Original Article

Volume 3, Number 2, April 2011, Pages 72-77

Risk Factors for Delayed Diagnosis of Scabies in
Hospitalized Patients From Long-Term
Care Facilities

Chorng-Jang a!
a, b, c
, Chun-ung "ang
a, b, c
, #ui-$ing Chuang
b
, $a-an Chen
b
, #siang-ing
Chen
b
, %hu-Juan &sai
b
, Chen-Chi &sai
a, b, c, '

a
(i)ision o* +n*ectious (isease, (epartment o* ,e'icine, -u''hist (alin &.u Chi /eneral
#ospital, Chia!i, &ai0an
b
+n*ection Control Committee, -u''hist (alin &.u Chi /eneral #ospital, Chia!i, &ai0an
c
%chool o* ,e'icine, &.u Chi 1ni)ersit!, #ualien, &ai0an
'
Correspon'ing author2 Chen-Chi &sai, (i)ision o* +n*ectious (isease, (epartment o*
,e'icine, -u''hist (alin &.u Chi /eneral #ospital, 2, ,in-%heng 3oa', (alin, Chia!i,
&ai0an4 5mail2 antibo'!617msn4com

,anuscript accepte' *or publication ,arch 2, 2011
%hort title2 (ela!e' (iagnosis o* %cabies
'oi210480219:ocmr;200

Abstract
ackgro!nd2 (ela!e' 'iagnosis o* scabies can cause an institutional outbrea<, 0hich
causes consi'erabl! economic bur'en to control4 &his stu'! 0as to *in' the ris< *actors *or
'ela!e' 'iagnosis o* scabies in hospitali.e' patients *rom long-term care *acilities4
"et#ods2 "e con'ucte' a retrospecti)e anal!sis o* the hospitali.e' patients *rom long-
term care *acilities, 'iagnose' to ha)e scabies bet0een Januar! 200= an' (ecember 200>4
A step0ise logistic regression anal!sis 0as per*orme' to 'etermine the ris< *actors *or
'ela!e' 'iagnosis o* scabies4
Res!lts2 A total o* 70= episo'es 0ith scabies 0ere i'enti*ie' retrospecti)el! in 3??
hospitali.e' patients *rom long-term care *acilities4 O* these, 88 episo'es 0ere consi'ere'
as 'ela!e' 'iagnosis o* scabies4 &hese patients 0ere more associate' 0ith chronic usage o*
steroi' @73A )s4 10A, P B 04001C an' ha' longer 'uration o* hospitali.ation than the
others @30 )s4 13 'a!s, P B 04001C4 A*ter logistic regression, steroi' therap! 0as the ris<
*actor o* 'ela!e' 'iagnosis o* scabies @o''s ratio2 2348?3C4
Concl!sions2 +n the patients *rom long-term care *acilities, clinical ph!sicians shoul' pa!
more attention to those 0ith chronic usage o* steroi' to a)oi' 'ela!e' 'iagnosis o* scabies4

$ey%ords2 %cabiesD (ela!e' 'iagnosisD 3is< *actorD ong-term care *acilit!

3e*erences

14 %terling /-, Janniger CE, Eihic.a< /, %ch0art. 3A, FoG ,(4 %cabies4 Am Fam
Ph!sician 1??2D8=@8C21237-12814
H,e'lineI
24 Chosi'o0 O4 Clinical practices4 %cabies4 N 5ngl J ,e' 200=D3;8@1=C2171>-17274
H,e'lineI HCross3e*I
34 HProblems in nursing homes *or the age'4 %cabies returns--massi)el!JI4 Eran<enp*l J
2002D80@1-2C23>-3?4
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84 -uehlmann ,, -eltraminelli #, %trub C, -ircher A, Jor'an K, -attega! ,, +tin P, et al4
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*or controlling the outbrea<4 +n*ect Control #osp 5pi'emiol 200?D30@8C23;8-3=04
H,e'lineI HCross3e*I
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H,e'lineI HCross3e*I
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200;D;0@;C237;-3>14
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1=4 e)ine N4 %cal!, cruste' papules4 &hese pruritic lesions can become epi'emic in
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