Nosocomial Outbreak of Scabies

Gooch, James J.; Strasius, Stanley R.; Beamer, Betty; Reiter, Michael D.; Correll, Gene W.

doi:10.1001/archderm.1978.01640180031007

Cited by 28 publications

(3 citation statements)

References 6 publications

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“…3 5 3 6 So called Norwegian scabies, a variant characterized by large numbers of mites, is particularly contagious, and infection was documented in 30 of 86 hospital employees having direct contact with an unsuspected case. 36 Skin-to-skin contact, particularly that likely to be associated with lifting or turning the patient, may cause infection. Incubation periods in hospital personnel ranged from 7 to 27 days but was usually about two weeks.…”

Section: Ectoparasitesmentioning

confidence: 99%

Nosocomial Sexuall Transmitted Disease

Rein

1984

Infect. Control

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Section: Ectoparasitesmentioning

confidence: 99%

Nosocomial Sexuall Transmitted Disease

Rein

1984

Infect. Control

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“…La escabiasis costrosa es una entidad que se observa en sujetos inmunocomprometidos y se caracteriza por proliferación masiva de Sarcoptes scabiei var hominis, así como por la dificultad para diagnosticarla rápidamente, tanto por su rareza como por lo atípico de su presentación, lo cual explica su contagiosidad hospitalaria. 5,6 En este estudio se subrayan los aspectos relevantes de los hospederos, el ambiente y el agente causal.…”

Section: Introductionunclassified

Brote intrahospitalario de escabiasis, a partir de un caso de sarna noruega

2004

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“…3 Scabies outbreaks have also been reported in various settings, including long-term care facilities and hospitals, and often originate with a single undiagnosed or incompletely treated case. [4][5][6][7][8][9][10] Low awareness of and unfamiliarity with scabies among health care workers may delay diagnosis and infection control and are associated with considerable financial and working burdens. 6,11 Prompt clinical diagnosis and implementation of infection control measures are important to achieve effective treatment and avoid scabies outbreaks.…”

mentioning

confidence: 99%

Factors Related to Missed Diagnosis of Incidental Scabies Infestations in Patients Admitted Through the Emergency Department to Inpatient Services

Hong

Lee

Chuang

et al. 2010

Academic Emergency Medicine

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Objectives: Scabies is highly contagious and requires prompt diagnosis and implementation of infection control measures to prevent transmission and outbreaks. This study investigated the clinical and administrative correlates associated with missed diagnosis of scabies in an emergency department (ED).Methods: This was a retrospective study of patients with incidental scabies infestations who were admitted to a university hospital via the ED during a 4-year period.Results: A total of 135 inpatients were identified as having scabies; among them, 111 patients (82%) had visited the ED. Scabies were diagnosed during the ED stay in 39 of 111 patients (35%), while the diagnosis was missed in the ED in 72 patients (65%). Although no geographic clusters suggestive of nosocomial scabies transmission were registered, 160 medical workers and one hospitalized patient received prophylactic treatment due to direct skin-to-skin contact with inpatient scabies cases during the study period. Overcrowding (odds ratio [OR] = 8.4; 95% confidence interval [CI] = 1.9 to 38.0) and time constraints (OR = 8.2; 95% CI = 1.9 to 34.7) in the ED were associated with a missed diagnosis of scabies during ED stay. Patients with lower illness severity scores were at higher risk for failure to diagnose and to treat scabies prior to hospital admission (OR = 5.7; 95% CI = 1.6 to 20.9).Conclusions: Missed diagnoses of scabies during ED stay may result in nosocomial spread and increase the unnecessary use of prophylactic treatments. ED overcrowding, time constraints, and less severe illness compromise ED recognition of scabies. Health care workers should be especially alert for signs of scabies infestations under these conditions. ACADEMIC EMERGENCY MEDICINE 2010; 17:958-964 ª

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Nosocomial Outbreak of Scabies

Cited by 28 publications

References 6 publications

Nosocomial Sexuall Transmitted Disease

Nosocomial Sexuall Transmitted Disease

Brote intrahospitalario de escabiasis, a partir de un caso de sarna noruega

Factors Related to Missed Diagnosis of Incidental Scabies Infestations in Patients Admitted Through the Emergency Department to Inpatient Services

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