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Related Experiment Videos

Persistent scabies in nursing home patients

S J Paules1, D Levisohn, W Heffron

  • 1Department of Dermatology, University of New Mexico, Albuquerque.

The Journal of Family Practice
|July 1, 1993
PubMed
Summary

Persistent scabies outbreaks in extended care facilities are driven by diagnostic delays, incomplete treatment, and poor coordination. Comprehensive strategies are essential for effective scabies eradication in these settings.

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Area of Science:

  • Gerontology
  • Infectious Diseases
  • Dermatology

Background:

  • Scabies outbreaks in extended care facilities present unique challenges due to atypical presentations in elderly residents.
  • Delayed or inaccurate diagnosis contributes significantly to the persistence of scabies infestations.
  • Ineffective treatment protocols and lack of coordinated management exacerbate outbreak control difficulties.

Observation:

  • A case report highlights diverse scabies manifestations in an elderly resident of an extended care facility.
  • Diagnostic skin scraping is crucial for accurate scabies identification.
  • Permethrin demonstrates efficacy and safety for scabies treatment in this population.

Findings:

  • Persistent scabies outbreaks stem from diagnostic delays, inadequate treatment of patients and contacts, and fragmented control efforts.
  • Atypical presentations in the elderly complicate early and correct diagnosis.
  • Comprehensive, coordinated strategies are necessary for successful scabies eradication.

Implications:

  • Implementing guidelines for aggressive, coordinated notification, education, treatment, and disinfection is vital for scabies control.
  • Early and accurate diagnosis, alongside thorough treatment of all residents and staff, is key to preventing recurrent outbreaks.
  • Effective scabies management in extended care facilities requires a multi-faceted approach addressing both clinical and logistical challenges.

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