학술논문
Features of human scabies in resource-limited settings: the Cameroon case
Document Type
Survey
Author
Source
BMC Dermatology. July 23, 2015, Vol. 15
Subject
Language
English
ISSN
1471-5945
Abstract
Author(s): Emmanuel Armand Kouotou[sup.1,2,3] , Jobert Richie N Nansseu[sup.4,5] , Isidore Sieleunou[sup.6] , Defo Defo[sup.2,7] , Anne-Cñcile Zoung-Kanyi Bissek[sup.2,3] and Elie Claude Ndjitoyap Ndam[sup.2,3] Background Human scabies, an ectoparasitosis transmitted [...]
Background The persistent high prevalence of human scabies, especially in low- and middle-income countries prompted us to research the sociodemographic profile of patients suffering from it, and its spreading factors in Cameroon, a resource-poor setting. Methods We conducted a cross-sectional survey from October 2011 to September 2012 in three hospitals located in Yaoundñ, Cameroon, and enrolled patients diagnosed with human scabies during dermatologists' consultations who volunteered to take part in the study. Results We included 255 patients of whom 158 (62 %) were male. Age ranged from 0 to 80 years old with a median of 18 (Inter quartile range: 3-29) years. One to eight persons of our patients' entourage exhibited pruritus (mean = 2.1 [+ or -] 1.8). The number of persons per bed/room varied from 1 to 5 (mean = 2.1 [+ or -] 0.8). The first dermatologist's consultation occurred 4 to 720 days after the onset of symptoms (mean = 77.1 [+ or -] 63.7). The post-scabies pruritus (10.2 % of cases) was unrelated to the complications observed before correct treatment (all p values > 0.05), mainly impetiginization (7.1 %) and eczematization (5.9 %). Conclusion Human scabies remains preponderant in our milieu. Populations should be educated on preventive measures in order to avoid this disease, and clinicians' knowledges must be strengthened for its proper diagnosis and management. Keywords: Human scabies, Contagiousness, Post-scabies pruritus, Cameroon
Background The persistent high prevalence of human scabies, especially in low- and middle-income countries prompted us to research the sociodemographic profile of patients suffering from it, and its spreading factors in Cameroon, a resource-poor setting. Methods We conducted a cross-sectional survey from October 2011 to September 2012 in three hospitals located in Yaoundñ, Cameroon, and enrolled patients diagnosed with human scabies during dermatologists' consultations who volunteered to take part in the study. Results We included 255 patients of whom 158 (62 %) were male. Age ranged from 0 to 80 years old with a median of 18 (Inter quartile range: 3-29) years. One to eight persons of our patients' entourage exhibited pruritus (mean = 2.1 [+ or -] 1.8). The number of persons per bed/room varied from 1 to 5 (mean = 2.1 [+ or -] 0.8). The first dermatologist's consultation occurred 4 to 720 days after the onset of symptoms (mean = 77.1 [+ or -] 63.7). The post-scabies pruritus (10.2 % of cases) was unrelated to the complications observed before correct treatment (all p values > 0.05), mainly impetiginization (7.1 %) and eczematization (5.9 %). Conclusion Human scabies remains preponderant in our milieu. Populations should be educated on preventive measures in order to avoid this disease, and clinicians' knowledges must be strengthened for its proper diagnosis and management. Keywords: Human scabies, Contagiousness, Post-scabies pruritus, Cameroon