A persistent problem with scabies in and outside a nursing home in Amsterdam: indications for resistance to lindane and ivermectin

An ongoing outbreak of scabies in and outside a nursing home in Amsterdam is described. Despite standard treatment with lindane and ivermectin, many recurrences were observed which suggested resistance to these drugs. After treatment with 5% permethrine, the patients were finally cured.

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Bibliographic Details
Published inEuro surveillance : bulletin européen sur les maladies transmissibles Vol. 13; no. 48
Main Authors van den Hoek, J A, van de Weerd, J A, Baayen, T D, Molenaar, P M, Sonder, G J, van Ouwerkerk, I M, de Vries, H J
Format Journal Article
LanguageEnglish
Published Sweden 27.11.2008
Subjects
Disease Outbreaks - prevention & control
Disease Outbreaks - statistics & numerical data
Drug Resistance
Humans
Incidence
Insecticides - administration & dosage
Ivermectin - administration & dosage
Lindane - administration & dosage
Netherlands - epidemiology
Nursing Homes - statistics & numerical data
Permethrin - administration & dosage
Population Surveillance
Risk Assessment - methods
Risk Factors
Scabies - epidemiology
Scabies - prevention & control
Treatment Failure
Treatment Outcome
Netherlands
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Summary:An ongoing outbreak of scabies in and outside a nursing home in Amsterdam is described. Despite standard treatment with lindane and ivermectin, many recurrences were observed which suggested resistance to these drugs. After treatment with 5% permethrine, the patients were finally cured.
ISSN:1560-7917
1560-7917
DOI:10.2807/ese.13.48.19052-en