A facility and community-based assessment of scabies in rural Malawi.

Autor: Galván-Casas C; Faculty of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain.; Department of Dermatology, Hospital Universitario de Mostoles, University Rey Juan Carlos, Madrid, Spain.; DerMalawi Project, Nkhotakota, Malawi., Mitjá O; Fight AIDS and Infectious Diseases Foundation, Badalona, Spain.; Hospital Universitari Germans Trias i Pujol, Badalona, Spain.; Lihir Medical Centre-International SOS, Londolovit, Lihir Island, Papua New Guinea., Esteban S; Department of Dermatology, Hospital Universitario de Cruces, Bilbao, Spain., Kafulafula J; Nkhotakota District Hospital, Nkhotakota, Malawi., Phiri T; Alinafe Health Center, Njewa, Malawi., Navarro-Fernández Í; Department of Dermatology, Hospital Universitario de Cabueñes, Gijón, Spain., Román-Curto C; Department of Dermatology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain., Mtenje H; Alinafe Health Center, Njewa, Malawi., Thauzeni G; Mwansambo Health Center, Mwansambo, Malawi., Harawa E; Kapiri Health Center, Kapiri, Malawi., Kaluzi S; Benga Health Center Benga, Malawi., Diere M; Thavite Health Center, Thavite, Malawi., Mkandawire M; Alinafe Health Center, Njewa, Malawi., Malizani S; Alinafe Health Center, Njewa, Malawi., Chifundo A; Alinafe Health Center, Njewa, Malawi., Utrera-Busquets M; Department of Dermatology, Hospital General La Mancha Centro, Ciudad Real, Spain., Mónica Roncero-Riesco; Department of Dermatology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain., López Martín-Prieto S; Consulta privada, Seville, Spain., Vilanova-Urdániz I; Department of Dermatology, Hospital General Universitario de Elche, Alicante, Spain., Petiti GH; Department of Dermatology, Hospital Mòisses Broggi, Barcelona, Spain., de Gálvez Aranda MV; Faculty of Medicine, Universidad de Málaga, Málaga, Spain., No Pérez N; Department of Dermatology, Complejo Hospitalario Universitario de Vigo, Vigo, Spain., Rueda Gómez-Calcerrada M; Department of Dermatology, Hospital Viamed Virgen de la Paloma, Madrid, Spain., Iranzo P; Department of Dermatology, Hospital Clínic, Barcelona, Spain., Escalonilla García-Patos P; Department of Dermatology, Complejo Asistencial de Ávila, Ávila, Spain., de Troya-Martín M; Department of Dermatology, Hospital Costa del Sol, Marbella, Spain., Romero Gomez J; Department of Dermatology, Hospital Quironsalud, Málaga, Spain., Cardeñoso-Alvarez E; Department of Dermatology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain., Lucas Truyols S; Department of Dermatology, Consorci Hospital General Universitari, València, Spain., Aspe Unanue L; Department of Dermatology, Hospital Universitario Araba, Vitoria-Gasteiz, Spain., Bajo Del Pozo C; Department of Dermatology, Complejo Hospitalario de Palencia, Palencia, Spain., Comunión Artieda A; Department of Dermatology, Centro de Diagnóstico Médico, Ayuntamiento de Madrid, Madrid, Spain., Martínez González MI; Department of Dermatology, Hospital Universitario Araba, Vitoria-Gasteiz, Spain., López-López OF; Consulta privada, A Coruña, Spain., Moreno-Artero E; Department of Dermatology, Clínica Universidad de Navarra, Madrid, Spain., Cubiró X; Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain., Meilán-Sánchez I; Department of Dermatology, Complexo Hospitalario Universitario A Coruña, A Coruña, Spain., Tomás-Velázquez A; Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain., López-Sánchez C; Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain., Sánchez-Martínez EM; Department of Dermatology, Hospital Universitario Doctor Peset, Valencia, Spain., Edwards HA; Department of Dermatology, Princess Alexandra Hospital, Brisbane, Australia.; School of Public Health, University of Queensland, Brisbane, Australia.; Dermatology Research Centre, University of Queensland, Diamantina Institute, Brisbane, Australia., Herrera Morueco M; Department of Internal Medicine, Hospital Universitario Infanta Leonor, Madrid, Spain., Zehe Rubiera J; Hospital Plat, Barcelona, Spain., Salguero Caldera L; Hospital Universitario Germans Trias y Pujol, Barcelona, Spain., Blanes-Moreno U; Francisco de Vitoria University, Madrid, Spain., Uribarren-Movilla M; Alcalá University, Madrid, Spain., Marks M; Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Jazyk: angličtina
Zdroj: PLoS neglected tropical diseases [PLoS Negl Trop Dis] 2021 Jun 01; Vol. 15 (6), pp. e0009386. Date of Electronic Publication: 2021 Jun 01 (Print Publication: 2021).
DOI: 10.1371/journal.pntd.0009386
Abstrakt: Background: Scabies is a neglected tropical disease of the skin, causing severe itching, stigmatizing skin lesions and systemic complications. Since 2015, the DerMalawi project provide an integrated skin diseases clinics and Tele-dermatology care in Malawi. Clinic based data suggested a progressive increase in scabies cases observed. To better identify and treat individuals with scabies in the region, we shifted from a clinic-based model to a community based outreach programme.
Methodology/principal Findings: From May 2015, DerMalawi project provide integrated skin diseases and Tele-dermatological care in the Nkhotakota and Salima health districts in Malawi. Demographic and clinical data of all patients personally attended are recorded. Due to a progressive increase in the number of cases of scabies the project shifted to a community-based outreach programme. For the community outreach activities, we conducted three visits between 2018 to 2019 and undertook screening in schools and villages of Alinafe Hospital catchment area. Treatment was offered for all the cases and school or household contacts. Scabies increased from 2.9% to 39.2% of all cases seen by the DerMalawi project at clinics between 2015 to 2018. During the community-based activities approximately 50% of the population was assessed in each of three visits. The prevalence of scabies was similar in the first two rounds, 15.4% (2392) at the first visit and 17.2% at the second visit. The prevalence of scabies appeared to be lower (2.4%) at the third visit. The prevalence of impetigo appeared unchanged and was 6.7% at the first visit and 5.2% at the final visit.
Conclusions/significance: Prevalence of scabies in our setting was very high suggesting that scabies is a major public health problem in parts of Malawi. Further work is required to more accurately assess the burden of disease and develop appropriate public health strategies for its control.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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