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옴의 치료 원칙open accessPrinciples for effective management of scabies outbreaks

Other Titles
Principles for effective management of scabies outbreaks
Authors
서현민김정수
Issue Date
Dec-2023
Publisher
대한의사협회
Keywords
감염; 관리; 옴; 치료; Infestation; Management; Scabies; Treatment
Citation
Journal of the Korean Medical Association, v.66, no.12, pp 712 - 715
Pages
4
Indexed
SCOPUS
ESCI
KCI
Journal Title
Journal of the Korean Medical Association
Volume
66
Number
12
Start Page
712
End Page
715
URI
https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/196661
DOI
10.5124/jkma.2023.66.12.712
ISSN
1975-8456
2093-5951
Abstract
Background: The contagious skin infestation scabies, is caused by the mite Sarcoptes scabiei var. hominis. These microscopic organisms navigate under the skin surface to lay eggs, creating burrows that cause notable discomfort and itching and enable the maturation and subsequent proliferation of the mites. Spread to other hosts can occur through direct, often prolonged, skin-to-skin contact or indirectly through shared items such as clothing, bedding, or towels. Current Concepts: Management of a scabies outbreak encompasses several pivotal steps: accurate diagnosis, comprehensive treatment with topical scabicides to kill the mites, rigorous environmental control (including washing all possibly infested materials in hot water), meticulous contact tracing of all close contacts, administration of symptomatic relief through antihistamines and corticosteroids, and meticulous follow-up to verify successful treatment outcomes. Discussion and Conclusion: The prevention of further infestation and recurrent outbreaks is crucial, necessitating a holistic, integrative public health management approach. This approach involves consistent communication and public education about preventive measures and prompt treatment strategies to curtail widespread infestation, thereby safeguarding community health.
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