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首页> 外文期刊>Journal of Clinical and Diagnostic Research >The Outbreak of Classic and Norwegian Type Scabies, in Mentally Handicapped Persons in a Rehabilitation Centre-Iran
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The Outbreak of Classic and Norwegian Type Scabies, in Mentally Handicapped Persons in a Rehabilitation Centre-Iran

机译：在一个康复中心的弱智人士中爆发经典和挪威型Sc疮

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Scabies is an ectoparasitic infection caused in humans by the scabies mite Sarcoptes scabiei variety hominis.Aim: The aim of this study was to detect early disease scabies, finding its risk factors, and prevention of epidemic diseases among the people who are susceptible to scabies, because of disability and mental retardation.Materials and Methods: This was a descriptive cross-sectional study which was managed in a rehabilitation centre, which is responsible for the care of disabled and mentally retarted in Iran for a period of two months from July 27, 2018 until September 28, 2018. This centre had five units (A, B, C, D and E) comprising of 46 employers (34 staff; 2 nurses and 10 service personnel) who were catering to 110 handicapped persons. The index case of scabies in disability centre was a 16-year-old child with Down Syndrome, who was in contact with the patients in Unit E. On July 27, 2018, it reported one outbreak of scabies in this rehabilitation dormitory to one Centre Care Health (CCH) of Iran. All of 19 patients had symptom including: skin itching; papule on testis and penis and generalised rash on the body and two patients had thick crust on skin in armpit and anal area. Four service personnels had itching and papule on the neck. The patients were examined by a team including entomologists and dermatologists and demographic information of the patients was collected by completing the questionnaire (with regard to the principles of medical ethics). Mentally retarded persons were treated with 5% permethrin cream and for staff; nurses and service personnel 10% crotamiton cream was given except for pregnant women who used 10% sulfur ointment.Results: A total of 110 individuals with mental and physical disorders (23.6% males and 76.4% females) were resident in five units out of which 19% of individuals were exposed and 81% unexposed. The sex ratio of male to female was 1:3.2. The mean age of patients was 27 years (SD=7.09, Range 14-48 years) that most affected age group was 21-30 years (45.4%), 92% of exposed group was females and 8% were males. Using of sharing towels (odds ratio: 23.25, 95% CI: 8.91-60.64), sharing bathroom supplies (odds ratio: 3.31, 95% CI: 1.03-10.64), sleeping in a common bed (odds ratio: 23.25, 95% CI: 8.91-60.64) and sharing glove (odds ratio: 0.86, 95% CI: 0.28-2.18) were the most important risk factors of the scabies.Conclusion: It is an urgent need that in social places, including hospitals, centres for the care of the elderly and mentally handicapped people, the nurses and service personnel get trained about the importance of urgent report of epidemic diseases especially scabies to Health care centres.
机译：疮是由m螨Sarcoptes scabiei变种人在人体内引起的外寄生虫感染。目的：本研究的目的是在易感人群中发现早期疾病sc疮，发现其危险因素并预防流行病。 材料和方法：这是一项描述性横断面研究，由一个康复中心进行管理，该中心负责在伊朗照顾残疾人和智障人士，为期2年。从2018年7月27日至2018年9月28日两个月。该中心有五个部门（A，B，C，D和E），由46名雇主（34名员工; 2名护士和10名服务人员）组成，为110名残疾人提供服务人。残疾中心sc疮的索引病例是一名16岁的唐氏综合症儿童，他正在E单元与患者接触.2018年7月27日，该中心向一个康复中心报告了一次在该康复宿舍爆发的sc疮。伊朗的保健（CCH）。 19例患者均出现症状，包括：皮肤瘙痒;睾丸和阴茎上有丘疹，全身有全身性皮疹，两名患者腋下和肛门区域的皮肤上有厚皮。四名服务人员的脖子瘙痒和丘疹。由昆虫学家和皮肤科医生组成的团队对患者进行了检查，并通过填写问卷（关于医学伦理原则）来收集患者的人口统计学信息。弱智者用5％氯菊酯乳膏治疗，并给予工作人员治疗;护士和服务人员除使用10％硫磺软膏的孕妇外，均给予10％克罗他米通乳霜。结果：五个单元共居住110名患有精神和身体疾病的人（男性23.6％，女性76.4％）其中有19％的人被暴露，而81％的人未暴露。男女性别比为1：3.2。患者的平均年龄为27岁（SD = 7.09，范围14-48岁），受影响最大的年龄组为21-30岁（45.4％），暴露组的女性为92％，男性为8％。使用共用毛巾（奇数比：23.25，95％CI：8.91-60.64），共享浴室用品（奇数比：3.31，95％CI：1.03-10.64），睡在一张普通床上（奇数比：23.25，95％ CI：8.91-60.64）和共用手套（赔率：0.86，95％CI：0.28-2.18）是the疮的最重要危险因素。结论：在包括医院在内的社会场所迫切需要在老年人和弱智者护理中心，护士和服务人员接受了关于紧急报告流行病尤其是sc疮的紧急报告给卫生保健中心的培训。

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