Scabies outbreak in paediatric malignancy patients: clinical and healthcare burden
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View abstract on PubMed
Summary
This summary is machine-generated.A scabies outbreak in a pediatric oncology unit affected 23 patients, leading to complications and significant operational disruption. Early recognition and standardized protocols are crucial for managing this contagious skin infestation in immunocompromised children.
Area Of Science
- Pediatric Oncology
- Infectious Diseases
- Dermatology
Background
- Scabies is a contagious parasitic skin infestation that can be severe in immunocompromised individuals.
- Pediatric oncology patients are a vulnerable population susceptible to complicated scabies management due to delayed diagnosis and atypical presentations.
Purpose Of The Study
- To evaluate the clinical outcomes of scabies in pediatric oncology patients.
- To assess the institutional burden of a scabies outbreak in a pediatric hematology-oncology unit.
Main Methods
- Retrospective study of pediatric malignancy patients diagnosed with scabies from January 2020 to January 2024.
- Data included demographics, malignancy type, treatment, infection duration, complications, and healthcare impact.
- Statistical analyses involved t-tests, Chi-squared tests, and univariable regression.
Main Results
- 23 out of 1483 inpatients (1.55%) were diagnosed with scabies, with a peak incidence over a 6-month period.
- The mean duration from symptom onset to resolution was 3.26 months; 43.5% experienced complications, including secondary infections and chemotherapy delays.
- The outbreak affected all caregivers and 11 healthcare workers, causing workforce shortages and reducing bed capacity by 50% due to isolation measures.
Conclusions
- Scabies outbreaks in immunocompromised pediatric patients present significant diagnostic and therapeutic challenges.
- Involvement of caregivers and staff, alongside operational disruptions, necessitates early detection, standardized treatment, and proactive infection control in high-risk settings.
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