![]() Scabies is most often transmitted by prolonged or frequent skin-to-skin contact. Symptoms may last for weeks or months, can be hard to recognise and are often mistakenly attributed to other skin conditions, leading to avoidable transmission. However, asymptomatic infection has been demonstrated in the elderly ( 2). The typical clinical presentation of infection is intense itching associated with burrows, nodules and redness. Scabies is a skin condition caused by an immune reaction to the mite Sarcoptes scabiei and their saliva, eggs and faeces. British Association for Sexual Health ( BASHH) and HIV UK national guideline on the management of scabies (2016).Scabies: symptoms, diagnosis and treatment ( BMJ Best Practice) (2022).NICE clinical knowledge summaries: scabies (2022).Care homes: infection prevention and control.Infection control in prisons and places of detention.Health protection in children and young people settings, including education (2022).This document should be used alongside other resources available including: Warn and inform visitors to setting until mass treatment completed. If 2 or more linked cases within an 8 week period, assess all individuals (staff and residents) within the setting for scabies infection.Ĭo-ordinate treatments of all cases and contacts linked to the setting.Īdvise on appropriate PPE for staff and visitors.Ĭonsider isolation of residents or exclusion of staff until mass treatment completed. Provide hygiene and exclusion advice and avoid transfers to other settings during treatment.Īdvise on appropriate personal protective equipment ( PPE) for staff and visitors. Identify close contacts (up to 8 weeks prior to diagnosis) including visitors.Ĭo-ordinate treatment of case and contacts to break cycle of transmission. Summary of public health management of cases and outbreaks of scabies in long-term care facilities and other closed settings Management of single cases ![]() It is intended as a basis for consistent practice nationally, drawing upon the best available evidence and experience base. The guidance is split broadly into 2 sections: management of single cases, and management of outbreaks. Previously, HPTs in England have developed and used local guidance which made variable recommendations ( 1). This national guidance has been developed to aid UK Health Security Agency ( UKHSA) health protection teams ( HPTs) and others involved in the management and control of scabies cases and outbreaks in long-term care facilities and other closed settings. ![]()
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