Kosanović Ličina Mirjana Lana, Quiaios André, Tešić Vanja, Domingues José, Sá Nelson
Department of Epidemiology, Andrija Stampar Teaching Institute of Public Health, Mirogojska cesta 16, HR-10000 Zagreb, Croatia,
Psychiatr Danub. 2014 Dec;26 Suppl 3:533-6.
Scabies is a mandatory notifiable disease according to Croatian law. Due to an increased reports of scabies within a couple of years in Zagreb, we decided to present epidemiological characteristics of patients diagnosed with scabies in Zagreb.
A retrospective survey was carried out in county Public Health Institute "Dr. Andrija Stampar" in Zagreb and analysis was performed for the period of 2010-2013 upon individual notifications on scabies cases. The patients are presented by sociodemographic data, diagnosis and treatment.
In a 4 year period there were 246 scabies cases recorded in Zagreb. Cases have been registered in all quarters of the City. The highest incidence (50/100 000) was recorded in every child age group following by incidence of over 30/100 000 in elderly institutionalized in nursing homes. In almost two thirds of patients management of scabies has not been conducted in accordance to current guidelines. 10% of scabies cases were found in medical health personnel predominantly in those working in nursing homes and psychiatric wards. A small amount of cases 19 (8%) were infected outside Croatia; the majority of these cases 15 (78%) are registered within last two years.
High percentage of scabies cases registered in nursing homes and psychiatric wards suggests that there is a need of raising awareness on scabies epidemiology and management by public health officers. Due to a higher incidence of scabies in children age, the obligation of medical practitioners is also to emphasize the importance of following treatment guidelines. In order to control scabies cases as well to prevent outbreaks within hospital wards or nursing homes there is an obligation of implementation of strict guidelines regarding treatment of scabies and a public health service referral.
根据克罗地亚法律，疥疮是一种法定报告传染病。由于萨格勒布市在几年内疥疮报告病例有所增加，我们决定介绍在萨格勒布市被诊断为疥疮患者的流行病学特征。
在萨格勒布市“安德里亚·斯坦帕尔博士”县公共卫生研究所进行了一项回顾性调查，并对2010 - 2013年期间疥疮病例的个人报告进行了分析。从社会人口统计学数据、诊断和治疗方面对患者进行了介绍。
在4年期间，萨格勒布市共记录了246例疥疮病例。病例在该市各个区均有登记。每个儿童年龄组的发病率最高（50/10万），其次是养老院中老年人的发病率超过30/10万。几乎三分之二的疥疮患者治疗未按照现行指南进行。10%的疥疮病例出现在医疗卫生人员中，主要是在养老院和精神科病房工作的人员。19例（8%）疥疮病例是在克罗地亚境外感染的；其中大多数病例15例（78%）是在过去两年内登记的。
养老院和精神科病房登记的疥疮病例比例较高，这表明公共卫生官员需要提高对疥疮流行病学和管理的认识。由于儿童年龄组疥疮发病率较高，医生也有义务强调遵循治疗指南的重要性。为了控制疥疮病例以及预防医院病房或养老院爆发疫情，有必要实施关于疥疮治疗和公共卫生服务转诊的严格指南。
