Intervention protocol to improve scabies control in enclosed communities: a case report

Abstract Objectives To describe patients with scabies in a prison setting. Document what type of treatment was carried out. Prepare an intervention protocol to improve scabies control in the Penitentiary Center. Material and method All cases of scabies diagnosed in the Youth Detention Centre (La R...

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Main Authors: A Bedoya del Campillo, N Lleopart, Ghuman ChQR, M Álvarez, M Montilla, PA Martínez-Carpio
Format: Article
Language:English
Published: Sociedad Española de Sanidad Penitenciaria 2021-04-01
Series:Revista Española de Sanidad Penitenciaria
Subjects:
Online Access:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1575-06202021000100037&tlng=en
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author A Bedoya del Campillo
N Lleopart
Ghuman ChQR
M Álvarez
M Montilla
PA Martínez-Carpio
author_facet A Bedoya del Campillo
N Lleopart
Ghuman ChQR
M Álvarez
M Montilla
PA Martínez-Carpio
author_sort A Bedoya del Campillo
collection DOAJ
description Abstract Objectives To describe patients with scabies in a prison setting. Document what type of treatment was carried out. Prepare an intervention protocol to improve scabies control in the Penitentiary Center. Material and method All cases of scabies diagnosed in the Youth Detention Centre (La Roca del Vallès, Barcelona) between November 2018 and November 2019 were recorded. The treatment used was recorded. Bibliographical research on the protocols and treatment guidelines was carried out for community-acquired scabies. Results The study was performed with 762 inmates, of whom 61 patients were diagnosed with scabies. 39 patients' pathologies were detected at the time of admission to the center, 11 cases were diagnosed in the first 6 weeks after entering the prison, coinciding with the incubation period of the disease. Finally, 11 more were diagnosed when they had already been in prison for more than 6 weeks and therefore could be infected cases within the center. This parasitosis was detected mainly in inmates of North African origin, 14.7% of Algerian inmates and 14.2% of Moroccan inmates presented this pathology, compared to 1.6% among Spanish prisoners. All 61 patients were treated with permethrin and 8 cases had to repeat the treatment cycle due to apparent therapeutic failure. Research literature indicates that oral ivermectin should be the drug of first choice for the treatment of scabies in prison. Discussion The high incidence of scabies cases detected in prison led us to carry out a bibliographic review that brought about changes in the treatment protocol that may be of interest for the control of the disease in closed communities.
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spelling doaj.art-dbfcbafbe77c4fbab362ecf762e553b22022-12-21T23:28:54ZengSociedad Española de Sanidad PenitenciariaRevista Española de Sanidad Penitenciaria2013-64632021-04-01231374210.18176/resp.00029Intervention protocol to improve scabies control in enclosed communities: a case reportA Bedoya del CampilloN LleopartGhuman ChQRM ÁlvarezM MontillaPA Martínez-CarpioAbstract Objectives To describe patients with scabies in a prison setting. Document what type of treatment was carried out. Prepare an intervention protocol to improve scabies control in the Penitentiary Center. Material and method All cases of scabies diagnosed in the Youth Detention Centre (La Roca del Vallès, Barcelona) between November 2018 and November 2019 were recorded. The treatment used was recorded. Bibliographical research on the protocols and treatment guidelines was carried out for community-acquired scabies. Results The study was performed with 762 inmates, of whom 61 patients were diagnosed with scabies. 39 patients' pathologies were detected at the time of admission to the center, 11 cases were diagnosed in the first 6 weeks after entering the prison, coinciding with the incubation period of the disease. Finally, 11 more were diagnosed when they had already been in prison for more than 6 weeks and therefore could be infected cases within the center. This parasitosis was detected mainly in inmates of North African origin, 14.7% of Algerian inmates and 14.2% of Moroccan inmates presented this pathology, compared to 1.6% among Spanish prisoners. All 61 patients were treated with permethrin and 8 cases had to repeat the treatment cycle due to apparent therapeutic failure. Research literature indicates that oral ivermectin should be the drug of first choice for the treatment of scabies in prison. Discussion The high incidence of scabies cases detected in prison led us to carry out a bibliographic review that brought about changes in the treatment protocol that may be of interest for the control of the disease in closed communities.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1575-06202021000100037&tlng=enscabiesepidemicpovertyivermectinprisons
spellingShingle A Bedoya del Campillo
N Lleopart
Ghuman ChQR
M Álvarez
M Montilla
PA Martínez-Carpio
Intervention protocol to improve scabies control in enclosed communities: a case report
Revista Española de Sanidad Penitenciaria
scabies
epidemic
poverty
ivermectin
prisons
title Intervention protocol to improve scabies control in enclosed communities: a case report
title_full Intervention protocol to improve scabies control in enclosed communities: a case report
title_fullStr Intervention protocol to improve scabies control in enclosed communities: a case report
title_full_unstemmed Intervention protocol to improve scabies control in enclosed communities: a case report
title_short Intervention protocol to improve scabies control in enclosed communities: a case report
title_sort intervention protocol to improve scabies control in enclosed communities a case report
topic scabies
epidemic
poverty
ivermectin
prisons
url http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1575-06202021000100037&tlng=en
work_keys_str_mv AT abedoyadelcampillo interventionprotocoltoimprovescabiescontrolinenclosedcommunitiesacasereport
AT nlleopart interventionprotocoltoimprovescabiescontrolinenclosedcommunitiesacasereport
AT ghumanchqr interventionprotocoltoimprovescabiescontrolinenclosedcommunitiesacasereport
AT malvarez interventionprotocoltoimprovescabiescontrolinenclosedcommunitiesacasereport
AT mmontilla interventionprotocoltoimprovescabiescontrolinenclosedcommunitiesacasereport
AT pamartinezcarpio interventionprotocoltoimprovescabiescontrolinenclosedcommunitiesacasereport