Scabies in healthcare settings

  title={Scabies in healthcare settings},
  author={Sophie Bouvresse and Olivier Chosidow},
  journal={Current Opinion in Infectious Diseases},
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… 

Abstract. Scabies is an infection caused by Sarcoptes scabiei. In developed countries, scabies remains an important public health problem in hospitals and care facilities among elderly

Scabies is an infection caused by Sarcoptes scabiei. In developed countries, scabies remains an important public health problem in hospitals and care facilities among elderly or immunocompromised

A scabies outbreak in a diabetic and collagen disease ward: Management and prevention.

Scabies is an infection caused by Sarcoptes scabiei. In developed countries, scabies remains an important public health problem in hospitals and care facilities among elderly or immunocompromised

Scabies outbreak among healthcare workers in a German acute care hospital

The scabies outbreak was most likely driven by three factors: an index patient with crusted scabies; a delayed diagnosis of this patient; and close physical contact without gloves during his hospital stay, which has the potential to limit future scabies outbreaks.

The management of scabies outbreaks in residential care facilities for the elderly in England: a review of current health protection guidelines

It is concluded that the heterogeneous nature of the guidelines reviewed is an argument in favour of national guidelines being produced for the management of scabies outbreaks in RCFE throughout England.

Management of nosocomial scabies, an outbreak of occupational disease.

Containment of an outbreak relies on a quick and strict implementation of appropriate infection control measures and should include simultaneous treatment of all infested persons and exposed contacts to prevent secondary spread and prolonged post-intervention surveillance.

Prevalence of scabies in long-term care hospitals in South Korea

The incidence rate of scabies in long-term care hospitals in South Korea has increased and regular and enhanced staff training is needed, considering that most hospitals rarely focused on the handling of equipment and furniture used by scabies patients and on educating their healthcare staff.

Scabies outbreaks in residential care homes: factors associated with late recognition, burden and impact. A mixed methods study in England

The need for improved support for care homes in detecting and managing scabies outbreaks in southern England is demonstrated, including late diagnosis and recognition of outbreaks; logistically difficult mass treatment; distressing treatment processes and high costs.



Scabies in chronic health care institutions.

Scabies is a common problem in chronic health care facilities; however, diagnosis and management may be difficult and the development of a specific protocol for the management of such outbreaks by the appropriate public health agencies would be useful.

An outbreak of scabies: a forgotten parasitic disease still present in Switzerland.

This first reported observation of a large scabies outbreak involving health care institutions in Switzerland demonstrates that it is not an obsolete disease and that a high index of suspicion must be maintained in order to promptly detect difficult cases and to curb potential outbreaks.

Scabies Outbreak in an Intensive Care Unit with 1,659 Exposed Individuals—Key Factors for Controlling the Outbreak

A too-restricted definition of individuals at risk, non-compliance with treatment, and the limited effectiveness of lindane likely led to treatment failure, relapse, and reinfestation within families.

Nosocomial outbreak of scabies in a hospital in Spain.

An outbreak of scabies occurred in a ward of a local hospital in Barbastro (Huesca, Spain), between November 2002 and January 2003, attributed to a delay in diagnosis, and lack of individual protection measures by caregivers.

Controlling scabies in institutional settings: a review of medications, treatment models, and implementation.

  • N. Scheinfeld
  • Medicine
    American journal of clinical dermatology
  • 2004
Model treatment plans to stop scabies epidemics have been developed and require coordination of all involved personnel and sustained efforts to halt the spread of scabies to patients and staff, to enhance their morale, and to prevent deterioration of labor and public relations.

An Outbreak of Scabies in a Teaching Hospital Lessons Learned

An outbreak of scabies in an inner-city teaching hospital is investigated, pathways of transmission are identified, effective control measures are institute, and a surveillance system provides a “barometric measure” of the infection rate in the community.

Scabies Outbreaks in Nursing Homes for the Elderly

Scabies outbreaks and cases of scabies crustosa can easily be managed using combination therapy consisting of topical application of permethrin and two oral doses of ivermectin 200 µg/kg (administered 1 week apart).

Risk factors of scabies in psychiatric and long‐term care hospitals: A nationwide mail‐in survey in Japan

Multivariate regression analysis showed that hospitals had a greater number of beds, and that acute‐ and long‐term care wards were more likely to experience scabies onsets, and Preventive measures against scabies, such as patient screening at admission and treating all suspicious patients without confirmed diagnosis, were not effective to avoid scabies introduction.

[Causes of spread and return of scabies in health care institutes; literature analysis of 44 epidemics].

Six factors that contribute to the transmission and return of scabies in health care institutions were found, including the generally long diagnostic delay, insufficient survey of the epidemiological problem, treatment failures and incomplete post-intervention monitoring.