Infected with Scabies Again? Focus in Management in Long-Term Care Facilities

Abstract

Scabies is a significant public health condition in long-term care facilities, plaguing even developed countries. Although treatments are available, eradication and control of scabies cases still remain a challenge due to delays in diagnosis and difficulties in maintaining preventive and surveillance measures. Prompt treatment of patients and their contacts that are affected, along with concomitant education of health staff and family members, are paramount. Environmental disinfestation is also a concern.

Keywords: long-term care; mites; scabies.

Figure 1

Workflow for management of scabies in long term care facilities.

Figure 2

Multi-disciplinary (MDT) Team. Doctor A: Chair the discussion and oversee the control steps. Reports to higher management on the care plans. Nurse A: Oversees the screening of nurses and prophylactic treatments. Ensures the nurses adhere to contact precautions and hand hygiene. Supervises the cleaning of fomites and environment. Case Manager: Trace all contacts of the diagnosed individual through digital or paper records. Contact them and refer them for treatment. Doctor B and Nurse B: Treat and reassess all cases of scabies. Provide treatment for contacts. Allied Health Representative: Ensure the allied health and other health care workers adhere to contact precautions and hand hygiene. Assist Case Manager in contact tracing.