title: Attack of the scabies: what to do when an outbreak occurs.
abstract: Scabies remains a significant source of morbidity in nursing home residents because of its highly contagious nature. It is characterized by severe pruritus and papules, pustules, burrows, nodules, and occasionally urticarial lesions. Lesions are commonly found on the wrists, finger webs, antecubital fossae, axillae, areolae, periumbilical region, lower abdomen, genitals, and buttocks. Diagnosis is based on the history, physical examination, and demonstration of mites, eggs, or scybala on microscopic examination. Several topical scabicides are available, but permethrin cream appears to be less toxic and more effective in cases that are resistant to other agents. Successful management requires evaluation of individuals with close patient contact.
authors.affiliation: University of South Florida College of Medicine, H. Lee Moffitt Cancer Center & Research Institute, James A. Haley VA Hospital, Division of Dermatology and Cutaneous Surgery, Tampa.
authors.forename: M L
authors.initials: ML
authors.lastname: Haag
authors.forename: S J
authors.initials: SJ
authors.lastname: Brozena
authors.forename: N A
authors.initials: NA
authors.lastname: Fenske
mesh_terms: D003428:Cross Infection / Q000517:prevention & control*; D004196:Disease Outbreaks; D006801:Humans; D009735:Nursing Homes; D012532:Scabies / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control