Brief Report: An Outbreak of Scabies Among Employees in a Hospital-associated Commercial Laundry

Abstract

The acquisition of scabies in either the community or the health care setting is not uncommon, although it is infrequently documented. In Missouri, individual cases of scabies infestation are not reportable, but outbreak notification is required. Outside of the nursing home environment, where three to six outbreaks of scabies per year require assistance from the nosocomial disease subprogram of the Kansas City Health Department, only two other outbreaks have been recorded in the community since August 1977. One involved a school with 93 cases and the other a commercial laundry, which is reported here. The latter outbreak illustrates the difficulty encountered when attempting to classify an outbreak as either nosocomially acquired or community-acquired.