Division of Infectious Diseases, Department of Infection Control, Chang Gung Memorial Hospital at Keelung, Taiwan.
J Microbiol Immunol Infect. 2012 Aug;45(4):276-80. doi: 10.1016/j.jmii.2011.12.003. Epub 2012 Mar 21.
Scabies is a global problem. Transmission of scabies is usually due to direct or indirect contact. Delay in diagnosis may result in the spread of the scabies mite. Prompt diagnosis and treatment are important.
In this study, we collected data from 52 scabies patients and analyzed the risk factors for scabies with the case-control method.
Our study has revealed that the patients who were bedridden [odds ratio (OR) 6.72, p < 0.0001], living in a nursing home (OR 9.89, p < 0.0001), had a higher clinical severity status before admission (OR 1.25, p < 0.0001), and a catheter inserted (including nasogastric tube, Foley catheter, Port-A, or Hickman catheter) (OR 9.05, p < 0.0001) were significantly more likely to acquire scabies infection.
To prevent scabies, proper management of the nursing home setting, including adequate cleaning of the contaminated clothing, bedding and equipment, in combination with treating all suspected scabies patients, and contact isolation are important and necessary.
疥疮是一个全球性问题。疥疮的传播通常是通过直接或间接接触。诊断的延迟可能导致疥疮螨的传播。及时诊断和治疗很重要。
在这项研究中，我们收集了 52 例疥疮患者的数据，并采用病例对照的方法分析了疥疮的危险因素。
我们的研究表明，卧床不起的患者（优势比 [OR] 6.72，p<0.0001）、住在养老院的患者（OR 9.89，p<0.0001）、入院前临床严重程度更高的患者（OR 1.25，p<0.0001）和有留置导管（包括鼻胃管、 Foley 导管、Port-A 或 Hickman 导管）的患者（OR 9.05，p<0.0001）更容易感染疥疮。
为了预防疥疮，需要对养老院环境进行适当的管理，包括对污染的衣物、被褥和设备进行充分的清洁，同时对所有疑似疥疮患者进行治疗，并采取接触隔离措施，这是非常重要和必要的。
