There is more to consider for older adults with scabies, particularly those in aged care facilities

Scabies infestations can present differently in older adults, and may require additional considerations when diagnosing and before initiating treatment. While topical permethrin and benzyl benzoate are typically recommended for initial management, the difficulties involved in topical administration for older adults and a concern around possible treatment resistance may warrant a switch to oral ivermectin. This is especially true for scabies outbreaks in aged care facilities, which are very common, and demand more time and resources to diagnose and treat. To hopefully address these and other concerns, several new treatment options are being explored to treat scabies infestation.