The public health importance of scabies in community domiciliary care settings: an exploratory cross-sectional survey of Health Protection Teams in England

Epidemiology and Infection
Emily PhippsClare Humphreys

Abstract

Scabies is a contagious skin infection commonly occurring in institutions such as care homes. However, a large proportion of vulnerable people in England receive domiciliary care in the community and their experience of scabies has not been described. We undertook a pragmatic cross-sectional survey of Health Protection Teams (HPTs) in England to determine the burden of scabies related to domiciliary care. Fifteen cases or outbreaks were notified to HPTs between January 2013 and December 2017. Although a relatively uncommon event for individual HPTs, they were complex to manage and required the co-ordination of multiple stakeholders. Diagnosis was often delayed and required several clinical consultations. A lack of guidance led to difficulties establishing stakeholder roles and responsibilities and sources of funding for treatment. The stigmatisation of scabies sometimes affected the quality of care provided to patients, such as use of excessive personal protective equipment. Our study demonstrates that scabies is an issue of public health importance for domiciliary care service providers and users, and research is required to better understand the impacts of the disease and to develop evidence-based guidance. More generally, th...Continue Reading

References

Jun 22, 2000·The Journal of Hospital Infection·B M AndersenA Tageson
Jan 16, 2010·Current Opinion in Infectious Diseases·Sophie Bouvresse, Olivier Chosidow
May 18, 2011·The British Journal of Dermatology·S LassaC E Bennett
Sep 11, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Georgia LadburyClementine Wijkmans
Feb 16, 2013·Current Opinion in Infectious Diseases·L Claire Fuller
Nov 25, 2014·Current Infectious Disease Reports·Pauline Suwandhi, T S Dharmarajan

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