1Office for Infection Control, Asan Medical Center, Seoul, Republic of Korea.
2Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Am J Trop Med Hyg. 2020 Dec;103(6):2539-2541. doi: 10.4269/ajtmh.20-0318. Epub 2020 Sep 24.
We investigated the duration of positive microscopic examination in hospitalized patients with confirmed scabies in an acute care hospital. We included hospitalized patients who were diagnosed with scabies between January 2015 and June 2019. From the study period, a total of 31 patients with confirmed scabies were identified. Median age was 75 years. Of a total of 31 patients with confirmed scabies, six were discharged or transferred before getting a negative microscopic test result. Of the remaining 25 patients with negative microscopic test results, the median duration from diagnosis to a negative microscopic test result was 14 days (interquartile range, 9-17). Given that nosocomial outbreaks lead to high workload and considerable resource consumption, adequate treatment, sufficient follow-up examination, and confirmation of cure are warranted before releasing contact isolation.
我们调查了在一家急症医院住院的确诊疥疮患者进行阳性显微镜检查的持续时间。我们纳入了 2015 年 1 月至 2019 年 6 月期间被诊断为疥疮的住院患者。在研究期间，共发现 31 例确诊疥疮患者。中位年龄为 75 岁。在总共 31 例确诊疥疮的患者中，有 6 例在获得阴性显微镜检查结果之前出院或转院。在其余 25 例阴性显微镜检查结果的患者中，从诊断到阴性显微镜检查结果的中位时间为 14 天（四分位间距，9-17）。鉴于院内暴发会导致工作量大且资源消耗大，在解除接触隔离之前，需要进行充分的治疗、足够的随访检查并确认治愈。
