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Scabies in the extended care facility. Revisited
L C Parish1, J A Witkowski, L E Millikan
1Department of Dermatology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
International Journal of Dermatology
|October 1, 1991
Summary
Scabies infestations are a persistent issue in nursing homes, often presenting atypically in elderly patients. Effective control requires prompt diagnosis and comprehensive treatment of all individuals involved to eradicate the mite.
Area of Science:
- Dermatology
- Infectious Diseases
- Geriatrics
Background:
- Scabies infestations caused by Sarcoptes scabiei var hominis are a significant health concern in nursing home settings.
- Elderly and infirm patients may exhibit nonspecific pruritic eruptions, complicating traditional scabies diagnosis.
- Outbreaks in skilled care facilities necessitate targeted interventions.
Purpose of the Study:
- To highlight the challenges in diagnosing scabies in elderly nursing home residents.
- To emphasize the importance of comprehensive treatment strategies for scabies eradication in institutional settings.
Main Methods:
- Review of clinical presentations of scabies in elderly patients.
- Analysis of strategies for controlling and eradicating scabies epidemics in skilled care facilities.
Main Results:
- Nonspecific pruritic eruptions can be the primary presentation of scabies in the elderly.
- Appropriate diagnosis and treatment are crucial for controlling institutional outbreaks.
Conclusions:
- Scabies remains a prevalent issue in nursing homes, often with atypical presentations.
- Eradication of Sarcoptes scabiei var hominis from institutions is achievable through adequate diagnosis and treatment of patients, staff, and contacts.