{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:04:21Z","timestamp":1787681061221,"version":"build-2784847793"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Infection Prevention"],"published-print":{"date-parts":[[2017,7]]},"abstract":"\n Background:<\/jats:title>\n This article reports on a scabies outbreak among healthcare workers (HCW) in an acute care hospital. The outbreak was associated with a patient suffering from a chronic skin disease that was later diagnosed as crusted scabies.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n The objective was to determine the outbreak drivers and define a prevention strategy against future outbreaks.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n All staff that had contact with the patient were treated with 5% permethrin ointment. An interdisciplinary outbreak investigation team was established. The team conducted a questionnaire-based case-control study.<\/jats:p>\n <\/jats:sec>\n \n Findings:<\/jats:title>\n After the permethrin treatment, no further case was found. Twenty-seven HCWs who had contact with the index patient answered the questionnaire (response rate 73%). The outbreak questionnaire revealed 13 cases of secondary scabies among HCWs. In the multivariable analysis, a lack of glove use (odds ratio [OR], 9.8; P value = 0.036) and frequent close physical contact (OR, 8.151; P value = 0.038) were associated with increased risk of scabies acquisition.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n The scabies outbreak was most likely driven by three factors: an index patient with crusted scabies; a delayed diagnosis of this patient; and close physical contact without gloves during his hospital stay. The use of disposable gloves for patients with unclear dermatological diagnosis have the potential to limit future scabies outbreaks.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/1757177417690920","type":"journal-article","created":{"date-parts":[[2017,2,20]],"date-time":"2017-02-20T00:35:45Z","timestamp":1487550945000},"page":"189-192","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Scabies outbreak among healthcare workers in a German acute care hospital"],"prefix":"10.1177","volume":"18","author":[{"given":"Rasmus","family":"Leistner","sequence":"first","affiliation":[{"name":"Institute of Hygiene and Environmental Medicine, Charit\u00e9 Universit\u00e4tsmedizin Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Buchwald","sequence":"additional","affiliation":[{"name":"Department of Hospital Hygiene, Gemeinschaftskrankenhaus Havelh\u00f6he, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Beyer","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venerology and Allergology, Chariteplatz 1, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Philipp","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venerology and Allergology, Chariteplatz 1, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,2,1]]},"reference":[{"key":"bibr1-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1086\/588682"},{"key":"bibr2-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2015.188"},{"key":"bibr3-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e328336821b"},{"key":"bibr4-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2004.02253.x"},{"key":"bibr5-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2011.05.014"},{"key":"bibr6-1757177417690920","first-page":"72","volume":"3","author":"Lay CJ","year":"2011","journal-title":"Journal of Clinical Medicine Research"},{"key":"bibr7-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268816000443"},{"key":"bibr8-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2012.07892.x"},{"key":"bibr9-1757177417690920","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00042-06"}],"container-title":["Journal of Infection Prevention"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757177417690920","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1757177417690920","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757177417690920","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:06:54Z","timestamp":1777381614000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/1757177417690920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,1]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1177\/1757177417690920"],"URL":"https:\/\/doi.org\/10.1177\/1757177417690920","relation":{},"ISSN":["1757-1774","1757-1782"],"issn-type":[{"value":"1757-1774","type":"print"},{"value":"1757-1782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,1]]}}}