Cargando…

The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia

BACKGROUND: The prevalence of skin disease in low and middle income countries is high and communicable skin diseases are a significant public health problem. Tungiasis is an ectoparasite infestation caused by the flea Tunga penetrans, which has a widespread geographical distribution. Tungiasis cause...

Descripción completa

Detalles Bibliográficos
Autores principales: Walker, Stephen L., Lebas, Eglantine, De Sario, Valentina, Deyasso, Zeleke, Doni, Shimelis N., Marks, Michael, Roberts, Chrissy H., Lambert, Saba M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557602/
https://www.ncbi.nlm.nih.gov/pubmed/28771469
http://dx.doi.org/10.1371/journal.pntd.0005808
_version_ 1783257241048055808
author Walker, Stephen L.
Lebas, Eglantine
De Sario, Valentina
Deyasso, Zeleke
Doni, Shimelis N.
Marks, Michael
Roberts, Chrissy H.
Lambert, Saba M.
author_facet Walker, Stephen L.
Lebas, Eglantine
De Sario, Valentina
Deyasso, Zeleke
Doni, Shimelis N.
Marks, Michael
Roberts, Chrissy H.
Lambert, Saba M.
author_sort Walker, Stephen L.
collection PubMed
description BACKGROUND: The prevalence of skin disease in low and middle income countries is high and communicable skin diseases are a significant public health problem. Tungiasis is an ectoparasite infestation caused by the flea Tunga penetrans, which has a widespread geographical distribution. Tungiasis causes painful skin lesions and may affect activities of daily living. OBJECTIVE: We wished to determine the prevalence and impact of tungiasis and scabies in schoolchildren in southern Ethiopia. METHODS: A cross-sectional study was performed in which students were examined by dermatologists and the skin disorders recorded. Individuals with pyogenic skin infections, scabies and tungiasis were also invited to complete the Children’s Dermatology Life Quality Index. RESULTS: There was a high burden of skin disease amongst this cohort with more than 40% having an ectodermal parasitic skin disease. The majority of these were due to tungiasis. Tungiasis was evident in more than a third of children and was associated with onychodystophy. There was a significant association between wearing “closed” footwear and a greater number of tungiasis lesions but not tungiasis per se. Dermatophyte infections, acne and plantar maceration secondary to occlusive footwear were also common. Scabies and tungiasis appeared to have a significant negative effect on quality of life. CONCLUSION: Tungiasis is highly prevalent in schoolchildren in the part of Ethiopia where the study was conducted and is associated with a deleterious effect on quality of life. The role of footwear in both preventing and possibly exacerbating cutaneous ailments in this setting requires further study.
format Online
Article
Text
id pubmed-5557602
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-55576022017-08-25 The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia Walker, Stephen L. Lebas, Eglantine De Sario, Valentina Deyasso, Zeleke Doni, Shimelis N. Marks, Michael Roberts, Chrissy H. Lambert, Saba M. PLoS Negl Trop Dis Research Article BACKGROUND: The prevalence of skin disease in low and middle income countries is high and communicable skin diseases are a significant public health problem. Tungiasis is an ectoparasite infestation caused by the flea Tunga penetrans, which has a widespread geographical distribution. Tungiasis causes painful skin lesions and may affect activities of daily living. OBJECTIVE: We wished to determine the prevalence and impact of tungiasis and scabies in schoolchildren in southern Ethiopia. METHODS: A cross-sectional study was performed in which students were examined by dermatologists and the skin disorders recorded. Individuals with pyogenic skin infections, scabies and tungiasis were also invited to complete the Children’s Dermatology Life Quality Index. RESULTS: There was a high burden of skin disease amongst this cohort with more than 40% having an ectodermal parasitic skin disease. The majority of these were due to tungiasis. Tungiasis was evident in more than a third of children and was associated with onychodystophy. There was a significant association between wearing “closed” footwear and a greater number of tungiasis lesions but not tungiasis per se. Dermatophyte infections, acne and plantar maceration secondary to occlusive footwear were also common. Scabies and tungiasis appeared to have a significant negative effect on quality of life. CONCLUSION: Tungiasis is highly prevalent in schoolchildren in the part of Ethiopia where the study was conducted and is associated with a deleterious effect on quality of life. The role of footwear in both preventing and possibly exacerbating cutaneous ailments in this setting requires further study. Public Library of Science 2017-08-03 /pmc/articles/PMC5557602/ /pubmed/28771469 http://dx.doi.org/10.1371/journal.pntd.0005808 Text en © 2017 Walker et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Walker, Stephen L.
Lebas, Eglantine
De Sario, Valentina
Deyasso, Zeleke
Doni, Shimelis N.
Marks, Michael
Roberts, Chrissy H.
Lambert, Saba M.
The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia
title The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia
title_full The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia
title_fullStr The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia
title_full_unstemmed The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia
title_short The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia
title_sort prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557602/
https://www.ncbi.nlm.nih.gov/pubmed/28771469
http://dx.doi.org/10.1371/journal.pntd.0005808
work_keys_str_mv AT walkerstephenl theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT lebaseglantine theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT desariovalentina theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT deyassozeleke theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT donishimelisn theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT marksmichael theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT robertschrissyh theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT lambertsabam theprevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT walkerstephenl prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT lebaseglantine prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT desariovalentina prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT deyassozeleke prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT donishimelisn prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT marksmichael prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT robertschrissyh prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia
AT lambertsabam prevalenceandassociationwithhealthrelatedqualityoflifeoftungiasisandscabiesinschoolchildreninsouthernethiopia