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Scabies

The scabies mite, Sarcoptes scabiei, is an ectoparasite that burrows into the upper layer of the skin and deposits eggs. An exposed individual can be infectious to others, even in the absence of symptoms. Scabies can spread rapidly, including in healthcare facilities such as nursing homes and hospitals, causing outbreaks which can be difficult to control if not caught early.

Featured Resources:

Scabies outbreak investigation guidance includes:

CORHA General Guidance for Detecting, Reporting and Investigating Outbreaks of Scabies
County of Los Angeles Public Health’s Scabies Prevention and Control Guidelines for Acute and Long-Term Care Facilities
Michigan Department of Health and Human Services: Scabies Prevention and Control Manual
CDC’s Scabies in Institutional Settings website provides guidance for preventing and controlling scabies outbreaks in institutions such as long-term care facilities and hospitals

Additional Resources:

CDC’s Scabies website
California Department of Public Health guidance for the Management of Scabies Outbreaks in California Health Care Facilities

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CORHA Principles and Practices for Healthcare Outbreak Response

The CORHA Principles and Practices for Healthcare Outbreak Response is a comprehensive reference developed with the aim of equipping public health, healthcare, and other stakeholders with information on a...… Read More »

CORHA General Guidance for the Outbreak Detection and Reporting of Scabies

Background The scabies mite, Sarcoptes scabiei, is an ectoparasite that burrows into the upper layer of the skin and deposits eggs which form adults in 10-17 days. On a...… Read More »

CORHA HAI-AR Outbreak Investigation and Response Tracking System

What is this? The following materials were developed to help health departments and large healthcare systems manage information related to investigations of possible HAI-AR outbreaks involving healthcare delivery. The...… Read More »

Scabies Protocol

This Federal Bureau of Prisons scabies protocol, developed in January 2017 as part of the Federal Bureau of Prisons Clinical Guidance, provides recommended procedures for detection, diagnosis, treatment, and prevention...… Read More »

Scabies Management PowerPoint Presentation

This acute communicable disease control scabies toolkit was initially developed in 2009 by the Los Angeles County Department of Public Health and contains resources for managing scabies outbreaks in health...… Read More »

Infection Prevention in Long-Term Care – Scabies

This resource is targeted to long-term care facilities. It is brief and focused on scabies transmission, incubation period, diagnosis, treatment, environmental measures, and infection prevention and control strategies for...… Read More »

A Novel Clinical Grading Scale for Scabies to Guide the Management of Crusted Scabies

This is a very useful crusted scabies resource. Note however that the standard of care for topical treatment in the U.S. is permethrin and not benzyl benzoate plus 5%...… Read More »

Scabies in Healthcare Settings

This resource is notable for its strong control measure and case/contact definition/management content. A subscription might be required to access this article. Note that the reference to shoe covers...… Read More »

Disclaimer: The positions and views expressed in these materials do not necessarily represent the official positions of CORHA’s member organizations.