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GUIDELINES FOR THE PREVENTION AND CONTROL OF SCABIES IN LOS ANGELES ...

Source: www.lapublichealth.org
Topic: Scabies
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Sort Desciption: Scabies is an ectoparasitic infestation of the skin caused by the human itch mite, Sarcoptes scabiei var. hominis. The actual incidence of scabies in Los Angeles County (LAC) is unknown because ...

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Scabies is an ectoparasitic infestation of the skin caused by the human itch mite, Sarcoptes scabiei var. hominis. The actual incidence of scabies in Los Angeles County (LAC) is unknown because single occurances of the disease are not reportable to county health department. Outbreaks of scabies infestations in health care facilities (HCF) present a continuing public health problem in LAC. While regarded as a nuisance disease by many health care professionals, scabies outbreaks in HCFs can be extremely costly in terms of direct and indirect costs of outbreak management, poor public relations, and discomfort and anxiety of affected patients, employees, and their family members. Furthermore, secondary bacterial skin infection is a common complication of scabies infestation that, in elderly or immunocompromised individuals, can lead to sepsis and even death.

A number of factors influence the extent of scabies transmission within a facility, including the mite load and the required level of care of the source case, as well as the duration of the exposure period. Each HCF scabies outbreak is unique and requires an individualized approach. Due to the increase in the number of outbreaks reported by health care facilities in LAC, these guidelines were developed to provide a rational approach to the prevention and control of scabies in health care facilities. They are intended to assist infection control committees and administrators of HCFs in developing a scabies prevention and control program for their facility and they are based on current literature and the extensive experience of Acute Communicable Disease Control Unit (ACDC) staff.

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