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7%. Topical treatment was prescribed to the cases and environmental measures were implemented. In our analysis, both outbreaks had as index cases institutionalized patients and had a significant impact, with hundreds of exposed individuals and considerable costs. The analysis of hospital scabies outbreaks is mostly retrospective and represents an opportunity to review its best management strategy. Implementation of guidelines on tackling scabies outbreaks in institutional settings is urgent. Implementation of guidelines on tackling sca
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