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Scabies in healthcare settings.
Curr Opin Infect Dis. 2010 Apr; 23(2):111-8.CO

Abstract

PURPOSE OF REVIEW

In industrialized countries, epidemics of scabies are mainly described within families or in institutions such as healthcare settings. Control of institutional scabies is associated with a considerable working and economic burden, but guidelines for the management are scarce.

RECENT FINDINGS

The prevalence of institutional scabies is probably underestimated. Identified risk factors for institutional scabies outbreaks include the institution type, extensive physical contact with patients and movement of patients, the existence of crusted scabies, a long diagnostic delay and failures in implementation of infection control or treatment plans.Atypical clinical features (hyperinfestation, scabies in the elderly or in children) may be misdiagnosed. Control of institutional scabies outbreaks relies on prompt recognition of the index case, constitution of an outbreak management team, determination of the extent of the outbreak and risk factors for spread, immediate implementation of infection control practices, adequate education of all involved persons, simultaneous treatment of cases and of all exposed individuals and concomitant environmental disinfection. Prolonged surveillance is imperative to eradicate scabies.

SUMMARY

The inclusion of institutionalized patients in randomized controlled trials would be beneficial as present data concerning scabicide effectiveness are obtained from trials that recruited individual participants and do not take into account a global strategy.

Authors+Show Affiliations

Department of Dermatology, Hôpital Henri Mondor, Créteil, France.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20075729

Citation

Bouvresse, Sophie, and Olivier Chosidow. "Scabies in Healthcare Settings." Current Opinion in Infectious Diseases, vol. 23, no. 2, 2010, pp. 111-8.
Bouvresse S, Chosidow O. Scabies in healthcare settings. Curr Opin Infect Dis. 2010;23(2):111-8.
Bouvresse, S., & Chosidow, O. (2010). Scabies in healthcare settings. Current Opinion in Infectious Diseases, 23(2), 111-8. https://doi.org/10.1097/QCO.0b013e328336821b
Bouvresse S, Chosidow O. Scabies in Healthcare Settings. Curr Opin Infect Dis. 2010;23(2):111-8. PubMed PMID: 20075729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scabies in healthcare settings. AU - Bouvresse,Sophie, AU - Chosidow,Olivier, PY - 2010/1/16/entrez PY - 2010/1/16/pubmed PY - 2010/5/12/medline SP - 111 EP - 8 JF - Current opinion in infectious diseases JO - Curr. Opin. Infect. Dis. VL - 23 IS - 2 N2 - PURPOSE OF REVIEW: In industrialized countries, epidemics of scabies are mainly described within families or in institutions such as healthcare settings. Control of institutional scabies is associated with a considerable working and economic burden, but guidelines for the management are scarce. RECENT FINDINGS: The prevalence of institutional scabies is probably underestimated. Identified risk factors for institutional scabies outbreaks include the institution type, extensive physical contact with patients and movement of patients, the existence of crusted scabies, a long diagnostic delay and failures in implementation of infection control or treatment plans.Atypical clinical features (hyperinfestation, scabies in the elderly or in children) may be misdiagnosed. Control of institutional scabies outbreaks relies on prompt recognition of the index case, constitution of an outbreak management team, determination of the extent of the outbreak and risk factors for spread, immediate implementation of infection control practices, adequate education of all involved persons, simultaneous treatment of cases and of all exposed individuals and concomitant environmental disinfection. Prolonged surveillance is imperative to eradicate scabies. SUMMARY: The inclusion of institutionalized patients in randomized controlled trials would be beneficial as present data concerning scabicide effectiveness are obtained from trials that recruited individual participants and do not take into account a global strategy. SN - 1473-6527 UR - https://www.unboundmedicine.com/medline/citation/20075729/full_citation L2 - http://dx.doi.org/10.1097/QCO.0b013e328336821b DB - PRIME DP - Unbound Medicine ER -