Scabies. As an epidemic in a nursing home, scabies can be a difficult management problem. The elderly, especially if mentally confused, present a challenge for basic hygiene. When they itch, this itch is usually attributed to dry skin or senile pruritus. Only when several residents in the nursing home, and the personnel, begin to itch does one think of scabies as a cause. Then the therapy is difficult because so many persons are affected (and for personnel, possibly their families) that a basic simple therapy becomes a major management problem. All persons affected must be treated at the same time.
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