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Scabies and impetigo in Timor-Leste: A school screening study in two districts

Authors :
Annette Steel
Anthony D. K. Draper
Laura M. Korte
Jane E. Francis
Kim Davis
Benjamin Dingle
Asha C. Bowen
Ines Teodora
Ivonia Mascarenhas
Source :
PLoS Neglected Tropical Diseases, Vol 12, Iss 5, p e0006400 (2018)
Publication Year :
2017

Abstract

Introduction Scabies and impetigo are common and important skin conditions which are often neglected in developing countries. Limited data have been published on the prevalence of scabies and impetigo in Timor-Leste. Sequelae including cellulitis, bacteraemia, nephritis, acute rheumatic fever and rheumatic heart disease contribute significantly to the burden of disease. Methods School students were recruited from schools in Dili (urban) and Ermera (rural) in Timor-Leste for an epidemiological study in October 2016. A standard questionnaire was used to record demographics, anthropometry and skin examination results. Impetigo and scabies were diagnosed based on clinical examination of exposed surfaces, and clinical photographs were reviewed for correlation by an infectious diseases paediatrician. Prevalence of scabies and impetigo were calculated and binary risk factor associations were described using relative risks and 95% confidence intervals. Adjusted odds ratios were calculated using logistic regression multivariate analysis. Continuous variables were analysed for associations using the Mann-Whitney Rank Sum test. Results The study enrolled 1396 students; median age 11 years (interquartile range (IQR) 9–15). The prevalence of scabies was 22.4% (95% CI 20.2–24.7%) and active impetigo 9.7% (95% CI 8.3–11.4%); 68.2% of students had evidence of either active or healed impetigo. Students in Ermera were more likely than those in Dili to have scabies (prevalence 32.0% vs 5.2%, aOR 8.1 (95% CI 5.2–12.4), p

Details

ISSN :
19352735
Volume :
12
Issue :
5
Database :
OpenAIRE
Journal :
PLoS neglected tropical diseases
Accession number :
edsair.doi.dedup.....68a637d25497b8c2ddbb1501dc0fde94