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June 1988

From the MMWR: Morbidity and Mortality Report Centers for Disease Control, Atlanta

Arch Dermatol. 1988;124(6):837-838. doi:10.1001/archderm.1988.01670060005001

Scabies in Health-Care Facilities—Iowa  SCABIES continues to occur among residents and staff of Iowa nursing homes and hospitals. For the 8-year period July 1979-June 1987, the Iowa Department of Public Health confirmed scabies in 25 nursing homes, 1 hospital, 1 state institution, and 1 county residential care facility. Reports of scabies were received from 11 other facilities. A report of the investigation of this problem in three nursing homes follows.

Facility 1.  In September 1985, scabies mites were found on three of seven nursing home patients with lesions suggestive of the disease. Skin scrapings from one of these patients yielded mites and eggs. He was successfully treated with an appropriate regimen of lindane lotion. The three visiting physical therapists who had treated the patient were also evaluated. Two had pruritic lesions compatible with scabies. A live mite was recovered in skin scrapings from one therapist, who was referred to her

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