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Clinical presentation of scabies in older care home residents differs from classic descriptions

Prospective study of scabies outbreaks in ten care homes for older people

Prospective study of scabies outbreaks in ten care homes for older people

Scabies is caused by a mite that burrows into the skin. Scratching and parasite-induced inhibition of local immune response can lead to a secondary bacterial infection. Older residents in care homes are missing out on being diagnosed with scabies because symptoms differ from those in younger people.

Unlike the typical presentation on the hand, seen in younger age groups, older people often have burrows only in areas normally covered by their clothes. They may show fewer symptoms of the condition and may not have itching. As a result, vulnerable people may not be getting the necessary treatment.

Scabies outbreaks in residential care homes for older people are challenging to diagnose, stigmatising and costly to manage. The


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