Gestion d’une épidémie de gale aux Hôpitaux universitaires de Strasbourg

Meyer, Éric P.; Heranney, D.; Foeglé, J.; Chamouard, V.; Hernandez, C.; Mechkour, S.; Passemard, Raphaël; Berthel, M.; Kaltenbach, Georges; Lipsker, Dan; Christmann, D.; Lavigne, Thierry

doi:10.1016/j.medmal.2010.07.011

Cited by 16 publications

(3 citation statements)

References 14 publications

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“…A hospital outbreak that affected more than fifty patients and the staff was success fully cured after the community consisted of more than one thousand patients and caregivers in 3 months. It showed us that late diagnosis or screening of high prevalence scabies had a significant socioeconomic burden for patients and hospitals (Meyer et al 2011). Furthermore, most of the subjects were new residents, accounting that 77% of suf ferers had never had this disease before.…”

Section: Discussionmentioning

confidence: 99%

Performance of CO1 and ITS2 nested PCR in molecular identification of ordinary scabies (Sarcoptes scabiei var. hominis)

Prasasty

Miftahurrizqiyah

Anwar

et al. 2021

Indones. J. Biotechnol.

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Scabies is a global disease with a high prevalence, causing morbidity and even mortality, especially in poor and developing countries. However, it is often misdiagnosed due to varied and unspecified lesions. The gold standard technique for diagnosis is a microscopic examination, which requires experienced experts in finding mites, mainly in ordinary scabies. CO1 and ITS2 genes have been widely used in molecular identification to detect Sarcoptes scabiei and its variants. This study aimed to determine and compare the sensitivity and specificity of CO1 and ITS2 S. scabiei genes to the microscopic examination of scabies skin scrapings. The skin scrapings of 52 subjects with scabies diagnosed by anamnesis, physical examination, and dermoscopic examination were examined under a microscope and analyzed by nested PCR. The diagnostic test result showed that the sensitivity of nested PCR of both CO1 and ITS2 genes to micro‐ scope examination was 100%. However, the specificity of both CO1 and ITS2 nested PCR was poor (24% and 0%). Hence, CO1 and ITS2 nested PCR could be more suitable for screening ordinary scabies in humans than the microscopic examination.

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Section: Discussionmentioning

confidence: 99%

Performance of CO1 and ITS2 nested PCR in molecular identification of ordinary scabies (Sarcoptes scabiei var. hominis)

Prasasty

Miftahurrizqiyah

Anwar

et al. 2021

Indones. J. Biotechnol.

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“…Scabies outbreaks can be more frequent in healthcare settings, due to the clinical peculiarities of patients (e.g., physical or mental disability, advanced age, immunodeficiency), the duration of hospitalizations, and the direct physical contact necessary for assistance. Most of the outbreaks in healthcare settings are caused by unrecognized Norwegian scabies in hospitalized patients [10][11][12][13][14]. Moreover, the diagnostic delay may underestimate the prevalence of scabies in these contexts [15].…”

Section: Introductionmentioning

confidence: 99%

Infection Control among Healthcare Workers and Management of a Scabies Outbreak in a Large Italian University Hospital

Sponselli

Maria

Caputi

et al. 2023

JCM

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This retrospective observational study describes the results of an ad-hoc designated prevention protocol aimed at containing the spread of the scabies infestation among healthcare workers (HCWs) of a large University Hospital in Italy. The outbreak started on October 2022 and a preventive protocol was set up thanks to a multidisciplinary approach. HCWs at high scabies risk were defined as subjects working in Operative Units with a scabies prevalence higher than 2%, close contacts of a confirmed case of scabies, or HCWs with signs and symptoms of the disease. All cases at high scabies risk underwent a dermatological examination, and the infested HCWs were suspended from work until definitive healing. Mass drug administration was established for all HCWs working in Operative Units with a scabies prevalence higher than 2%. Until March 2023, out of 183 screening dermatological examinations, 21 (11.5%) were diagnostic for scabies. Between 11 October 2022 (date of the first diagnosed scabies case) and 6 March 2023 (the end of incubation period related to the last case detected), the frequency of scabies was 0.35% (21 scabies cases/6000 HCWs). The duration of the outbreak in our hospital was 14.7 weeks. Statistical analysis shows a significant association between scabies and being a nurse and having an allergy to dust mites. We obtained a low frequency of scabies infection, limiting the duration of the outbreak and the related economic burden.

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“…(1) La gale sévit auprès d'individus de tous les milieux socioéconomiques, mais les personnes jeunes, âgées, immunodéprimées ou ayant un retard du développement sont beaucoup plus vulnérables à l'infestation et aux complications connexes. (2,3) Des éclosions se déclarent dans l'ensemble de la communauté et dans des établissements fermés, (2,4) tels que les milieux de garde, les centres de soins de longue durée et les pénitenciers. Puisque la gale s'associe à la pauvreté, au surpeuplement, à la malnutrition et à un accès limité aux soins de santé,(3) certaines communautés autochtones et pauvres en ressources sont disproportionnellement atteintes.…”

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La gale

Banerji¹

2015

Paediatrics &Amp; Child Health

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Gestion d’une épidémie de gale aux Hôpitaux universitaires de Strasbourg

Cited by 16 publications

References 14 publications

Performance of CO1 and ITS2 nested PCR in molecular identification of ordinary scabies (Sarcoptes scabiei var. hominis)

Performance of CO1 and ITS2 nested PCR in molecular identification of ordinary scabies (Sarcoptes scabiei var. hominis)

Infection Control among Healthcare Workers and Management of a Scabies Outbreak in a Large Italian University Hospital

La gale

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