Intervention protocol to improve scabies control in enclosed communities: a case report

Area of Science:

• Infectious Diseases
• Public Health
• Dermatology

Background:

• Scabies is a contagious skin infestation that poses a significant challenge in congregate settings like prisons.
• Understanding scabies transmission and effective treatment is crucial for controlling outbreaks in correctional facilities.

Observation:

• A study in a youth detention center identified 61 scabies cases among 762 inmates over one year.
• Higher scabies incidence was observed in inmates of North African origin compared to Spanish inmates.
• Permethrin was the primary treatment, but 8 cases required repeat cycles due to treatment failure.

Findings:

• Scabies cases were diagnosed at admission, within 6 weeks, and after 6 weeks of incarceration, indicating both imported and internal transmission.
• Topical permethrin showed limitations, with some cases requiring retreatment.
• Literature suggests oral ivermectin as a preferred first-line treatment for scabies in prison settings.

Implications:

• The findings highlight the need for updated scabies treatment protocols in correctional facilities.
• Implementing oral ivermectin as a first-line treatment could improve scabies control in prisons.
• This research provides valuable insights for managing infectious diseases in closed communities.