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 in:	Euro 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
Language:	English
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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Description
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