Prevalence and determinants of impetigo in Ghana: a cross-sectional study.

Autor: Amoako YA; Kumasi Centre for Collaborative Research into Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. yamoako2002@yahoo.co.uk.; School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. yamoako2002@yahoo.co.uk.; Department of Internal Medicine/Infectious Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. yamoako2002@yahoo.co.uk.; Komfo Anokye Teaching Hospital, Kumasi, Ghana. yamoako2002@yahoo.co.uk., Laryea DO; Disease Surveillance Department, Ghana Health Service, Accra, Ghana., Agbanyo A; Kumasi Centre for Collaborative Research into Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Agbavor B; Kumasi Centre for Collaborative Research into Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Oppong MN; Kumasi Centre for Collaborative Research into Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Kyem G; Komfo Anokye Teaching Hospital, Kumasi, Ghana., Abass KM; Agogo Presbyterian Hospital, Agogo, Ghana., van Bentum R; Department of Internal Medicine/Infectious Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Phillips RO; Kumasi Centre for Collaborative Research into Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.; School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.; Komfo Anokye Teaching Hospital, Kumasi, Ghana., Stienstra Y; Department of Internal Medicine/Infectious Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Jazyk: angličtina
Zdroj: BMC infectious diseases [BMC Infect Dis] 2024 Mar 26; Vol. 24 (1), pp. 349. Date of Electronic Publication: 2024 Mar 26.
DOI: 10.1186/s12879-024-09242-y
Abstrakt: Introduction: Skin diseases such as impetigo pose a significant public health challenge in low resource settings. Despite this, there is a dearth of epidemiological data on the prevalence of this condition in Ghana.
Methods: We conducted a cross sectional study in three settings in Ghana: community members in East Mamprusi district in the North East region, a secondary school in Sekyere East district, and inmates of the Kumasi central prisons both in the Ashanti region. Following a period of training, we performed a standardised skin examination on each participant to assess for scabies and impetigo. We calculated the prevalence of each skin condition and investigated determinants of impetigo.
Results/ Findings: Of the 1327 participants [males 64.1% and median age 22 (16-29) years], 746 (56.2%) had scabies and 186 (14%) had impetigo which was usually very mild or mild in severity. Most participants with impetigo also had scabies (161/186, 86.6%). Having an itch [RR 6.05 (95% CI 2.53-14.47)], presence of scabies burrows [RR 1.99 (95% CI 1.54-2.59)], clinical scabies [RR 3.15 (2.11-4.72)] or being in preschool [RR 4.56 (1.78-11.67)] increased the risk for impetigo. A combination of the presence of clinical scabies, age, sex and itch most accurately predicted the odds of having impetigo.
Conclusions: There is substantial burden of impetigo and scabies in Ghana. There is a need to institute measures to improve detection and control of these common dermatoses as part of Universal Health Coverage package to reduce the scourge of the diseases in this setting.
(© 2024. The Author(s).)
Databáze: MEDLINE
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