Course Access
Hi Sarah
We have had similar problems at one of our homes and have also recently managed a crusted scabies outbreak (Not Fun!)
We have followed all the guidelines but a few additional things I have found.
1. Weekly skin assessment for 3 months after outbreaks helps track any suspicious rashes and get them promptly treated. Without doing this is a structured manner it can be a bit hit and miss. (Ive attached a skin check document that is useful)
2. Use of a low toxicity fly spray for difficult objects such as slippers and shoes. I have found these can often be the source of the mites post treatment as they cannot always be washed and often skipped in the bagging as the residents want to wear something. I have placed these in direct sunlight out doors with a spray of insecticide for 6 hours and found no further reinfections in the wing (versus not doing this and having multipole reinfections )
3. In bagging clothes, I have found it easier to bag up clothes not frequently worn such as jackets, soft toys, soft furnishings and given the bag a spray of low toxicity fly spray and kept these bagged for the 1 week period between treatment programs. This has been with resident/family consent and found a better result and less time consuming than having to rebag items for round 2 of treatment. For each person we kept 1 weeks supply of clothes out of bags and ensured these were washed on the day of treatments.
4. Furniture in communal areas that are hard to clean (e.g. fabric material, deep crevices or seams,) treat with a spray of low toxicity fly spray. We have had much better outcome than in homes were we did not do this.
Scabies: Management in Residential Care Facilities Queensland Government January 2010
3.4 Concurrent disinfestation
As described for Stage 1, with the following additions:
Vacuum all carpets, rugs, fabric-covered chairs etc. For items unable to be laundered egg. fabric-covered chairs, rugs etc., place them in a plastic bag for 48 hours or leave them isolated in a closed room for 48 hours or spray with an insecticide.
Thoroughly wipe over non-fabric-covered surfaces such as vinyl chairs and plastic mattress covers with a standard cleaning solution.
Vacuum seams with a high suction (i.e. small diameter) nozzle. Seams should then be treated with insecticide because a vacuum cleaner may not pick up all mites.
The vacuum cleaner should be lightly sprayed with insecticide after use to destroy mites that may have accumulated on its surface during cleaning.
Areas such as toilet seats and commode chair seats need to be thoroughly wiped after each use with a cleaning solution.
Smooth floors need to be thoroughly mopped using a standard cleaning solution. Carpeted floors should be vacuumed and, if skin contact is possible, treated with an insecticide
Kind regards,
Helen Finlay
National Manager Infection Control
t 0427 110 668 | 03 8518 7356
e hfinlay@regis.com.au | w http://www.regis.com.au
Level 2, 615 Dandenong Road, Armadale VIC 3143
[cid:image004.jpg@01D70513.A70948C0]
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Sarah Gaines Hill
Sent: Wednesday, 3 March 2021 6:07 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Scabies treatment
Good Afternoon Aged Care colleagues,
We have a very perplexing situation at one of our sites where we seem to get a regular visit from scabies mites. The occurrence is too far apart for it to be an ongoing infestation.
We have implemented multiple changes as follows:
1. Treat any undiagnosed rash as potentially infectious until proven otherwise using contact precautions and isolation
2. Treat suspected or confirmed cases with lyclear including all staff who have had prolonged skin-to-skin contact or with laundry and linen
3. Simultaneously treat environment remove and launder bed clothes, clothes, towels, vacuum carpet and mattress, steam clean same.
4. Bag up other fomites for 72 hours post treatment
5. Educate staff on scabies rash identification
Do any of you treat the environment with insecticides? I have never done this and what I have read is not indicated.
Any other ideas??? I am at a loss for how to eradicate this from this particular home.
Any pearls of wisdom would be greatly appreciated.
Thanks
Sarah
[BlueCross]
Sarah
Gaines Hill
Infection Control Nurse Coordinator
P: +61 3 9828 1705
|
M: +61 429 480 183
Level 1, 117 Camberwell Road,
Hawthorn East,
VIC
3123
[BlueCross]
Disclaimer
This email message and any attachments are confidential and may contain privileged information. You should not read, copy, use or disclose it without authorisation. If received in error, please contact us at once by return email and then delete all emails and attachments. You should check this email for viruses or defects. Our liability is limited to resupplying any affected message or attachments. Any personal information in this email must be handled in accordance with the Privacy Act 1988 (Cth).
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quo