{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T10:46:02Z","timestamp":1776422762150,"version":"3.51.2"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scabies represents a significant infection control challenge in geriatric care facilities. Traditional reactive strategies, such as isolating identified cases, have frequently proven inadequate in preventing recurrent outbreaks, underscoring the need for proactive, systematic approaches. This study aimed to evaluate the effectiveness of a comprehensive, proactive intervention strategy in controlling nosocomial scabies transmission in a large specialized geriatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A before and after study was conducted, comparing a pre-intervention period (January 2021\u2013December 2024) with an intervention period (January\u2013December 2025). The multimodal strategy included mandatory admission screening and transfer isolation for all new inpatients, weekly active symptom surveillance of caregivers, and strict implementation of a \u201cone patient, one caregiver\u201d model coupled with infection prevention training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pre-intervention, 114 scabies cases were recorded, including 62 definite nosocomial transmissions and 18 infected caregivers. Post-intervention, 13 imported cases were intercepted at admission. Only one nosocomial transmission event (involving a nurse) was recorded, and no caregiver infections occurred. The reduction in nosocomial transmission was statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A proactive, multimodal intervention bundle effectively interrupted nosocomial scabies transmission in a high-risk geriatric setting. This strategy should be considered for integration into standard infection control protocols in long-term care facilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1807182","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T05:35:13Z","timestamp":1775540113000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Controlling recurrent scabies outbreaks in a geriatric hospital: impact of a prevention bundle and lessons from a breakthrough case"],"prefix":"10.3389","volume":"14","author":[{"given":"Lanchuan","family":"Li","sequence":"first","affiliation":[{"name":"Department of Infection Control, The Thirteenth People's Hospital of Chongqing","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renhua","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Infection Control, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Infection Control, The Thirteenth People's Hospital of Chongqing","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keli","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Infection Control, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"B1","unstructured":"Scabies"},{"key":"B2","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1016\/S1473-3099(19)30068-4","article-title":"Control of scabies and secondary impetigo: optimising treatment effectiveness in endemic 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