Scabies: a ubiquitous neglected skin disease

Scabies outbreaks in residential care homes: factors associated with late recognition, burden and impact. A mixed methods study in EnglandArticle (Published Version) http://sro.sussex.ac.uk Hewitt, K A, Nalabanda, A and Cassell, J A (2014) Scabies outbreaks in residential care homes: factors associated with late recognition, burden and impact. A mixed methods study in England. Epidemiology and Infection. ISSN 0950-2688 This version is available from Sussex Research Online: http://sro.sussex.ac.uk/49876/ This document is made available in accordance with publisher policies and may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the URL above for details on accessing the published version. Copyright and reuse:Sussex Research Online is a digital repository of the research output of the University.Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable, the material made available in SRO has been checked for eligibility before being made available.Copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way.Scabies outbreaks in residential care homes: factors associated with late recognition, burden and impact. A mixed methods study in England SUMMARYScabies is an important public health problem in residential care homes. Delayed diagnosis contributes to outbreaks, which may be prolonged and difficult to control. We investigated factors influencing outbreak recognition, diagnosis and treatment, and staff experiences of outbreak control, identifying areas for intervention. We carried out a semi-structured survey of managers, affected residents and staff of seven care homes reporting suspected scabies outbreaks in southern England over a 6-month period. Attack rates ranged from 2% to 50%, and most cases had dementia (37/39, 95%). Cases were diagnosed clinically by GPs (59%) or home staff (41%), none by dermatologists. Most outbreaks were attributable to avoidably late diagnosis of the index case. Participants reported considerable challenges in managing scabies outbreaks, including late diagnosis and recognition of outbreaks; logistically difficult mass treatment; distressing treatment processes and high costs. This study demonstrates the need for improved support for care homes in detecting and managing these outbreaks.

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“…It is caused by a mite, Sarcoptes scabiei, which is transmitted via direct skin-to-skin contact, or occasionally by fomites [3].…”

Section: Introductionmentioning

confidence: 99%

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

2014

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“…Although the infectious agent is endemic in impoverished communities, in industrialized countries outbreaks occur in well-confined settings such as kindergarten, acute-care facilities, and nursing homes [3]. Nosocomial scabies represents a challenge as health care workers may not be familiar with atypical forms and its containment is associated with a considerable workload and economic burden [4,5].…”

Section: Scabiesmentioning

confidence: 99%

Infections in Residents of Nursing Homes

Matheï

Niclaes

Suetens

et al. 2007

Infectious Disease Clinics of North America

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“…Scabies is a ubiquitous ectoparasite infestation which defined as neglected skin disease [1]. The cause of human scabies is Sarcoptes scabiei var.…”

Section: Introductionmentioning

confidence: 99%

“…It has been estimated about 300 million people affected annually in worldwide and the most cases were reported from developing countries as a major public health problem and most cases were young children [1,9]. This could be due to lack of immunity and a high chance of exposure in this group.…”

Section: Introductionmentioning

confidence: 99%

“…This could be due to lack of immunity and a high chance of exposure in this group. Despite common belief, the Prevalence of scabies between both sexes and among different ethnic groups is similar and some factors such as overcrowding, housing, socioeconomic and cultural habits could be justified these differences [1,10,11]. Although the infectious agent of Scabies is ubiquitous, the underprivileged communities are more endemic and naturally are more engaged in many social problems such as Poverty, poor nutritional status, homelessness and poor health care [10].…”

Section: Introductionmentioning

confidence: 99%

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Frequency and Clinical Manifestations of Scabies in Suspected Patients Referred to Health Centers of Kashan, Central Iran (2010 - 2014)

Rasti

Nazeri

Kaveh

et al. 2017

Zahedan J Res Med Sci

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Background: Scabies is one of the most common itching contagious skin disorder in the world. The agent of disease is Sarcoptes scabiei. Objectives: This study was conducted to determine the frequency and clinical manifestations of S. scabies in suspected patients referred to health centers of Kashan during 2010 -2014. Methods: This cross-sectional study was performed on 129 patients suspected to Sarcoptes scabiei. The demographic and clinical symptoms for each of patients were recorded in questionnaire by interview. A deep skin scrap was prepared and wet smear were prepared using 10% KOH. By observation of each form of Sarcoptes was identified as positive sample. The data were recorded in Spss. ver 16.5 and analyzed by X2 and fisher exact tests. Results:The results of this study showed that 28 (21.7 %) were Sarcoptes positive. The frequency of sarcoptes was higher in males (23%) than females (20.6%). The difference was not statistically significant. The most cases were isolated in spring and winter. Sarcoptes infestation was the most in elderly and patients undergone dialysis. There is significant difference between disease and age group and underlying disease (P = 0.03, P = 0.014; respectively). Erosion or pustule was the most clinical signs in positive cases. Conclusions:The results of study showed that the rate of scabies infestation in Kashan is relatively high, and the most cases were in elderly patients. Health education to increase awareness of the families for prevention of scabies was recommended.

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Scabies: a ubiquitous neglected skin disease

Cited by 343 publications

References 94 publications

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

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

Infections in Residents of Nursing Homes

Frequency and Clinical Manifestations of Scabies in Suspected Patients Referred to Health Centers of Kashan, Central Iran (2010 - 2014)

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