A persistent problem with scabies in and outside a nursing home in Amsterdam: indications for resistance to lindane and ivermectin.
An ongoing outbreak of scabies in and outside a nursing home in Amsterdam is described. Despite standard treatment with lindane and ivermectin, many recurrences were observed which suggested resistance to these drugs. After treatment with 5% permethrine, the patients were finally cured.
van den Hoek
J A
JA
Department of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, the Netherlands.
van de Weerd
J A
JA
Baayen
T D
TD
Molenaar
P M
PM
Sonder
G J
GJ
van Ouwerkerk
I M
IM
de Vries
H J
HJ
D004196:Disease Outbreaks / Q000517:prevention & control* / Q000706:statistics & numerical data*; D004351:Drug Resistance; D001556:Hexachlorocyclohexane / Q000008:administration & dosage*; D006801:Humans; D015994:Incidence; D007306:Insecticides / Q000008:administration & dosage; D007559:Ivermectin / Q000008:administration & dosage*; D009426:Netherlands / Q000453:epidemiology; D009735:Nursing Homes / Q000706:statistics & numerical data; D026023:Permethrin / Q000008:administration & dosage*; D011159:Population Surveillance; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D012532:Scabies / Q000453:epidemiology* / Q000517:prevention & control*; D017211:Treatment Failure; D016896:Treatment Outcome
D007306:Insecticides; D026023:Permethrin; D001556:Hexachlorocyclohexane; D007559:Ivermectin