J Korean Med Assoc.  2023 Dec;66(12):712-715. 10.5124/jkma.2023.66.12.712.

Principles for effective management of scabies outbreaks

• Seo HM
• Kim JS

• KMID: 2548957
• DOI: http://doi.org/10.5124/jkma.2023.66.12.712

Abstract

Background
The contagious skin infestation scabies, is caused by the mite Sarcoptes scabiei var. hominis. These microscopic organisms navigate under the skin surface to lay eggs, creating burrows that cause notable discomfort and itching and enable the maturation and subsequent proliferation of the mites. Spread to other hosts can occur through direct, often prolonged, skin-to-skin contact or indirectly through shared items such as clothing, bedding, or towels.
Current Concepts
Management of a scabies outbreak encompasses several pivotal steps: accurate diagnosis, comprehensive treatment with topical scabicides to kill the mites, rigorous environmental control (including washing all possibly infested materials in hot water), meticulous contact tracing of all close contacts, administration of symptomatic relief through antihistamines and corticosteroids, and meticulous follow-up to verify successful treatment outcomes.
Discussion and Conclusion
The prevention of further infestation and recurrent outbreaks is crucial, necessitating a holistic, integrative public health management approach. This approach involves consistent communication and public education about preventive measures and prompt treatment strategies to curtail widespread infestation, thereby safeguarding community health.

Keyword

Infestation; Management; Scabies; Treatment; 감염; 관리; 옴; 치료