¿Qué hacemos ante un brote de escabiosis en un hospital? / What we do in front of a scabies outbreak in a hospital setting?

La escabiosis o sarna es una enfermedad de la piel producida por Sarcoptes scabiei; puede ir aumentando el número de casos, hasta llegar a producir verdaderas epidemias1. Se procede a describir las actuaciones del Servicio de Prevención de Riesgos Laborales de un hospital ante un brote de escabiosis ocurrido en una planta de hospitalización, con afectación de trabajadores sanitarios, tras el contacto con un paciente fuente (sospecha clínica y epidemiológica de escabiosis)

The scabies is a skin disease produced by Sarcoptes scabiei; it has been an increase on the number of cases, reaching eventually an epidemic level. We proceed to describe the measures taken by the laboral risk prevention service of a hospital against an outbreak of scabies happened in the hospitalization floor, with infection of the hospital workers after having contact with a source patient (clinic and epidemiologic scabies is suspected)

Prognostic factors and oncologic outcome in 146 patients with colorectal peritoneal carcinomatosis treated with cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy: Italian multicenter study S.I.T.I.L.O.

AIM: The present study was specifically designed to assess the major clinical and pathological variables of patients with colorectal peritoneal carcinomatosis in order to investigate whether currently used criteria appropriately select candidates for peritonectomy procedures (cytoreductive surgery) combined with hyperthermic intraperitoneal chemotherapy (HIPEC). PATIENTS AND METHODS: Preoperative, operative and follow-up data on 146 consecutive patients presenting with peritoneal carcinomatosis of colorectal origin and treated by surgical cytoreduction combined with HIPEC in 5 Italian Hospital and University Centers were prospectively entered in a common database. Univariate and multivariate analyses were used to assess the prognostic value of clinical and pathologic factors. RESULTS: Over a minimum 24-month follow-up, the overall morbidity rate was 27.4% (mortality rate: 2.7%) and was directly related to the extent of surgery. Peritoneal cancer index (PCI), unfavorable peritoneal sites, synchronous or previously resected liver metastasis and the completeness of cytoreduction, all emerged as independent prognostic factors correlated with survival. CONCLUSIONS: Until research provides more effective criteria for selecting patients based upon the biomolecular features of carcinomatosis, patients should be selected according to the existing independent prognostic variables.