title: [Causes of spread and return of scabies in health care institutes; literature analysis of 44 epidemics].
abstract: OBJECTIVE
  To determine the risk factors that contribute to the transmission and return of scabies in health care institutions.
  
  
  METHODS
  Literature analysis.
  
  
  METHODS
  Public Health Care Service Midden-Kennemerland. Heemskerk, the Netherlands.
  
  
  METHODS
  Search of Medline over the years 1976-1996 yielded 34 reports of 44 outbreaks. The contents were qualitatively examined on factors possibly contributing to the transmission and return of scabies in health care institutions.
  
  
  RESULTS
  Six such factors that contribute to the transmission and return of scabies in health care institutions were found: (a) among residents in health care institutions a considerable number are, once infested, at risk of developing crusted scabies, (b) many people are exposed through close contact, (c) the generally long diagnostic delay, (d) insufficient survey of the epidemiological problem, (e) treatment failures and (f) incomplete post-intervention monitoring.
authors.affiliation: Centrum Maliebaan, Afd. Centraal Medische Dienst, Utrecht.
authors.forename: J A
authors.initials: JA
authors.lastname: van Vliet
authors.forename: M
authors.initials: M
authors.lastname: Samsom
authors.forename: J E
authors.initials: JE
authors.lastname: van Steenbergen
mesh_terms: D004196:Disease Outbreaks; D006268:Health Facilities; D009426:Netherlands / Q000453:epidemiology; D012307:Risk Factors; D012532:Scabies / Q000453:epidemiology* / Q000628:therapy / Q000635:transmission*; D017211:Treatment Failure