The management of scabies outbreaks in residential care facilities for the elderly in England: a review of current health protection guidelines

White, L C J, Lanza, S, Middleton, J, Hewitt, K, Freire-Moran, L, Edge, C, Nicholls, M, Rajan-Iyer, J and Cassell, J A (2016) The management of scabies outbreaks in residential care facilities for the elderly in England: a review of current health protection guidelines. Epidemiology and Infection, 144 (15). pp. 3121-3130. ISSN 0950-2688

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Abstract

Commonly thought of as a disease of poverty and overcrowding in resource poor settings globally, scabies is also an important public health issue in residential care facilities for the elderly (RCFE) in high income countries such as the United Kingdom [1–4]. We compared and contrasted current local Health Protection Team (HPT) guidelines for the management of scabies outbreaks in RCFE throughout England. We performed content analysis on twenty guidelines, and used this to create a quantitative report of their variation in key dimensions. Although the guidelines were generally consistent on issues such as the treatment protocols for individual patients, there was substantial variation in their recommendations regarding the prophylactic treatment of contacts, infection control measures and the roles and responsibilities of individual stakeholders. Most guidelines did not adequately address the logistical challenges associated with mass treatment in this setting. We conclude that the heterogeneous nature of the guidelines reviewed is an argument in favour of national guidelines being produced.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Primary Care and Public Health
Subjects: R Medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Depositing User: Phoenix Marshall
Date Deposited: 01 Aug 2016 09:43
Last Modified: 07 Mar 2017 07:14
URI: http://sro.sussex.ac.uk/id/eprint/62151

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