Diagnosis Of Scabies Research Articles

Scabies in 604 Patients: A Glimpse into the Disease Burden and Its Associated Mortality in Hong Kong.

Scabies is a worldwide parasitic dermatosis with a significant health burden on the young and the elderly. Statistics about the prevalence of scabies in Hong Kong are not available. This is a retrospective study of patients from a regional hospital cluster in Hong Kong with microscopy-documented Sarcoptes scabiei infestations from January 2018 to December 2022. The condition was categorised into classical scabies and crusted scabies upon clinical presentation. Demographic data, comorbid diseases, mobility and residential status, seasonal variability, secondary bacterial infection, treatment and outcomes were described. These were compared between classic and crusted scabies. In total, 604 patients were identified, representing 51.65 per 100,000 discharged patients during the study period. The median age was 84 years and 54.5% were male. The majority (506 or 83.8%) came from residential care homes for the elderly. The mean time from admission to diagnosis was 8.8 days for community-acquired infestation. There were 564 and 40 cases of classic and crusted scabies, respectively. The two groups of patients were comparable in terms of residence in elderly homes, co-existing chronic illnesses, mobility, and time from admission to diagnosis. Forty-five (7.5%) patients had positive blood cultures temporally associated with scabies. Patients with crusted scabies were at higher risk for bacteraemia (7/40 versus 38/564, p = 0.022). Permethrin and benzyl benzoate were the most popular treatment regimens, with treatment failure observed in 59/397 (14.4%) and 18/173 (10.4%), respectively. There were 172 (28.5%) mortalities within 30 days of scabies diagnosis. Thus, the burden of scabies infestation is significant in Hong Kong. Hospitalised patients diagnosed with scabies are mainly senior citizens living in residential care homes for the elderly, suggesting reservoirs of S. scabiei in the community. Of concern, bacteraemic illnesses are common and significant mortality is temporarily associated with infestation. With a rising elderly population, there is a pressing need to understand and control scabies in Hong Kong. Our study did not find that common medical illness, besides immunosuppressive therapy, predisposed patients to crusted scabies. The crusted form of scabies was associated with a higher risk of bacteraemia. The current study provides a better perspective of the disease load of scabies in Hong Kong.

Unison Infestation: A Rare Case of Norwegian Scabies in a Mother-Baby Dyad

Norwegian scabies, also known as crusted scabies, is an uncommon but highly contagious skin disease caused by an infestation of the Sarcoptes scabiei mite. It is characterized by extensive crusting and scaling of the skin, often accompanied by intense itching. Norwegian scabies is typically seen in individuals with weakened immune systems or those who are unable to care for themselves properly. We reported a case of Norwegian scabies in a 33-year-old mother and her 9-month-old baby. The mother's symptoms began during her third trimester of pregnancy, and the baby became infected a few months after birth. Both patients presented with generalized pruritus and characteristic skin lesions. The baby was also found to be severely malnourished. In conclusion, this case highlights the importance of early diagnosis and treatment of Norwegian scabies, especially in vulnerable populations. Prompt and effective management can prevent complications and improve the quality of life for affected individuals.

Parasitological prevalence of scabies and secondary bacterial infections among scabies suspected patients at Borumeda General Hospital, Northeast Ethiopia

BackgroundScabies disproportionately affects people in resource-poor areas. Clinical diagnosis risks misdiagnosis due to resemblance to other skin diseases, but laboratory confirmation improves accuracy. Scabies allow for secondary bacterial infections. Associated bacteria exacerbate scabies and antibiotic resistance. Ethiopian scabies diagnosis relies solely on clinical exams without confirming parasites or investigating secondary bacterial infections. This study aims to identify parasites via scraping, isolate secondary bacteria, and evaluate their antibiotic susceptibility profiles.MethodsA hospital based cross-sectional study was conducted from September 2022 to July 2023 among scabies suspected patients who visited the dermatology clinic at Borumeda General Hospital in Northeast Ethiopia. A systematic random sampling technique was used to select 422 study participants. Socio-demographic, hygiene, and clinical characteristics data were collected via face-to-face interviews and observation. Skin scrapings for parasitological investigations and swab samples for microbiological investigations were collected and transported for analysis and drug susceptibility testing. Descriptive statistics and logistic regression analysis were employed to assess risk factors.ResultAmong 422 skin scraping samples, 156 (37.0%) cases of scabies were microscopically confirmed. Bed-sharing and having contact history were independent predictors of microscopically confirmed scabies. The prevalence of secondary bacterial infections among scabies-confirmed patients was 35.9% (56/156). The most prevalent bacterial species were Staphylococcus aureus, coagulase-negative staphylococci, and Streptococcus pyogenes. Tetracycline for Gram-positive bacteria and ampicillin for Gram-negative bacteria showed the highest rate of resistance. In both Gram-positive and Gram-negative strains, multidrug resistance was also observed.ConclusionThis study found that over one-third of skin scrapings tested positive for scabies. Additionally, more than one-third of scabies cases were complicated by secondary bacterial infections. Improved scabies diagnosis and consideration of secondary bacterial infections are important for better controlling this neglected tropical disease.

Training of Field-Workers for Rapid Assessment of Scabies Prevalence: A Diagnostic Accuracy Study in Mozambique.

Scabies is endemic in many resource-poor tropical areas, causing significant morbidity. However, our understanding of the true burden of scabies in Africa is limited, partly owing to limited capacity and challenges accessing the currently recommended diagnostic tools. The primary objective of this study was to assess the diagnostic accuracy of scabies assessments made by minimally trained field-workers. We trained field-workers with a minimum of secondary school education in the diagnosis of scabies. After the training, we assessed the diagnostic accuracy of assessments made by nine field-workers compared with the reference standard. In all, 193 individuals were assessed for scabies. The sensitivity, specificity, positive predictive value, and negative predictive value were calculated, as well as agreement (κ coefficients) between medical doctors and between field-workers. Of the 193 participants, 26% had scabies according to the reference standard. The sensitivity of field-worker diagnosis compared with the reference standard was 94% (95% CI: 90-99%), and the specificity was 96% (95% CI: 90-97%). The determination of severity by field-workers was less accurate; the sensitivity for severe scabies was 61% (95% CI: 48-74%), and the mean specificity was 97% (95% CI: 93-100%). This study demonstrated that field-workers without medical qualifications were capable of diagnosing scabies to a similar level of accuracy as experienced medical doctors after a short period of focal training. This may facilitate rapid assessments of scabies prevalence for public health purposes and decisions about mass drug administration implementation in similar settings.

Frequency of Scabies in Pediatric Allergy Clinic and Evaluation of Demographic Characteristics of Affected Patients

Objective: There has been an increase in the number of cases as pediatricians mistakenly refer scabies to an allergy clinic, misdiagnosing it as allergic illnesses, particularly atopic dermatitis (AD), because of the presence of symptoms such as itching and eczematous lesions. The objective of our study was to examine the prevalence of scabies in children who were referred to the pediatric allergy clinic after being misdiagnosed with AD. We also aimed to determine the clinical and demographic distinctions between individuals with AD and scabies. Methods: The files of 610 patients those referred to Sakarya Training and Research Hospital Pediatric Allergy Clinics between February-December 2022 with complaints of 'itching and rash' were documented retrospectively. Cases of acute urticaria, chronic urticaria, mastocytosis, insect bite, maculopapular rash with viral infection, drug-induced reactions were excluded. Patients whose final diagnosis was AD and who were diagnosed with 'definite scabies' were included in the study. Results: A total of 404 patients were included in the study. The rate of definite diagnosis of scabies was 18.5% (n:75/404). The median age at presentation was 19 months (IQR 8-51) in patients diagnosed with AD and 53 months (IQR 17-117) in patients diagnosed with scabies (p<0.005). The median time from symptom onset to diagnosis was seven months (IQR 2.5-24) in the AD group and two months (IQR 1-4) in the scabies group (p<0.005). Only 20% (n:15/75) of patients with scabies had family history, 16% of patients (n:12/75) had received one or more treatments before. Pruritis was present in only 72% (54/75) of children. Hospitalization rate was 0.05% (n:4/75). Conclusion: We recommend that scabies should be considered as a potential diagnosis for patients who visit to any clinic with symptoms of itching and a skin rash. Timely identification and medical intervention for scabies in children is crucial in order to minimize the spread of the disease throughout the community and prevent potential complications.

[Translated article] Use of 365 nm LED Ultraviolet Light in the Diagnosis of Scabies

[Translated article] Use of 365 nm LED Ultraviolet Light in the Diagnosis of Scabies

Artificial intelligence in scabies diagnosis

Artificial intelligence in scabies diagnosis

Quality of Life of Patients with Scabies in an Urban Slum Area of Ludhiana

Abstract Introduction: Scabies affects 200–300 million individuals annually around the globe and it is a serious public health issue causing social stigmatisation in patients. With this background and its substantial impact on morbidity, this study was undertaken with the objective to find the demographic profile, clinical morphology and quality of life in patients suffering from scabies in urban slums of Ludhiana. Materials and Methods: A cross-sectional, time-bound hospital-based study was carried out for a period of 2 months. A total of 173 patients with a diagnosis of scabies comprising all adults and children >5 years of age attending skin outpatient department were included in the study. The collected information was entered in Microsoft Excel sheet and analysed using SPSS. Results: The mean age of the study population was 34.85 ± 17.48 years. The most affected age groups were 18–40 years (46.9%), followed by 41–60 years (26.0%) and 17.9% in children. The majority of patients had difficulty in working and feelings of embarrassment, and in three-fifths of patients, their sexual relationship was affected due to scabies. In children, more than half experienced teasing and feeling of embarrassment and their routine activities such as playing were affected. Conclusion: In the present study, scabies moderately affected the quality of life of the patients in the form of embarrassment and stigma associated with disease. As it is a contagious disease, early diagnosis and prompt treatment can be helpful in the prevention and control of disease.

Prevalence and Risk Factors of Scabies: Observational Study in Nurul Ilmi Darunnajah 14 Islamic Boarding School Students in Serang, Banten, Indonesia

Scabies is a contagious skin condition triggered by Sarcoptes scabiei varietas hominis. It is prevalent globally, particularly in tropical regions with low economic resources. The condition is commonly observed in densely populated environments characterized by close physical contact, such as Islamic boarding schools. This cross-sectional research was conducted in December 2023 at the Nurul Ilmi Darunnajah 14 Islamic Boarding School. This research involved 120 students who met the inclusion criteria. The questionnaire contains informed consent, personal identity, 15 questions to assess the level of personal hygiene, 15 questions to assess the respondent's level of knowledge, 8 statements, and 2 inspection points related to scabies diagnostic criteria. The data obtained will then be analyzed and researched according to the diagnostic criteria of the 2020 International Alliance for the Control of scabies consensus criteria for the diagnosis of scabies. The prevalence of scabies in this Islamic boarding school is 22.5% (27/120), with the risk factor for scabies being the level of personal hygiene, which includes individual cleanliness, environmental cleanliness, direct contact, ventilation, and humidity of the bedroom.

Scabies in Infants: Series of 51 Cases.

We conducted a two-year retrospective evaluation of infants aged under two years with a confirmed, clinical, or suspected diagnosis of scabies in a healthcare center in Alicante (Spain) to determine possible factors associated with diagnostic delay and poor treatment response. We collected epidemiological, clinical, diagnostic, and treatment variables. After describing our findings as mean values and percentages, we compared categorical variables using the Student's t-test and the Mann-Whitney U test, and we compared continuous variables with the Chi2 test and Pearson's correlation coefficient. We included 51 infants (19 boys and 32 girls) with a mean age of 15 months. The main source of contagion was the family; half of the infants lived with four or more people. According to the International Consensus Criteria for the Diagnosis of Scabies, confirmed scabies was diagnosed in 45% of cases and clinical scabies in 47%, and 45% of cases had a diagnostic delay. Lesions mainly affected the hands, feet, and trunk, with papules in 92% of cases and burrows in 55%. The predominant symptoms were pruritus (94%) and irritability (69%). Regarding treatment, 98% of the infants received topical permethrin and 35% received oral ivermectin. Treatment failed in 76% of infants. Living in large family units was associated with a higher risk of contagion and therapeutic failure. Diagnostic delay was associated with previous misdiagnosis.

Exploring Blood Cell Count-Derived Ratios as Practical Diagnostic Tools for Scabies in Vulnerable Populations.

Scabies is a neglected tropical disease and represents a considerable global burden. Although consensus diagnostic criteria for scabies have been recently published, diagnosing scabies infestation remains challenging in clinical practice. We investigated the diagnostic utility of complete blood cell count (CBC) and CBC-derived ratios obtained at diagnosis in a set of 167 patients who are Vietnamese with confirmed scabies. These parameters were compared with those of patients with dermatophytosis (N = 800) and urticaria (N = 2023), two diseases frequent in Vietnam, which can present with similar skin manifestations to scabies and tend to pose a diagnostic challenge in vulnerable populations. Our analysis revealed that white blood cell, monocyte, and eosinophil counts were significantly higher among patients with scabies than the other two diseases. Similarly, the monocyte-to-lymphocyte ratio (MLR) and eosinophil-to-lymphocyte ratio (ELR) were significantly higher among patients with scabies. The optimal cut-off values to distinguish scabies from dermatophytosis and urticaria were 0.094 for ELR (sensitivity: 74.85%, specificity: 70.7%) and 0.295 for MLR (sensitivity: 52.69%, specificity: 73.54%). CBC, ELR, and MLR are low-cost and easily calculated parameters that may be helpful for the diagnosis of scabies.

Scabies in dermatovenerologist practice: a clinical case of delayed diagnosis in a patient with chronic dermatosis. Case report

Despite the current approaches to diagnostics and treatment, regulatory documentation and guidelines, the diagnosis of scabies can often be delayed. The long-term scabies can mimic acute and chronic dermatoses which causes inadequate treatment. Physicians, including dermatovenerologists, misdiagnose scabies. Aim – to clarify historical aspects of scabies, present a clinical case of scabies complicated by allergic dermatitis and lymphoplasia in a patient with Darye's disease as an example of delayed diagnosis of scabies, errors in management tactics and features of treatment of scabies in a patient with chronic dermatosis.

Retrospective Evaluation of Misdiagnosed Scabies Cases: Clinical and Epidemiological Features and Resemblance to Other Dermatological Conditions

Background and Aim: Diagnosing scabies, a skin condition caused by mites, can be challenging due to its resemblance to other skin problems. Avoiding misdiagnoses could result in a significant reduction in treatment delays and complications. Our objective was to investigate scabies cases that initially posed diagnostic challenges.
 Methods: This retrospective study focused on scabies patients who were initially misdiagnosed despite routine clinical examinations and underwent histopathological examinations with different preliminary dermatological diagnoses. Inclusion criteria were in accordance with the 2020 International Alliance for the Control of Scabies Diagnosis Criteria. The study retrospectively compiled clinical, histopathological, and demographic characteristics, providing data on the challenges and delays in diagnosing scabies cases that mimic other dermatological conditions.
 Results: In a cohort of 27 scabies cases with diagnostic challenges, the majority were females (63%) with a mean age of 64.8±15.9 years. Pre-admission, 66.7% of the patients used systemic antihistamines, 52.4% used immunosuppressants, and 42.9% used topical scabies treatment. Secondary xerosis cutis and contact dermatitis were noted in 11.1% and 7.4% of cases. The most frequently considered differential diagnoses by dermatologists included prurigo subacuta (29.6%), dermatitis herpetiformis (18.5 %), lymphomatoid papulosis (14.8%), and vesicular/bullous pemphigoid (11.1 %).
 Conclusion: Previous treatments; prolonged infestations leading to severe secondary dermatological problems including prurigo subacuta, contact dermatitis, and xerotic eczema; atypical distribution of lesions; female prurigo; and elderly with prolonged pruritic atypical dermatoses or vesicular/bullous presentations should be kept in mind as clinical scenarios that may contribute to a delay in the diagnosis of scabies.

Prevalence of scabies and its associated environmental risk factors among the Forcibly Displaced Myanmar Nationals living in the Cox's Bazar district of Bangladesh

IntroductionThe Forcibly Displaced Myanmar Nationals (FDMNs) residing in refugee camps face various health challenges, including a rising prevalence of scabies, exacerbated by overcrowded conditions and limited healthcare access. This study aims to assess scabies prevalence, clinical features, and environmental factors among FDMNs, aiding interventions and recommendations for better health outcomes. MethodologyA cross-sectional study was conducted from April to May 2023 in six camps of Teknaf/Ukhia Cox's Bazar. Using a multistage sampling technique, 12 blocks were identified, and FDMNs seeking healthcare services from Primary Health Care posts were invited to participate in the study. Participants were adults, and children who volunteered to participate in this study. Scabies diagnosis was based on clinical examinations of exposed body areas by trained health professionals. Data on sociodemographic factors, environmental risk factors, and scabies symptoms were obtained through a semi-structured questionnaire administered by trained interviewers. Statistical analysis included descriptive statistics, Chi-square tests, and binary logistic regression models to explore associations between scabies infection and other explanatory factors. ResultA total of 679 FDMNs participated in the study, with a mean age of 29.13 years. Overall, 66.42 % of participants were diagnosed with scabies. Age, marital status, history of scabies infection, previous skin infection, family history of scabies and skin infection, floor type, pet animal, dust exposure, and seasonal exposure were significantly associated with the scabies infection. Binary logistic regression suggested that having history of scabies infection (OR 3.98, 95 % CI: 1.86 to 8.49, p < 0.001), skin infection (OR 2.46, 95 % CI: 1.32 to 4.58, p = 0.004), having family history of scabies infection (OR 3.06, 95 % CI: 1.29 to 7.23, p = 0.011), family history of skin infection (OR 27.41, 95% CI: 14.46 to 51.97, P < 0.001), having contact with street animal (OR 2.16, 95% CI: 1.27 to 3.66, P = 0.004), and winter season (OR 3.33, 95 % CI: 1.89 to 5.87, p < 0.001) were significantly associated with scabies infection. ConclusionTailored public health measures targeting hygiene, living conditions, and animal contact can mitigate the spread of scabies, particularly among vulnerable groups like Rohingya refugees, necessitating collaboration between stakeholders.

Dermatoscopy assessment of treatment response of scabies patients

Objective: To assess the use of dermoscopy in managing scabies, highlighting its role in enhancing diagnostic accuracy and treatment efficacy. Methodology: This cross-sectional study included 60 patients of scabies and was undertaken at the Duhok Dermatology Teaching Center in Duhok city, from May 2023 to October 2023. Dermoscopy was compared with clinical diagnosis. For data analysis, SPPS was utilized. Results: A strong correlation was discovered between the efficacy of dermatoscopy and the evaluation of scabies cases' response to treatment, which was substantiated by a p-value of 0.0000 and a t-value of 10.225. based on the R-squared value of 0.643, which indicates that dermatoscopy may explain approximately 64.3% of the variability in treatment response evaluation. Conclusion: Dermoscopy significantly enhances the accuracy of scabies diagnosis, providing a reliable, non-invasive tool that complements clinical examination.

Abordagem da Saúde Ocupacional perante surtos de Escabiose

INTRODUCTION The occurrence of outbreaks of scabies in hospitals has been serving as an alert to the importance of early diagnosis and correct approach by Occupational Health services. OBJECTIVES Review the literature on the diagnosis and treatment of scabies, as well as describe the approach taken by Occupational Health services in the face of scabies outbreaks. METHODOLOGY Review of the topic in the scientific database (PubMed), using the search terms “scabies”, “diagnosis”, “treatment” and “outbreak” anywhere in the text. Only reviews published in the last five years and available for full reading were included. RESULTS Scabies (commonly known as human scabies) is a parasitic skin infection caused by a mite that only infects humans, called Sarcoptes scabei, variety hominis. Transmission occurs by direct skin-to-skin contact or through contaminated fomites (as bedding, towels, among others). There are two clinical variants, the classic and the crusted (or Norwegian). First-line treatments are topical permethrin and oral ivermectin. Occupational Health plays a key role in addressing and controlling outbreaks in health institutions. DISCUSSION AND CONCLUSION Early detection of infected individuals, with due isolation in the case of crusted scabies; adequate and frequent cleaning of clothes; simultaneous treatment of all patients, professionals and family members who may have been exposed and continuous surveillance of affected professionals until cure are key aspects for controlling outbreaks. KEYWORDS: Scabies, Outbreaks, Diagnosis, Treatment, Occupational Health, Occupational Nursing and Occupational Medicine.

Abordagem da Saúde Ocupacional perante surtos de Escabiose

INTRODUCTION The occurrence of outbreaks of scabies in hospitals has been serving as an alert to the importance of early diagnosis and correct approach by Occupational Health services. OBJECTIVES Review the literature on the diagnosis and treatment of scabies, as well as describe the approach taken by Occupational Health services in the face of scabies outbreaks. METHODOLOGY Review of the topic in the scientific database (PubMed), using the search terms “scabies”, “diagnosis”, “treatment” and “outbreak” anywhere in the text. Only reviews published in the last five years and available for full reading were included. RESULTS Scabies (commonly known as human scabies) is a parasitic skin infection caused by a mite that only infects humans, called Sarcoptes scabei, variety hominis. Transmission occurs by direct skin-to-skin contact or through contaminated fomites (as bedding, towels, among others). There are two clinical variants, the classic and the crusted (or Norwegian). First-line treatments are topical permethrin and oral ivermectin. Occupational Health plays a key role in addressing and controlling outbreaks in health institutions. DISCUSSION AND CONCLUSION Early detection of infected individuals, with due isolation in the case of crusted scabies; adequate and frequent cleaning of clothes; simultaneous treatment of all patients, professionals and family members who may have been exposed and continuous surveillance of affected professionals until cure are key aspects for controlling outbreaks. KEYWORDS: Scabies, Outbreaks, Diagnosis, Treatment, Occupational Health, Occupational Nursing and Occupational Medicine.

Guideline for the diagnosis and treatment of scabies

Background: Scabies is a highly contagious skin disease caused by scabies mite infestation, resulting in intense itching. In 2023, the Korean Dermatological Association is actively implementing the “Eradication of Scabies, National Health Project” as a key initiative. Under this project, educational programs for sanatoriums and other group residential facilities, as well as nationwide public awareness campaigns, are being conducted. An expert committee of dermatologists has developed standardized clinical guidelines for the diagnosis and treatment of scabies.Current Concepts: The clinical presentation of scabies varies depending on the age and health status of the patient, the number of scabies mites, and the mode of transmission. Characteristic skin symptoms include intense itching that worsens at night and the presence of burrows and red, inflamed papules on typical areas such as finger webs, inner wrists, scrotum, and around the umbilicus. In older adults or immunocompromised infants, scabies may involve the scalp, face, palms, and soles. Atypical skin findings such as excessive hyperkeratosis, nodules, and other unusual manifestations may also occur.Discussion and Conclusion: Using the scabies diagnostic and treatment algorithm, healthcare professionals in Korean clinical settings can make rapid medical decisions when examining patients with scabies. This algorithm provides a systematic and straightforward approach to diagnosing and treating scabies effectively and improves patient care and management in real time.

Scabies in French Guiana: Quantitative and qualitative factors associated with therapeutic failure.

Strategies for the control of scabies should be adapted to local settings. Traditional communities in French Guiana have non-Western conceptions of disease and health. The objectives for this study were to explore knowledge, attitudes and practices to identify potential factors associated with the failure of scabies treatment in these communities. Patients with a clinical diagnosis of scabies, seen at either the Cayenne Hospital or one of 13 health centres between 01 April 2021 and 31 August 2021, were included as participants, and were seen again after 6 weeks to check for persistence of lesions. Factors associated with treatment failure were looked for both at inclusion and at 6 weeks. Semi-structured interviews were conducted with a diversified subsample of participants. In total, 164 participants were included in the quantitative component, and 21 were interviewed for the qualitative component. Declaring that the second treatment dose had been taken was associated with therapeutic success. Western treatments were not always affordable. Better adherence was observed with topical treatments than with oral ivermectin, whereas permethrin monotherapy was associated with failure. Scabies-associated stigma was high among Amerindians and Haitians but absent in Ndjuka Maroons. Participants reported environmental disinfection as being very complex. The treatment of scabies in traditional Guianan communities may vary depending on local perceptions of galenic formulations, disease-associated stigma and differences in access to health care. These factors should be taken into account when devising strategies for the control of scabies aimed at traditional communities living in remote areas, and migrant populations.

Cat Scabies Prevalence at Animal Health Center Pemalang

Scabies in cats is an infectious skin disease caused by the mite Sarcoptes scabiei that attacks the stratum corneum layer of the cat's skin at all ages and is zoonotic. The purpose of this study is to determine the prevalence of scabies using cat patient data from the Pemalang Animal Health Center from May 13th to July 15th, 2022, as well as morphological information of S. scabiei. The scabies diagnosis method employs two stages, namely the examination of clinical and laboratory symptoms. Purposive sampling was used to select laboratory examination samples. Cats with clinical scabies use the skin scraping technique, which involves scraping the skin in the area around the lesion, placing it on an object glass, dripping with 10% KOH, covering it with a cover glass, and examining it under a 400x microscope. The prevalence of scabies in cat patients at the Pemalang Health Center was 33.19%, and S. scabiei was found on the legs of cat patients.