<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532020000100031</article-id>
<article-id pub-id-type="doi">10.31252/rpso.17.01.2020</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[CRIAÇÃO DE UM PROTOCOLO DE ATUAÇÃO EM CASO DE ESCABIOSE NO CENTRO HOSPITALAR DE SÃO JOÃO, NA SEQUÊNCIA DE UM SURTO DE PEQUENA DIMENSÃO]]></article-title>
<article-title xml:lang="en"><![CDATA[CREATING GUIDELINES FOR THE MANAGEMENT OF SCABIES AT SÃO JOÃO HOSPITAL, FOLLOWING A SHORT EXTENT OUTBREAK]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Norton]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar de São João Serviço de Saúde Ocupacional ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar de São João Serviço do Serviço de Saúde Ocupacional ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="A2a">
<institution><![CDATA[,Universidade do Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>9</volume>
<fpage>31</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532020000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532020000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532020000100031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: Surtos de escabiose são frequentes em hospitais por todo o mundo, todavia a abordagem para controlar esse tipo de situação não está universalmente protocolada, existindo diversas metodologias para o fazer. Neste artigo descrevemos um surto hospitalar de pequena dimensão, que foi controlado com sucesso com um protocolo de abordagem criado para o efeito.  Metodologia: Na sequência de um surto de escabiose num hospital universitário, foi criado e posto em prática um protocolo que incluía medidas de tratamento e controlo. Foram analisados os dados relativos ao número de casos de funcionários hospitalares infetados e a eficácia da instituição do protocolo criado, seis semanas depois.  Resultados: O diagnóstico tardio de escabiose em doente internada numa enfermaria de Medicina Interna condicionou a infeção de oito funcionários, que se apresentaram sintomáticos cerca de um mês após o internamento da doente. Estes foram submetidos a tratamento e pesquisaram-se contactos para realizarem profilaxia, de acordo com o protocolo de atuação criado. Não houve recorrência de casos após seis semanas.  Discussão: O reconhecimento precoce da doença é fundamental para prevenir os surtos hospitalares. Nesse sentido foi desenvolvido um tríptico informativo destinado aos profissionais de saúde. As opções para terapêutica e profilaxia são vastas, mas a chave para a resolução do surto encontra-se no timing do tratamento dos casos e profilaxia dos contactos, que devem iniciar-se simultaneamente ou num período não inferior a vinte e quatro horas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Scabies outbreaks are common in hospital facilities around the world, nevertheless the management of such outbreaks is not universally defined, and so several approaches are valid. In this article we describe a short extent hospital outbreak, successfully controlled after the creation and institution of guidelines for the management of scabies.  Methods: Following an outbreak of scabies at a teaching hospital, a guideline for control and scabies treatment was created and applied. Data regarding the number of cases of hospital employees infected and the efficacy of the implemented guideline was analyzed six weeks later.  Results: Late diagnosis of scabies on a patient admitted to the Internal Medicine ward resulted in infection of eight hospital employees, who presented themselves with symptoms one month after the patient admission. They were submitted to treatment and possible contacts were surveyed for prophylaxis, according to the established guideline. There was no recurrence of cases after six weeks.  Discussion: Early recognition of a case of scabies is essential to prevent hospital outbreaks. In this sense we developed an informative triptych intended for health professionals. There are several possible therapeutic and prophylactic approaches to the disease, but the key to the rapid resolution of an outbreak is the timing for the treatment of cases and prophylaxis of contacts, which should be instituted simultaneously or within a 24 hour period.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[escabiose]]></kwd>
<kwd lng="pt"><![CDATA[surto]]></kwd>
<kwd lng="pt"><![CDATA[guidelines]]></kwd>
<kwd lng="pt"><![CDATA[tratamento]]></kwd>
<kwd lng="pt"><![CDATA[saúde ocupacional]]></kwd>
<kwd lng="en"><![CDATA[scabies]]></kwd>
<kwd lng="en"><![CDATA[outbreak]]></kwd>
<kwd lng="en"><![CDATA[guidelines]]></kwd>
<kwd lng="en"><![CDATA[treatment]]></kwd>
<kwd lng="en"><![CDATA[occupational health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sfeir]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Munoz-Price]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scabies and Bedbugs in Hospital Outbreaks]]></article-title>
<source><![CDATA[Current Infectious Disease Reports]]></source>
<year>2014</year>
<volume>16</volume>
<numero>8</numero>
<issue>8</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ugbomoiko]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Oyedeji]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Babamale]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Heukelbach]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scabies in Resource-Poor Communities in Nasarawa State, Nigeria: Epidemiology, Clinical Features and Factors Associated with Infestation]]></article-title>
<source><![CDATA[Tropical Medicine and Infectious Disease [Internet]]]></source>
<year>2018</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>59</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gaspard]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Laffitte]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Michaud]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Eicher]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Lacour]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Toutous-Trellu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La gale en 2012]]></article-title>
<source><![CDATA[Rev Med Suisse]]></source>
<year>2012</year>
<volume>8</volume>
<page-range>718-25</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>Centers for Disease Control and Prevention (CDC)</collab>
<article-title xml:lang=""><![CDATA[Ectoparasitic Infections]]></article-title>
<source><![CDATA[Sexually transmitted diseases treatment guidelines, 2010]]></source>
<year>2010</year>
<volume>59</volume>
<numero>RR-12</numero>
<issue>RR-12</issue>
<page-range>88-90</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Scott]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Chosidow]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[European guideline for the management of scabies, 2010]]></article-title>
<source><![CDATA[Int J STD AIDS]]></source>
<year>2011</year>
<volume>22</volume>
<page-range>301-3</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<collab>Los Angeles County Department of Public Health, Acute Communicable Disease Control Program</collab>
<source><![CDATA[Scabies prevention and control guidelines for acute and sub-acute care facilities]]></source>
<year>2009</year>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Grady]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Muller]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rapid control of a scabies outbreak at a tertiary care hospital without ward closure]]></article-title>
<source><![CDATA[American Journal of Infection Control [Internet]]]></source>
<year>2012</year>
<volume>40</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>451-5</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mounsey]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[McCarthy]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Walton]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scratching the itch: new tools to advance understanding of scabies]]></article-title>
<source><![CDATA[Trends in Parasitology]]></source>
<year>2013</year>
<volume>29</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>35-42</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Obasanjo]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Conlon]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Karanfil]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pryor]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Moler]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An Outbreak of Scabies in a Teaching Hospital Lessons Learned]]></article-title>
<source><![CDATA[Infection Control &amp; Hospital Epidemiology [Internet]]]></source>
<year>2001</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>13-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Tay]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McLellan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Klintworth]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Aung]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nosocomial crusted scabies outbreak: Important infection prevention lessons learned from a small case series]]></article-title>
<source><![CDATA[Infection, Disease &amp; Health]]></source>
<year>2017</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>43-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bouvresse]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chosidow]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scabies in healthcare settings]]></article-title>
<source><![CDATA[Current Opinion in Infectious Diseases [Internet]]]></source>
<year>2010</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>111-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wolf]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Davidovici]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of scabies and pediculosis: Facts and controversies]]></article-title>
<source><![CDATA[Clinics in Dermatology [Internet]]]></source>
<year>2010</year>
<volume>28</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>511-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Strong]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Johnstone]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interventions for treating scabies]]></article-title>
<source><![CDATA[Cochrane Database of Systematic Reviews [Internet]]]></source>
<year>2007</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[F]]></surname>
<given-names><![CDATA[Bordieu T]]></given-names>
</name>
<name>
<surname><![CDATA[Carracedo L]]></surname>
<given-names><![CDATA[Chen J]]></given-names>
</name>
<name>
<surname><![CDATA[De Frenza F]]></surname>
<given-names><![CDATA[Gariboto M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cases series of patients with scabiosis treated with 6% precipitad sulfur]]></article-title>
<source><![CDATA[Arch Med Fam General]]></source>
<year>2011</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>5-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stoevesandt]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Carlé]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Leverkus]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hamm]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Control of large institutional scabies outbreaks]]></article-title>
<source><![CDATA[JDDG: Journal der Deutschen Dermatologischen Gesellschaft [Internet]]]></source>
<year>2012</year>
<volume>10</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>637-47</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
