Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840 |
Resumo: | Introduction: Scabies outbreaks in healthcare institutions are an emerging problem. To determine the best management strategy is a topical matter. We analyzed two hospital scabies outbreaks and reviewed the management strategy of institutional scabies outbreaks.Material and Methods: We performed an observational retrospective study of two independent scabies outbreaks that occurred in a Portuguese tertiary hospital in 2018. Following the identification of the index cases, scabies cases and exposed individuals, we calculated the attack rate in patients and professionals. We also evaluated the treatment and infection control measures, as well as the global cost of each outbreak.Results: The hospital outbreaks of scabies occurred in two wards of Internal Medicine. Both had as index cases institutionalized patients with dermatosis at the time of admission. In the Ward 1, there have been identified 409 exposed individuals, 14 cases of scabies and the attack rate was 3.4%. In the Ward 2, there have been identified 254 exposed individuals, 17 cases and the attack rate was 6.7%. Topical treatment was prescribed to the cases and environmental measures were implemented.Discussion: In our analysis, both outbreaks had as index cases institutionalized patients and had a significant impact, with hundreds of exposed individuals and considerable costs. The analysis of hospital scabies outbreaks is mostly retrospective and represents an opportunity to review its best management strategy.Conclusion: Implementation of guidelines on tackling scabies outbreaks in institutional settings is urgent. |
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Two Scabies Outbreaks at a Tertiary Care Hospital in PortugalDois Surtos de Escabiose num Hospital Terciário em PortugalDisease OutbreaksPortugalScabiesEscabiosePortugalSurtos de DoençaIntroduction: Scabies outbreaks in healthcare institutions are an emerging problem. To determine the best management strategy is a topical matter. We analyzed two hospital scabies outbreaks and reviewed the management strategy of institutional scabies outbreaks.Material and Methods: We performed an observational retrospective study of two independent scabies outbreaks that occurred in a Portuguese tertiary hospital in 2018. Following the identification of the index cases, scabies cases and exposed individuals, we calculated the attack rate in patients and professionals. We also evaluated the treatment and infection control measures, as well as the global cost of each outbreak.Results: The hospital outbreaks of scabies occurred in two wards of Internal Medicine. Both had as index cases institutionalized patients with dermatosis at the time of admission. In the Ward 1, there have been identified 409 exposed individuals, 14 cases of scabies and the attack rate was 3.4%. In the Ward 2, there have been identified 254 exposed individuals, 17 cases and the attack rate was 6.7%. Topical treatment was prescribed to the cases and environmental measures were implemented.Discussion: In our analysis, both outbreaks had as index cases institutionalized patients and had a significant impact, with hundreds of exposed individuals and considerable costs. The analysis of hospital scabies outbreaks is mostly retrospective and represents an opportunity to review its best management strategy.Conclusion: Implementation of guidelines on tackling scabies outbreaks in institutional settings is urgent.Introdução: Os surtos de escabiose em instituições são um problema emergente. Determinar a melhor estratégia para o seu controlo é uma questão atual. Analisámos dois surtos hospitalares de escabiose e revimos a abordagem de surtos institucionais de escabiose.Material e Métodos: Realizámos um estudo observacional retrospetivo de dois surtos independentes de escabiose que ocorreram num hospital terciário português em 2018. Após a identificação dos casos-índice, dos casos de escabiose e dos indivíduos expostos, calculámos a taxa de ataque em doentes e em profissionais de saúde. Avaliámos ainda o tratamento e medidas de controlo de infeção, bem como o custo global de cada surto.Resultados: Os surtos de escabiose ocorreram em duas enfermarias de Medicina Interna. Ambos tiveram como caso-índice doentes institucionalizados e com dermatose no momento do internamento. Na enfermaria 1 foram identificados 409 indivíduos expostos, 14 casos de escabiose e a taxa de ataque foi 3,4%. Na enfermaria 2 foram identificados 254 indivíduos expostos, 17 casos e a taxa de ataque foi 6,7%. Foi realizado o tratamento tópico dos casos e foram implementados cuidados ambientais.Discussão: Na nossa análise, ambos os surtos tiveram como caso-índice doentes previamente institucionalizados e tiveram umimpacto significativo, com centenas de indivíduos expostos e custos consideráveis. A análise de surtos hospitalares de escabiose é fundamentalmente retrospetiva e representa uma oportunidade para rever a estratégia da sua abordagem.Conclusão: É premente a implementação de linhas de orientação sobre a abordagem de surtos institucionais de escabiose.Ordem dos Médicos2020-12-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/jpegapplication/vnd.oasis.opendocument.textapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentimage/jpeghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840oai:ojs.www.actamedicaportuguesa.com:article/12840Acta Médica Portuguesa; Vol. 33 No. 12 (2020): December; 803-810Acta Médica Portuguesa; Vol. 33 N.º 12 (2020): Dezembro; 803-8101646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/6197https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/6714https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11831https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11832https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11833https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11834https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11835https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11836https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/12133Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessGomes, NunoGuedes, Pedro MouraNorton, PedroAzevedo, FilomenaLisboa, Cármen2022-12-20T11:06:43Zoai:ojs.www.actamedicaportuguesa.com:article/12840Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:14.557577Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal Dois Surtos de Escabiose num Hospital Terciário em Portugal |
title |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal |
spellingShingle |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal Gomes, Nuno Disease Outbreaks Portugal Scabies Escabiose Portugal Surtos de Doença |
title_short |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal |
title_full |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal |
title_fullStr |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal |
title_full_unstemmed |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal |
title_sort |
Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal |
author |
Gomes, Nuno |
author_facet |
Gomes, Nuno Guedes, Pedro Moura Norton, Pedro Azevedo, Filomena Lisboa, Cármen |
author_role |
author |
author2 |
Guedes, Pedro Moura Norton, Pedro Azevedo, Filomena Lisboa, Cármen |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gomes, Nuno Guedes, Pedro Moura Norton, Pedro Azevedo, Filomena Lisboa, Cármen |
dc.subject.por.fl_str_mv |
Disease Outbreaks Portugal Scabies Escabiose Portugal Surtos de Doença |
topic |
Disease Outbreaks Portugal Scabies Escabiose Portugal Surtos de Doença |
description |
Introduction: Scabies outbreaks in healthcare institutions are an emerging problem. To determine the best management strategy is a topical matter. We analyzed two hospital scabies outbreaks and reviewed the management strategy of institutional scabies outbreaks.Material and Methods: We performed an observational retrospective study of two independent scabies outbreaks that occurred in a Portuguese tertiary hospital in 2018. Following the identification of the index cases, scabies cases and exposed individuals, we calculated the attack rate in patients and professionals. We also evaluated the treatment and infection control measures, as well as the global cost of each outbreak.Results: The hospital outbreaks of scabies occurred in two wards of Internal Medicine. Both had as index cases institutionalized patients with dermatosis at the time of admission. In the Ward 1, there have been identified 409 exposed individuals, 14 cases of scabies and the attack rate was 3.4%. In the Ward 2, there have been identified 254 exposed individuals, 17 cases and the attack rate was 6.7%. Topical treatment was prescribed to the cases and environmental measures were implemented.Discussion: In our analysis, both outbreaks had as index cases institutionalized patients and had a significant impact, with hundreds of exposed individuals and considerable costs. The analysis of hospital scabies outbreaks is mostly retrospective and represents an opportunity to review its best management strategy.Conclusion: Implementation of guidelines on tackling scabies outbreaks in institutional settings is urgent. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-02 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840 oai:ojs.www.actamedicaportuguesa.com:article/12840 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840 |
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oai:ojs.www.actamedicaportuguesa.com:article/12840 |
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por eng |
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por eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/6197 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/6714 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11831 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11832 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11833 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11834 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11835 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/11836 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12840/12133 |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 33 No. 12 (2020): December; 803-810 Acta Médica Portuguesa; Vol. 33 N.º 12 (2020): Dezembro; 803-810 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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