title: Treatment of scabies with 5% permethrin cream: results of a German multicenter study.
abstract: BACKGROUND
  Until recently, no prescription drug containing permethrin for the therapy of scabies was available on the German market.Therefore, a 5% permethrin cream formulation (InfectoScab 5%) was tested in a single-arm multi-center study including adults and children from 3 months of age with proven scabies.
  
  
  METHODS
  On day 0, patients were treated once with permethrin cream in the study center. Control examinations including dermatoscopy were performed on day 14+/-2 and on day 28+/-3. Patients who were not considered cured or who had contact to individuals with untreated scabies received one further treatment with permethrin cream on day 14+/-2. Itching and local tolerability of the cream were documented in patients' diaries. Side effects were assessed by history, skin inspection and evaluation of patients' notes.
  
  
  RESULTS
  106 patients in 13 centers were enrolled in the study. Their mean age was 29.2 years (range, 141 days to 71.9 years); 34% of them were children or adolescents. 78.3% of patients were either severely (3 body sites) or very severely (4-5 sites) affected. The cure rate on day 28+/-3 was 95.1% (95% confidence interval, 91.0-99.3%). Pruritus declined markedly and continuously. In general, the cream was well tolerated; side effects were almost invariably mild.
  
  
  CONCLUSIONS
  Our results support the efficacy and safety of 5% permethrin cream in adults, children and infants suffering from scabies. These results have contributed to the approval of InfectoScab 5% in Germany for the treatment of scabies in October 2004.
authors: Department of Dermatology, University of Würzburg, Würzburg, Germany.
authors: Henning
authors: H
authors: Hamm
authors: Ulrike
authors: U
authors: Beiteke
authors: Peter H
authors: PH
authors: Höger
authors: Cornelia S
authors: CS
authors: Seitz
authors: Diamant
authors: D
authors: Thaci
authors: Cord
authors: C
authors: Sunderkötter