tips from the toolbox: stop scabies!

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9/27/2016 1 Tips from the Toolbox: STOP SCABIES! 1 9/27/2016 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 9/27/2016 2

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Page 1: Tips from the Toolbox: STOP SCABIES!

9/27/2016

1

Tips from the Toolbox:

STOP SCABIES!

1 9/27/2016

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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Page 2: Tips from the Toolbox: STOP SCABIES!

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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.

Page 3: Tips from the Toolbox: STOP SCABIES!

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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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Page 5: Tips from the Toolbox: STOP SCABIES!

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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

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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Questions?

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Like the Authority on Facebook

[email protected]

9/27/2016

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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