Acute Communicable Disease Control

County of Los Angeles
Department of Public Health
Acute Communicable Disease Control
313 N. Figueroa Street, #212
Los Angeles, CA 90012
Phone: (213) 240-7941
Fax: (213) 482-4856
Email:acdc2@ph.lacounty.gov

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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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