Susceptibility of patients receiving chemotherapy for haematological malignancies to scabies
| Autor: | Yohei Kida, Tomoo Kishi, Takeshi Ikeda, Miki Iwamoto, Yasuaki Toyoda, Takashi Sonoki, Hiroki Hosoi, Shigeko Nishikawa, Yoichi Yamada, Shogo Murata |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Infectious Disease Transmission Patient-to-Professional Drug-Related Side Effects and Adverse Reactions Health Personnel medicine.medical_treatment Population 030501 epidemiology Disease Outbreaks Scabies 03 medical and health sciences Drug Therapy Japan Risk Factors medicine Humans education Index case Aged Retrospective Studies Aged 80 and over Cross Infection Infection Control 0303 health sciences education.field_of_study Chemotherapy 030306 microbiology Transmission (medicine) business.industry Incidence (epidemiology) Outbreak General Medicine Crusted scabies Middle Aged medicine.disease Dermatology Hospitals Infectious Diseases Hematologic Neoplasms Female Disease Susceptibility 0305 other medical science business |
| Zdroj: | Journal of Hospital Infection. 106:594-599 |
| ISSN: | 0195-6701 |
| Popis: | Scabies is a contagious dermatosis. The risk factors for its transmission remain unclear. A scabies outbreak, involving patients who were receiving chemotherapy for haematological malignancies, occurred at our hospital.The outbreak population was analysed to determine whether the incidence of scabies was higher among contact patients receiving chemotherapy for haematological malignancies.A patient with crusted scabies was the index case, and 18 of 78 contact healthcare workers (HCWs) and 22 of 135 contact patients were diagnosed with classical scabies. Ten of 17 contact patients with haematological malignancies and 12 of 118 contact patients with other diseases were infected with scabies. The incidence rate was significantly higher among the patients with haematological malignancies (P0.001). The patients with haematological malignancies had a significantly lower mean minimum neutrophil count than those with other diseases (1159/μL vs 3761/μL, P=0.0012). Most haematological patients did not require special nursing assistance, suggesting that the higher incidence of scabies among these patients resulted from their immunodeficiency rather than greater skin-to-skin contact with infected HCWs.Our study suggests that patients receiving chemotherapy for haematological malignancies are more susceptible to scabies than patients with other diseases, and require stricter protection. |
| Databáze: | OpenAIRE |
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