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Title: [Scabies outbreak in a hospital and in 8 health-care institutions caused by an elderly patient with scabies crustosa]
Author(s): Koene, R.P.M. ; Tjioe, M. ; Hoondert, K.; Vrie, W. van de; Olde Rikkert, M.G.M. ; Wulfen, M.; Voss, A.
Publication year: 2006
Source: Nederlands Tijdschrift voor Geneeskunde, vol. 150, iss. 16, (2006), pp. 918-923
ISSN: 0028-2162
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/49630   http://hdl.handle.net/2066/49630

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Title alternative: [Scabies outbreak in a hospital and in 8 health-care institutions caused by an elderly patient with scabies crustosa]
Subject: DCN 1: Perception and Action
EBP 2: Effective Hospital Care
IGMD 5: Health aging / healthy living
N4i 1: Pathogenesis and modulation of inflammation
N4i 2: Invasive mycoses and compromised host
NCEBP 11: Alzheimer Centre
NCEBP 14: Cardiovascular diseases
NCEBP 4: Quality of hospital and integrated care
NCMLS 1: Immunity, infection and tissue repair
UMCN 3.2: Cognitive neurosciences
UMCN 4.1: Microbial pathogenesis and host defense
UMCN 4.2: Chronic inflammation and autoimmunity
Organization: Public Health
Dermatology
Geriatrics
Medical Microbiology
Journal title:
Nederlands Tijdschrift voor Geneeskunde
Volume: vol. 150
Issue: iss. 16
Page start: p. 918
Page end: p. 923
Abstract:
An outbreak of scabies in a teaching hospital, two nursing homes and six health-care institutions for the elderly, occurred in the Nijmegen area in the Netherlands, between September 2004 and April 2005. In November 2004 the diagnosis of scabies crustosa (scabies norvegica) was made in the index patient - a 78-year-old woman. An atypical presentation, without much itching, as is not infrequently seen in elderly patients, resulted in there being a considerable delay before the diagnosis was made. This resulted in a total of 51 people, both in and outside the hospital, becoming infected. Based on article 7 of the Dutch Infectious Diseases Act, the Municipal Health Service (GGD) advised institutions on the policy and carried out both source and contact tracing. According to this Act notification and cooperation between hospital, care institutions and the GGD are of importance for the effective handling of epidemics. Systemic treatment with ivermectin is the main alternative to local treatment in outbreaks in institutions.

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