standard topical treatments for scabies [5]. Make sure you follow the doctor\u2019s instructions and the product information leaflet<\/strong>, particularly regardingant les zones \u00e0 traiter, la dur\u00e9e d\u2019application et le renouvellement \u00e9ventuel du traitement.<\/p>\n<\/div><\/div>\n\n\n\n Ivermectin<\/strong> is the main oral treatment<\/strong> for scabies. This antiparasitic medicine (available on prescription only) acts on the sarcoptic mite\u2019s nervous system to kill it.<\/p>\n\n\n\n The choice between topical treatment and ivermectin depends, in particular, on the patient\u2019s age, weight, state of health, the type of scabies and the number of people to be treated [4][5]. It is best to treat people who have had close and prolonged contact with the person who has been infected<\/strong> at the same time, even if they do not yet have any itching.<\/p>\n<\/div>\n<\/div>\n\n\n\n This precaution is important because an individual with an infestation may be contagious several weeks before the first symptoms appear<\/strong>. Without simultaneous treatment of those who have been in contact with the individual with an infestation, there is therefore a risk that the parasite will spread amongst members of the household once again.<\/p>\n\n\n\n In children, treatment for scabies must be tailored to their age and weight<\/strong>. In infants under 2 years of age, the doctor determines, in particular, which product to use and the duration of treatment. Oral ivermectin is contraindicated in children weighing less than 15 kg<\/strong> [4].<\/p>\n\n\n\n As with adults, treatment is not limited to the child alone: people who have had close contact with the child must be identified and treated at the same time<\/strong>.<\/p>\n<\/div> Severe scabies and crusted (or hyperkeratotic) scabies<\/strong> require more intensive medical management, sometimes involving isolation or admission to a single room<\/strong>. These forms are much more contagious than common scabies due to the large number of mites present on the skin.<\/p>\n\n\n\n Treatment generally combines oral ivermectin with the application of a scabicide to the skin<\/strong>. Several doses or applications may be necessary [5].<\/p>\n<\/div><\/div>\n\n\n\n Scabies can be treated during pregnancy, but the choice of medication must be made by a doctor<\/strong>. If you are pregnant or think you might be, tell your doctor before starting any treatment and avoid self-medication.<\/p>\n\n\n\n According to the EN National Health Insurance Scheme, treatment for scabies in pregnant women involves, first and foremost, the topical application of 5 per cent permethrin<\/a> or 10 per cent benzyl benzoate, to be repeated between 8 and 14 days later.<\/p>\n\n\n\n During pregnancy, never start, stop or change a treatment for scabies without consulting a healthcare professional.<\/p>\n<\/div> If you have scabies, you must eliminate any sarcoptic mites that may be present on your textiles.<\/p>\n\n\n\n Machine wash at<\/strong> 60 \u00b0C<\/strong> any laundry that may have been contaminated:<\/p>\n\n\n\n For clothes and textiles that cannot be washed at 60 \u00b0C, you can treat them with specialised sprays or place them in a bag<\/strong>plastique herm\u00e9tique pendant une semaine<\/strong> [4].<\/p>\n\n\n\n The sarcoptic mite does not survive for long when separated from its host \u2013 2 to 3 days, according to<\/strong> the World Health Organisation.<\/p>\n<\/div>\n<\/div>\n\n\n\n To minimise the risk of further infestation, make sure you treat the affected people and their laundry at the same time.<\/p>\n\n\n\n See also:<\/strong> Bed bugs: how to wash your clothes and bedding?<\/a><\/p>\n<\/div><\/div>\n\n\n\n No, there is no need to disinfect your entire home if you have common scabies.<\/strong> The sarcoptic mite survives for only a short time outside the human skin.<\/p>\n<\/div>\n<\/div>\n\n\n\n You can still:<\/p>\n\n\n\n However, greater precautions are required in cases of severe or hyperkeratotic scabies<\/strong>, as the number of mites present in the environment may be much higher. In this case, demandez conseil \u00e0 votre m\u00e9decin.<\/p>\n<\/div> Effective treatment eliminates the sarcoptic mites, but the symptoms of scabies do not disappear immediately. The itching may persist for several weeks after treatment<\/strong>, even though the mites have been eliminated [5].<\/p>\n<\/div>\n<\/div>\n\n\n\n Depending on how your skin reacts, they may even get worse for<\/strong> one to two weeks after treatment begins<\/strong>. So continuing to scratch does not necessarily mean that the scabies treatment has failed.<\/p>\n\n\n\n In principle, the itching and lesions gradually disappear. However, recovery from scabies must be assessed over time.<\/p>\n\n\n\n Consult your doctor again if:<\/p>\n\n\n\n If in doubt, do not restart treatment on your own initiative. Your doctor must determine whether this is a case of persistent itching following recovery, treatment failure or re-infection<\/strong>nation<\/strong>.<\/p>\n\n\n\n Having had scabies does not protect you against a new infestation. It is therefore possible to catch scabies more than once<\/strong>, particularly if someone you live with is still carrying the parasite [6].<\/p>\n\n\n\n To minimise the risk of re-infection, three precautions are essential:<\/p>\n\n\n\n R\u00e9f\u00e9rences<\/strong><\/p>\n\n\n\n [1] Organisation mondiale de la Sant\u00e9. Scabies (Gale). OMS, fiche d\u2019information<\/a>.<\/p>\n\n\n\n [2] Haut Conseil de la sant\u00e9 publique (HCSP). Survenue de un ou plusieurs cas de gale : conduite \u00e0 tenir. Novembre 2012<\/a>. <\/p>\n\n\n\n [3] Assurance Maladie. Gale : sympt\u00f4mes, diagnostic et \u00e9volution. Ameli.fr, mise \u00e0 jour le 10 novembre 2025<\/a>. <\/p>\n\n\n\n [4] Assurance Maladie. Traitement et mesures \u00e0 prendre en cas de gale. Ameli.fr, mise \u00e0 jour 23 avril 2025<\/a>.<\/p>\n\n\n\n\n
Can you catch scabies from clothes or bed linen?<\/h3>\n\n\n\n
What are the symptoms of scabies?<\/h2>\n\n\n\n
\n
<\/figure><\/div>\n\n\n\nIs scabies contagious?<\/h2>\n\n\n\n
How long is scabies contagious?<\/h3>\n\n\n\n
How is scabies treated?<\/h2>\n\n\n\n
<\/figure>Topical treatments for scabies<\/h2>\n\n\n\n
\n
The product must be applied carefully to the areas indicated by the doctor, taking care to cover skin folds and other places where the Sarcoptes mite may hide.<\/p>\n\n\n\nOral treatment<\/h2>\n\n\n\n
<\/p>\n<\/div><\/figure><\/div>\n\n\n\nShould the whole family be treated? <\/h3>\n\n\n\n
Treating scabies in children or infants<\/h2>\n\n\n\n
<\/figure><\/div>\n\n\n\n<\/figure>Treating severe or crusted scabies<\/h2>\n\n\n\n
How is scabies treated during pregnancy?<\/h2>\n\n\n\n
<\/figure><\/div>\n\n\n\n<\/figure>What should you do with clothes, bed linen and towels?<\/h2>\n\n\n\n
\n
Do you need to disinfect the whole house?<\/h2>\n\n\n\n
\n
<\/figure><\/div>\n\n\n\nHow long does scabies last after treatment?<\/h2>\n\n\n\n
How can you tell if the treatment has worked?<\/h3>\n\n\n\n
\n
How can you prevent re-infection?<\/h2>\n\n\n\n
\n
<\/figure><\/div>\n\n\n\nFAQ<\/h2>\n\n\n\n
How long is scabies contagious?<\/h4><\/div>
When can you go back to work or school after having scabies?<\/h4><\/div>
Can you sleep with someone who has scabies?<\/h4><\/div>
Can you catch scabies twice?<\/h4><\/div>
Should the whole family be treated?<\/h4><\/div>