A Novel Clinical Grading Scale to Guide the Management of Crusted Scabies
Joshua S Davis, Steven McGloughlin, Steven YC Tong, Shelley F Walton, Bart J Currie
PLOS NEGLECTED TROPICAL DISEASES | PUBLIC LIBRARY SCIENCE | Published : 2013
BACKGROUND: Crusted scabies, or hyperinfestation with Sarcoptes scabiei, occurs in people with an inadequate immune response to the mite. In recent decades, data have emerged suggesting that treatment of crusted scabies with oral ivermectin combined with topical agents leads to lower mortality, but there are no generally accepted tools for describing disease severity. Here, we describe a clinical grading scale for crusted scabies and its utility in real world practice. METHODOLOGY/PRINCIPAL FINDINGS: In 2002, Royal Darwin Hospital (RDH), a hospital in tropical Australia developed and began using a clinical grading scale to guide the treatment of crusted scabies. We conducted a retrospective ..View full abstract
This work was assisted by salary support from the National Health and Medical Research Council of Australia (Early career fellowships to JSD and SYCT). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.