Control of large institutional scabies outbreaks
Background: Scabies outbreaks in community facilities may reach large dimensions and take a protracted course. Highly contagious crusted scabies is a major cause of nosocomial outbreaks. Patients and methods: On the occasion of an extensive scabies outbreak in a north Bavarian sheltered workshop and...
Gespeichert in:
| Hauptverfasser: | , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
28 March 2012
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| In: |
Journal der Deutschen Dermatologischen Gesellschaft
Year: 2012, Jahrgang: 10, Heft: 9, Pages: 637-648 |
| ISSN: | 1610-0387 |
| DOI: | 10.1111/j.1610-0387.2012.07892.x |
| Online-Zugang: | Verlag, Pay-per-use, Volltext: http://dx.doi.org/10.1111/j.1610-0387.2012.07892.x Verlag, Pay-per-use, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1610-0387.2012.07892.x 
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| Verfasserangaben: | Johanna Stoevesandt, Lydia Carlé, Martin Leverkus, Henning Hamm |
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| 520 | |a Background: Scabies outbreaks in community facilities may reach large dimensions and take a protracted course. Highly contagious crusted scabies is a major cause of nosocomial outbreaks. Patients and methods: On the occasion of an extensive scabies outbreak in a north Bavarian sheltered workshop and its associated residential homes with over 500 exposed individuals, a multifaceted control strategy was developed and pursued. Knowledge from a comprehensive review of the literature was utilized. Results: Our successful scabies elimination concept includes: 1) Careful organization (formation of an outbreak management team, registration and information of all exposed individuals, prospective time management, financial calculation); 2) simultaneous clinical examination of all individuals at risk; 3) synchronous topical treatment of all exposed individuals with permethrin 5 % cream on day 0, repeated treatment of proven and doubtful cases on days 1 and 14; systemic treatment of selected cases with oral ivermectin; 4) decontamination and quarantine measures; 5) follow-up investigations and repeated treatment if indicated. Conclusions: Management of large institutional scabies outbreaks requires a high degree of motivation, communication skills and perseverance. | ||
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