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Infected with Scabies Again? Focus in Management in Long-Term Care Facilities
Chong Yau Ong1,2, Farhad Fakhrudin Vasanwala3,4
1Department of Family Medicine, Division of Medicine, Sengkang General Hospital, Singapore 544886, Singapore. ong.chong.yau@singhealth.com.sg.
Diseases (Basel, Switzerland)
|January 2, 2019
Summary
Scabies outbreaks are a major public health concern in long-term care facilities, challenging even developed nations. Prompt diagnosis, treatment of affected individuals and contacts, and staff education are crucial for control.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Scabies presents a significant public health challenge, particularly within long-term care facilities.
- Despite available treatments, controlling scabies infestations remains difficult due to diagnostic delays and surveillance challenges.
Purpose of the Study:
- To highlight the challenges in scabies eradication and control in long-term care settings.
- To emphasize the importance of prompt diagnosis and treatment strategies.
Main Methods:
- Review of current challenges in scabies management.
- Analysis of factors contributing to control difficulties.
Main Results:
- Delays in diagnosis impede effective scabies control.
- Difficulties in maintaining preventive and surveillance measures exacerbate outbreaks.
- Environmental disinfestation is a critical, yet often overlooked, component.
Conclusions:
- Prompt treatment of infected individuals and their contacts is essential.
- Concomitant education for healthcare staff and family members is paramount for successful scabies management.
- Integrated strategies addressing clinical and environmental factors are necessary for scabies eradication.
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