Scabies among Dutch higher education students: do cases notify their contacts and do contacts take adequate measures?

The high proportion of unnotified indexes suggests a notification gap. Especially casual bedpartners often remain unnotified, presenting a risk for onward transmission. Contacts generally took adequate measures, although premature notification of their contacts may lead to unnecessary treatment or 'notification fatigue.' Enhancing healthcare support and communication might help to improve notification and prophylactic treatment behaviours and may play a crucial role in breaking the chain of transmission.