We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Investigation of a scabies outbreak in a kindergarten in Constance, Germany.
- Authors
Ariza, L.; Walter, B.; Worth, C.; Brockmann, S.; Weber, M.-L.; Feldmeier, H.
- Abstract
In industrialized countries, scabies occurs sporadically or in the form of protracted epidemics, typically in nursing homes for elderly people. Outbreaks of scabies in a kindergarten are very rare. The main goal of our study was to investigate an outbreak of scabies in a kindergarten and to identify risk factors for the infestation with the ectoparasitosis. We investigated an outbreak of scabies in a kindergarten in the City of Constance, southern Germany, with a particular pedagogical concept. Risk factors indicating a transmission of Sarcoptes mites through body contact or via fomites were assessed using questionnaires and by following the daily routine in the kindergarten. A total of 16 cases were identified. The attack rate was significantly higher in nursery teachers (risk ratio 42.1) compared to children (risk ratio 10.5). In all cases, scabies had developed rather recently, with minimal clinical manifestations. In nursery teachers, the probability of scabies was 4.4 times higher in those teachers who hugged children regularly. Children who preferably played with their own soft toys had a lower probability of developing scabies [risk ratio 0.14, 95 % confidence interval (CI) 0.05-0.42; p = 0.04]. It seems conceivable that the particular pedagogical concept of the kindergarten favored the spread of Sarcoptes mites. We were unable to show whether transmission had preferably occurred through body contact or via fomites.
- Subjects
KONSTANZ (Germany); SARCOPTES scabiei; SCABIES; KINDERGARTEN children; SKIN diseases; ECTOPARASITES; HEALTH; INFECTIOUS disease transmission; DISEASE risk factors
- Publication
European Journal of Clinical Microbiology & Infectious Diseases, 2013, Vol 32, Issue 3, p373
- ISSN
0934-9723
- Publication type
Article
- DOI
10.1007/s10096-012-1752-1