Risk factors and Diagnostic criteria for Scabies in a population of Khyber Pakhtunkhwa, Pakistan: Unmatched Case-Control study
Keywords:
Scabies, Risk Factors, Diagnostic criteria, LRHAbstract
Objective To find out the risk factors associated with a high prevalence of scabies in patients who visited LRH (Lady reading Hospital) Peshawar, Khyber Pakhtunkhwa, Pakistan. Methods A total of 177 scabies patients and 354 control individuals took part in this study. We found a high rate of the disease at the age of 21-50 years OR: 1.70, 95% Cl [1.18-2.45] compare to individuals of other ages. Results The risk of the disease was higher in crowded areas such as schools and big families. This disease risk was lower in individuals having good living condition OR: 0.43, Cl 95% [0.28-0.64], good hygiene OR: 0.26, Cl 95% [0.172-0.397], and good income OR: 0.489, 95% [0.330-0.724]. Illiterate was more affected compared to literate (P<0.0001). Topical and oral treatment was found more common and effective (78.0%), topical treatment was prescribed to (20.3%), and oral treatment was prescribed to (1.7%) patients. Conclusion  It is evident from the result that the risk of scabies upsurges in congested areas, poor hygiene, and low income. Furthermore, topical and oral treatment is more common and effective to treat the disease.References
Chaudhry, M., 2005. where and who are the world’s illiterates? Background Paper Prepared for the education for all Global Monitoring Report 2006, Literacy for All. UESCO.
Dehghani, R., Vazirianzadeh, B., Hejazi, S.H., Jalayer, N., 2009. Frequency of Sarcoptes scabiei infestation in patients referred to the parasitology laboratory in Isfahan, Iran (1996-2002). Jundishapur Journal of Microbiology 2(2), 65.
Ejigu, K., Haji, Y., Toma, A., Tadesse, B.T., 2019. Factors associated with scabies outbreaks in primary schools in Ethiopia: a case–control study. Research and reports in tropical medicine 10, 119.
Feldmeier, H., Heukelbach, J., 2009. Epidermal parasitic skin diseases: a neglected category of poverty-associated plagues. Bulletin of the World Health Organization 87, 152-159.
Marks, R., 2000. Epidemiology of melanoma: Clinical dermatology• Review article. Clinical and Experimental Dermatology: Clinical dermatology 25(6), 459-463.
Mero, W.M., Hassan, H.K., 2014. Incidence of Human Scabies in Duhok Province, Kurdistan Region/Iraq. Science Journal of University of Zakho 2(2), 285-292.
Poudat, A., Nasirian, H., 2007. Prevalence of pediculosis and scabies in the prisoners of Bandar Abbas, Hormozgan province, Iran. Pak J Biol Sci 10(21), 3967-3969.
Rahdar, M., Vazirianzadeh, B., Maraghi, S., 2008. A case report of Sarcoptes scabiei infection in Ahwaz, Iran. Journal of Arthropod-Borne Diseases 2(1), 44-48.
Rathi, S., Rathi, H., Lakhani, H., Hansotia, M., 2001. Awareness about scabies among general medical practitioners (GPs) of Karachi, Pakistan. JOURNAL-PAKISTAN MEDICAL ASSOCIATION 51(10), 370-372.
Raza, N., Qadir, S., Agha, H., 2009. Risk factors for scabies among male soldiers in Pakistan: case-control study.
Walton, S.F., Currie, B.J., 2007. Problems in diagnosing scabies, a global disease in human and animal populations. Clinical microbiology reviews 20(2), 268-279.