An epidemic of scabies with unusual features and treatment resistance in a nursing home

Moberg, S; Löwhagen, Gun-Britt E.; Hersle, K

doi:10.1016/s0190-9622(84)70157-5

Cited by 43 publications

(11 citation statements)

References 16 publications

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“…1 The classic manifestations of scabies include generalized itching which often becomes worse at night, 2 and abnormal skin lesions (papules, pustules, nodules, and occasionally urticaria). 3,4 The skin lesions are often noted on wrists, finger webs, axillae, the periumbilical region, abdominal wall, genitals and buttocks. 5 Complications and mortality may occur due to secondary bacterial infections.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for scabies in Taiwan

Wang

Lee

Huang

et al. 2012

Journal of Microbiology, Immunology and Infection

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Section: Introductionmentioning

confidence: 99%

Risk factors for scabies in Taiwan

Wang

Lee

Huang

et al. 2012

Journal of Microbiology, Immunology and Infection

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“…Four other reports of ivermectin use did not report this [32, 35, 37, 41]. There were six reports of increased pruritus following scabies treatment with ivermectin [35, 41], Tenutex [36], allethrin spray [37], lindane [39] and permethrin [44]. …”

Section: Resultsmentioning

confidence: 99%

Do we know how scabies outbreaks in residential and nursing care homes for the elderly should be managed? A systematic review of interventions using a novel approach to assess evidence quality

et al. 2019

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Currently no national guidelines exist for the management of scabies outbreaks in residential or nursing care homes for the elderly in the United Kingdom. In this setting, diagnosis and treatment of scabies outbreaks is often delayed and optimal drug treatment, environmental control measures and even outcome measures are unclear. We undertook a systematic review to establish the efficacy of outbreak management interventions and determine evidence-based recommendations. Four electronic databases were searched for relevant studies, which were assessed using a quality assessment tool drawing on STROBE guidelines to describe the quality of observational data. Nineteen outbreak reports were identified, describing both drug treatment and environmental management measures. The quality of data was poor; none reported all outcome measures and only four described symptom relief measures. We were unable to make definitive evidence-based recommendations. We draw on the results to propose a framework for data collection in future observational studies of scabies outbreaks. While high-quality randomised controlled trials are needed to determine optimal drug treatment, evidence on environmental measures will need augmentation through other literature studies. The quality assessment tool designed is a useful resource for reporting of outcome measures including patient-reported measures in future outbreaks.

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“…Besides alleviating itching sensation, steroid could alleviate local inflammation which progresses their lesions to be camouflaged and exacerbated [13-15]. Instead of classical manifestation of scabies, this kind of patients presents as scaly, crusted papules, urticarial papules, or persistent nodules lesions [16, 17]. Orkin had ever described seven manifestations of scabies, one of which called scabies incognito as a result of modified appearance of the lesions due to use of steroids [18].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Delayed Diagnosis of Scabies in Hospitalized Patients From Long-Term Care Facilities

et al. 2011

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BackgroundDelayed diagnosis of scabies can cause an institutional outbreak, which causes considerably economic burden to control. This study was to find the risk factors for delayed diagnosis of scabies in hospitalized patients from long-term care facilities.MethodsWe conducted a retrospective analysis of the hospitalized patients from long-term care facilities, diagnosed to have scabies between January 2006 and December 2008. A stepwise logistic regression analysis was performed to determine the risk factors for delayed diagnosis of scabies.ResultsA total of 706 episodes with scabies were identified retrospectively in 399 hospitalized patients from long-term care facilities. Of these, 44 episodes were considered as delayed diagnosis of scabies. These patients were more associated with chronic usage of steroid (73% vs. 10%, P < 0.001) and had longer duration of hospitalization than the others (30 vs. 13 days, P < 0.001). After logistic regression, steroid therapy was the risk factor of delayed diagnosis of scabies (odds ratio: 23.493).ConclusionsIn the patients from long-term care facilities, clinical physicians should pay more attention to those with chronic usage of steroid to avoid delayed diagnosis of scabies.KeywordsScabies; Delayed diagnosis; Risk factor; Long-term care facility

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An epidemic of scabies with unusual features and treatment resistance in a nursing home

Cited by 43 publications

References 16 publications

Risk factors for scabies in Taiwan

Risk factors for scabies in Taiwan

Do we know how scabies outbreaks in residential and nursing care homes for the elderly should be managed? A systematic review of interventions using a novel approach to assess evidence quality

Risk Factors for Delayed Diagnosis of Scabies in Hospitalized Patients From Long-Term Care Facilities

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