Course Access
- This topic is empty.
-
Posts
-
Hi everyone,
We’ve been dealing with recurring scabies cases for the past year, particularly within one section of our facility. Despite implementing comprehensive measures—including strict linen and laundry procedures, thorough deep cleaning, and even removing nearby trees—we continue to see new cases. Several residents in that area frequently develop rashes. After a month without any issues, the problem has resurfaced again.
We’re seeking advice on any additional strategies or best practices that might help us better control or fully eliminate this ongoing outbreak. Any insights from others who have managed similar situations would be greatly appreciated.
Thank you
Hi Parisha,
Sounds very challenging
Due to the long incubation period (2-6weeks) the mite can present as rid, when in in fact it is not.
I notice you are in NSW/Sydney and hence provided some great resource links to base facility management: https://www.seslhd.health.nsw.gov.au/sites/default/files/documents/SESLHDPR%20363%20-%20Scabies%20-%20Management%20of_0.pdf
https://www.health.nsw.gov.au/environment/pests/parasites/Pages/scabies.aspxFirst question to ask: what type of scabies has the home got? Is there pathological confirmation? Determining the type of scabies will dictate treatment.
Are there any staff with symptoms (as well as residents) – this is important to identify, isolate and treat.
Tip: Scabies is person to person contact and hence removal of trees may not alter transmission. Scabies can only live up to 2-3 days without a human host.
In my experience it’s often timing and organisation that is essential in the management of scabies – aligning everything up: 24hrs case isolation after treatment, topical treatment for residents, frequent visitors and staff (addition of oral for cases if crusted), cleaning/disinfection and laundering or bagging non-washable items 72hrs.
Consider breaking management down to actions on day 1, day 2, day 7 and day 8.
Happy to email tips directly to you – content is a bit long to post online.
This is a great topic for a 2026 Aged Care COP webinar – thanks for the tip.
Regards Carrie
