Irish journal of medical science · 2001
Scabies management in the community.
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Murphy L A, Buckley C
Аннотация
BACKGROUND: Unidentified and undertreated cases of scabies are the source of continued spread.
AIMS: To evaluate management of scabies in the community.
METHODS: Eighty-six outpatient and ward referrals were reviewed. Fifty-six had previously applied scabicidal treatments (Group 1), whilst in 30 patients the diagnosis was made de novo (Group 2). Treatment failure was identified by a detailed questionnaire. In both groups, patients were reviewed at four to six weeks.
RESULTS: Sixty-four per cent of Group 1 was initially correctly diagnosed. Seventy per cent of Group 1 patients had received verbal and written instruction as part of previous unsuccessful treatments. The clearance rate in the combined group treated according to protocol was 96%; 100% clearance was ultimately achieved.
CONCLUSION: Inconsistency in diagnosis and treatment of patients is common. A treatment protocol should be made available to family practitioners.
AIMS: To evaluate management of scabies in the community.
METHODS: Eighty-six outpatient and ward referrals were reviewed. Fifty-six had previously applied scabicidal treatments (Group 1), whilst in 30 patients the diagnosis was made de novo (Group 2). Treatment failure was identified by a detailed questionnaire. In both groups, patients were reviewed at four to six weeks.
RESULTS: Sixty-four per cent of Group 1 was initially correctly diagnosed. Seventy per cent of Group 1 patients had received verbal and written instruction as part of previous unsuccessful treatments. The clearance rate in the combined group treated according to protocol was 96%; 100% clearance was ultimately achieved.
CONCLUSION: Inconsistency in diagnosis and treatment of patients is common. A treatment protocol should be made available to family practitioners.