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Birgit Ross1, Stefan Esser2, Heike Engelberg3

  • 1Krankenhaushygiene, Universitätsklinikum Essen.

Deutsche Medizinische Wochenschrift (1946)
|June 14, 2018
PubMed
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Scabies outbreaks are rare in hospitals but can occur. This case highlights transmission from an immunocompromised patient to healthcare workers in an intensive care unit (ICU), emphasizing the need for prolonged protective measures.

Area of Science:

  • Infectious Diseases
  • Hospital Epidemiology
  • Dermatology

Background:

  • Scabies outbreaks are infrequent in hospital settings compared to community facilities.
  • Healthcare-associated infections pose a significant challenge in tertiary care environments.

Purpose of the Study:

  • To report a rare outbreak of scabies infestation among healthcare workers in a tertiary care hospital.
  • To discuss the transmission dynamics and implications for infection control in intensive care units (ICUs).

Main Methods:

  • Case report detailing an outbreak of scabies.
  • Dermatological confirmation of infestation in affected staff.
  • Identification of an immunocompromised ICU patient as the index case.

Main Results:

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  • Five healthcare workers developed confirmed scabies infestations.
  • Transmission was linked to the care of a severely ill ICU patient.
  • The index patient had a history of prior scabies treatment.

Conclusions:

  • Scabies can remain contagious for extended periods, even after treatment.
  • Close physical contact in ICUs facilitates mite transmission.
  • Sustained use of personal protective equipment is crucial in ICU settings to prevent scabies transmission.