tips from the toolbox: stop scabies!
TRANSCRIPT
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Tips from the Toolbox:
STOP SCABIES!
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Sharon Bradley RN, CIC Senior Infection Prevention Analyst
Pennsylvania Patient Safety Authority
Objectives • Recall factors of scabies transmission,
symptoms, diagnosis, and control
• Demonstrate method of scabies surveillance by using a line listing
• Recognize key components of a scabies outbreak control plan to identify gaps in scabies prevention and control systems
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What Is In The Scabies Toolbox?
• Advisory: Strategies for management and control
– Graphic: transmission, symptoms, diagnosis, and control
• Case/contact investigation line list
• Outbreak control checklist
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Clinical Research
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Bradley S. Scabies: Strategies for management and control. Pa Patient Saf Advis 2016 Jun;13(2):66-73.
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Transmission
• Scabies are transferred from an infested host to a new host by skin-to-skin contact
• In severe cases, transfer is from infested clothing, bedding, or the environment
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Symptoms
• Symptoms of raised rash and intense itching
– Caused by an allergic reaction to the mites, eggs, and fecal pellets under the skin in the burrow
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Diagnosis
• Scabies mites, eggs, burrows, and fecal pellets can be identified microscopically from: – Skin scrapings
– Needle removal of the mite
– Adhesive tape
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Control and Prevention
• Early diagnosis
• Early concurrent treatment
• Environmental and textile cleaning
• Contact prophylaxis
• Education
• Communication
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Scabies Case /Contact Investigation Line Listing
IDENTIFIER
SYMPTOMS
DIAGNOSIS
TREATMENTNT
CASE CLEARED
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Pennsylvania Patient Safety Authority. Scabies Case/Contact Investigation Line List. http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/linelist.pdf
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Pennsylvania Patient Safety Authority. Scabies Case/Contact Investigation Line List. http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/ linelist.pdf
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Pennsylvania Patient Safety Authority. Scabies Case/Contact Investigation Line List. http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/linelist.pdf
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Pennsylvania Patient Safety Authority. Scabies Case/Contact Investigation Line List. http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/linelist.pdf
Scabies Outbreak Control Checklist
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Program element
Action
Person responsible
Target date
Task completed
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f
Pennsylvania Patient Safety Authority. Scabies Outbreak Control Checklist http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/ checklist.pdf
Treatment and Prophylaxis
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Pennsylvania Patient Safety Authority. Scabies Outbreak Control Checklist http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/ checklist.pdf
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Infection Control
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Pennsylvania Patient Safety Authority. Scabies Outbreak Control Checklist http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/ checklist.pdf
Environmental Control
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Pennsylvania Patient Safety Authority. Scabies Outbreak Control Checklist http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/ checklist.pdf
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Education and Communication
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Pennsylvania Patient Safety Authority. Scabies Outbreak Control Checklist http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/ checklist.pdf
patientsafetyauthority.org
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Questions?
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Like the Authority on Facebook
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Find the Authority on Facebook or Twitter
References • Bradley S. Scabies: Strategies for management and control. Pa
Patient Saf Advis 2016 Jun;13(2):66-73.
• Pennsylvania Patient Safety Authority. Scabies Outbreak Control Checklist (online). http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/checklist.pdf
• Pennsylvania Patient Safety Authority. Scabies Case/Contact Investigation Line List (online). http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/scabies/Documents/linelist.pdf
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