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Document Details :
Title: Aanpak van schurft in rust- en verzorgingstehuizen
Author(s): LAPEERE H
Journal: Tijdschrift voor Geneeskunde
Volume: 63 Issue: 6 Date: 2007
Management of scabies in nursery homes
Scabies is an infectious skin disease caused by S. scabiei var hominis. The incubation period lasts 1 to 6 weeks but becomes only a few days in case of re-infestation. A severe and debilitating itch is the most prominent complaint. Scabies burrows are pathognomonic skin lesions. A skin scraping is the gold standard in the diagnosis but has a low sensitivity. Diagnostic methods based on the detection of antibodies in the patients’ serum are currently being developed, though not yet available for daily practice.
The current standard treatment for scabies is permethrin 5% cream applied once on the whole body surface; clinical trials have demonstrated that permethrin 5% cream is to be preferred to ivermectine tablets. Still the latter product has a favourable safety profile and the reported side effects appear to be mild.
Moreover the role of ivermectin in the treatment of scabies is not quite clear. There remains also a discussion about the exact dose and whether the treatment should be repeated.
Many questions on the treatment of scabies remain unanswered because clinical trials of good quality are scarse.