How is scabies primarily transmitted?

Scabies is primarily transmitted through direct skin-to-skin contact with an infested person. This includes prolonged contact, such as hugging or sharing a bed. Additionally, indirect contact can occur through infested items, such as clothing, bedding, or towels, where the mites can survive for a short period outside the human skin. This makes the option that includes both direct and indirect contact the most accurate representation of how scabies spreads. Understanding this transmission route is crucial for effective prevention and control measures in a healthcare setting or community.