Department of Public Health - Acute Communicable Disease Control

Scabies Toolkit: Healthcare Settings

The toolkit was developed by the LAC DPH Scabies Task Force in response to the increased number of scabies outbreaks that occurred within acute and long-term care facilities in Los Angeles County. The information provided is based on the Scabies Prevention and Control Guidelines Acute and Long-Term Care Facilities which was updated July 2019.

The toolkit contains the following materials to assist health care facilities in managing scabies outbreaks and educating health care workers on identification, transmission, signs and symptoms, and treatment of scabies.

Scabies Guidelines: Scabies Prevention and Control Guidelines in Healthcare Settings

Scabies Guidelines: Scabies Prevention and Control Guidelines in Healthcare Settings
PDF Appendices
(all appendices are contained within the Scabies Guideline PDF)

APPENDIX A: Stop The Spread of Scabies: Action Steps

APPENDIX B: Scabies Outbreak Management Checklist

APPENDIX C: Scabies Skin Scraping Procedure

APPENDIX D: Scabies Treatment and Prophylaxis

APPENDIX E: Scabies Treatment Options

APPENDIX F: Scabies Treatment or Prophylaxis
with Permethrin (Elimite)

APPENDIX G: Scabies Fact Sheet

APPENDIX H: HCW Scabies Fact Sheet

APPENDIX I: Contact Precautions and Environmental Control
for Patients with Scabies

APPENDIX J: Scabies Case/Contact Line list Form: Patients

APPENDIX K: Scabies Case/Contact Line list Form: Healthcare Worker

APPENDIX L: Sample Letter to Discharged Patients

APPENDIX M: Sample Letter to Physicians of Discharged Patients

Materials are available for download below. If you have any questions about the Toolkit, please contact Talar Kamali, RN, BSN at tkamali@ph.lacounty.gov or (213) 240-7941.

Title Description

Scabies guidelines: Scabies Prevention and Control Guidelines in Healthcare Settings, July 2019
PDF
A comprehensive, evidenced-based guideline that thoroughly describes procedures for managing scabies outbreaks in acute and long-term care facilities.

APPENDIX A: Stop The Spread of Scabies: Action Steps PDF
Control measures to prevent further scabies transmission or to patient, visitors and staff after an outbreak is identified.

APPENDIX B: Scabies Outbreak Management Checklist PDF Word The checklist offers a list of tasks that are essential in managing scabies outbreaks within acute and long-term care facilities.

APPENDIX C: Scabies skin scraping procedure
PDF This document provides instruction on how to perform a skin scraping.

APPENDIX D: Scabies treatment and prophylaxis procedure PDF This document provides guidance on scabies treatment and prophylaxis for typical and atypical scabies.

APPENDIX E: Scabies Treatment Options
PDF
This table provides scabies treatment options, dose, how to take, duration of treatment and who to treat.

APPENDIX F: Scabies Treatment or Prophylaxis with Permethrin (Elimite) PDF This document provides information on Scabies Treatment or Prophylaxis with Permethrin (Elimite).

APPENDIX G: Scabies Fact Sheet PDF The fact sheet is provided as a quick reference to the most commonly asked questions about scabies.

APPENDIX H: HCW Scabies Fact Sheet PDF The fact sheet is provided as a quick reference for healthcare workers (HCWs) to the most commonly asked questions about scabies.

APPENDIX I: Contact Precautions and Environmental Control for Patients with Scabies PDF This procedure provides guidance on contact precautions and environmental control for typical and atypical scabies outbreaks.

APPENDIX J & K: Scabies Case/Contact Line list Form:
Patients: Excel PDF
Healthcare Workers: Excel PDF The line list provided can be used to organize and track scabies cases in outbreak situations.

APPENDIX L: Sample Letter to Discharged Patients Word PDF This sample letter can be customized and used to notify discharged patients of the potential for exposure to scabies during their admission to a health care facility.

APPENDIX M: Sample Letter to Physicians of Discharged Patients Word PDF This sample letter can be customized and used to notify physicians of their discharged patients’ potential for exposure to scabies during their admission to a health care facility.

Scabies Management PowerPoint Presentation
PDF
The presentation was developed as a visual learning instrument to assist administration in acute and long-term care facilities in educating their staff on scabies.

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