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Scabies in healthcare settings.
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.
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Scabies epidemics frequently occur in nursing homes, hospitals, residential facilities, and other communities.
“Scabies epidemics frequently occur in nursing homes, hospitals, residential facilities, and other communities (1420,1421).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1420]
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Metadata
- Authors
- Bouvresse, S., & Chosidow, O.
- Affiliations
- Centre Hospitalier Universitaire Henri-Mondor (FR)
- Corresponding author
- Chosidow, Olivier
- ORCID
- Chosidow, Olivier
- Venue
- Current Opinion in Infectious Diseases
- Published
- 2010-04
- Volume
- 23
- Issue
- 2
- Pages
- 111-118
- ISSN
- 0951-7375 (ISSN-L)
- OpenAlex
- W1983081877
- Cited by
- 96
- References
- 55
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 9 · 2022: 4 · 2021: 4 · 2020: 6 · 2019: 9 · 2018: 4 · 2017: 6 · 2016: 7 · 2015: 13 · 2014: 7 · 2013: 2 · 2012: 6
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- scabies, healthcare settings, epidemic control, infection control, crusted scabies, misdiagnosis, environmental disinfection, healthcare workers
- MeSH terms
- Disease Outbreaks, Health Facilities, Humans, Insecticides, Scabies, Prevalence, Randomized Controlled Trials as Topic, Infection Control
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