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Table 2 Comparison of simplified diagnostic criteria to 2020 IACS criteria

From: Estimation of scabies prevalence using simplified criteria and mapping procedures in three Pacific and southeast Asian countries

 

2020 IACS criteria

Simplified criteria

History Features

 Itch

Included. At least one of Itch or

Contact History required

Included; not required

 Contact History

Included. At least one of Itch or

Contact History required

Not included

Skin Examination

 Body Regions

Whole body, where feasible

Limited examination of exposed areas may be appropriate in field surveys

Frequently exposed areas only

 Lesion Appearance

Atypical scabies lesions can be included if there is a typical distribution and both history features are present

Typical scabies lesions required

 Lesion Distribution

Atypical distribution can be included where there are typical scabies lesions and both history features are present

Typical scabies distribution required

Implementation Features

 Specialised Equipment

Direct visualisation equipment for confirmed scabies, where feasible

No

 Examiner Minimum Level

Experienced healthcare worker (nurse or physician)

Community health worker

 Training

Longer, more specialised training and accreditation

Specialised training for direct visualisation (microscopy or dermoscopy)

Brief training package

 Examples of Suitable Settings

Clinical practice

Clinical trials

Accurate determination of prevalence (e.g., sentinel sites, impact surveys)

Community survey/mapping

Defining areas where prevalence is likely to be ≥ 10% and a mass drug administration strategy may be recommended