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White et al. The Management of Scabies Outbreaks In Residential Care Facilties for the elderly in England.pdf (742.73 kB)

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

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posted on 2023-06-09, 02:18 authored by L C J White, S Lanza, Jo MiddletonJo Middleton, K Hewitt, L Freire-Moran, C Edge, M Nicholls, J Rajan-Iyer, Jackie Cassell
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.

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Epidemiology and Infection

ISSN

0950-2688

Publisher

Cambridge University Press

Issue

15

Volume

144

Page range

3121-3130

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2016-08-01

First Open Access (FOA) Date

2017-02-09

First Compliant Deposit (FCD) Date

2016-11-10

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