Pathway: Scabies

Referral Criteria/Commissioning position:

Referral to Dermatology if:

Diagnostic uncertainty

Discuss with Dermatology if:

Crusted scabies

An outbreak in nursing or care home

‘Red Flags’ include:

Consider crusted (Norwegian) scabies in patients with dementia, neurological

disease or immunosuppression

Investigations prior to referral

None needed

Information to include in referral letter:

The GP referral letter should contain:

Extent and location of rash

How long the rash has been present

Treatments tried already and their effects

Effect on quality of life

Relevant past medical/surgical history

Current regular medication

BMI

Smoking status

Alcohol consumption

References & Additional information:

Patient Information Leaflets/ PDAs Clear information about scabies and how to treat on the Primary Care Dermatology website:

The British Association of Dermatologists has a patient information leaflet about scabies: http://www.bad.org.uk/ResourceListing.aspx?sitesectionid=159&itemid=377

There is a similar one on patient.co.uk: http://www.patient.co.uk/health/scabies

References: http://www.pcds.org.uk/clinical-guidance/scabies

CCG GP sign off: SRCCG Business Committee (Delegated to Dr Greg Black)

Review date: March 2016