Mascart G, Cherifi S
Laboratoire de Microbiologie, C.H.U. Brugmann, Bruxelles.
Rev Med Brux. 2005 Sep;26(4):S271-4.
Regularly, cases of scabies are diagnosed. Old institutionalized persons with depressed immunity are particularly sensitive to this type of infestation. Scabies is an ectoparasitose related to Sarcoptes scabiei. Clinical picture can be highly variable depending of the type of scabies (typical scabies, profuse one or norvegian scabies). Even if the etiologic agent is the same, each type has its own characteristics and is different as far as the contagiosity is concerned. Diagnostic of scabies can be difficult due to atypical lesions. Delayed diagnostic, particularly in collectivities of old persons may be the cause of outbreaks that can be difficult to manage, are costly and very unpleasant for the patients and caregivers. The different types of treatment (local or sytemic) are discussed as well as rules to be take into account for prevention.
疥疮病例时有诊断出来。免疫力低下的老年机构收容人员对这种感染特别敏感。疥疮是一种与疥螨相关的体表寄生虫病。根据疥疮的类型（典型疥疮、泛发性疥疮或挪威疥疮），临床表现可能有很大差异。即使病原体相同，但每种类型都有其自身特点，就传染性而言也有所不同。由于病变不典型，疥疮的诊断可能会很困难。诊断延迟，尤其是在老年人群体中，可能会导致疫情爆发，难以控制，成本高昂，给患者和护理人员带来极大困扰。文中还讨论了不同类型的治疗方法（局部或全身治疗）以及预防时应考虑的规则。
