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Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018

BACKGROUND: Scabies is a skin infestation caused by the mite Sarcoptes scabiei that causes a pruritic skin eruption. In Ethiopia, the disease is common especially during natural or manmade disasters such as flooding, drought, civil war and conflict, poor water supply and sanitation, and overcrowding...

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Autores principales: Dagne, Henok, Dessie, Awrajaw, Destaw, Bikes, Yallew, Walelegn Worku, Gizaw, Zemichael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885305/
https://www.ncbi.nlm.nih.gov/pubmed/31785612
http://dx.doi.org/10.1186/s12199-019-0824-6
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author Dagne, Henok
Dessie, Awrajaw
Destaw, Bikes
Yallew, Walelegn Worku
Gizaw, Zemichael
author_facet Dagne, Henok
Dessie, Awrajaw
Destaw, Bikes
Yallew, Walelegn Worku
Gizaw, Zemichael
author_sort Dagne, Henok
collection PubMed
description BACKGROUND: Scabies is a skin infestation caused by the mite Sarcoptes scabiei that causes a pruritic skin eruption. In Ethiopia, the disease is common especially during natural or manmade disasters such as flooding, drought, civil war and conflict, poor water supply and sanitation, and overcrowding living condition. Though scabies is becoming a major public health problem, especially in low resource settings, there has been no study that reported the prevalence of scabies in the study area. The aim of this study, therefore, was to assess the prevalence of scabies and associated factors among students in primary schools in Dabat district, northwest Ethiopia. METHOD: An institutional-based cross-sectional study was employed to determine the prevalence of scabies and associated factors among schoolchildren in Dabat district. A total of 494 students selected by a multi-stage sampling technique were included in this study. Scabies was diagnosed by medical practitioners based on lesions observed on body surfaces after a physical examination. Bivariable and multivariable binary logistic regression analyses were performed using SPSS version 20. Significance level was obtained at p value < 0.05. RESULT: The prevalence of scabies was 9.3% (46/494) with 95% CI (5.66%, 12.94%). Among schoolchildren who were infested by scabies, 65.22% (30/46) had a mild, 28.26% (13/46) had moderate, and 6.52% (3/46) had severe lesions. Studying at a rural school (AOR = 2.99, 95% CI 1.33, 6.71), had illiterate father (AOR = 5.11, 95% CI 2.25, 11.58), being grade level 1–4 (AOR = 3.91, 95% CI 1.69, 9.05), rarely taking a bath (AOR = 3.54, 95% CI 1.36, 9.25), contact with a person with itching symptom (AOR = 2.66, 95% CI 1. 21, 5.83), a family member with itchy symptoms (AOR = 4.76, 95% CI 2.20, 10.28), not living with both parents (AOR = 2.49, 95% CI 1.02, 6.06), and using water only for hand washing (AOR = 4.38, 95% CI 1.78, 10.76) were factors associated with scabies infestation among schoolchildren. CONCLUSION: The prevalence of human scabies among schoolchildren in Dabat district northwest Ethiopia was high. The school localization, first cycle level of education, paternal educational status, frequency of taking a bath, and contact with a person having itchy lesions, presence of a family member with itchy lesion, and type of frequently used hand washing material were the factors significantly impacting the occurrence of scabies. Special attention should be given to students at first cycle education as they are at the highest risk of infestation.
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spelling pubmed-68853052019-12-09 Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018 Dagne, Henok Dessie, Awrajaw Destaw, Bikes Yallew, Walelegn Worku Gizaw, Zemichael Environ Health Prev Med Research Article BACKGROUND: Scabies is a skin infestation caused by the mite Sarcoptes scabiei that causes a pruritic skin eruption. In Ethiopia, the disease is common especially during natural or manmade disasters such as flooding, drought, civil war and conflict, poor water supply and sanitation, and overcrowding living condition. Though scabies is becoming a major public health problem, especially in low resource settings, there has been no study that reported the prevalence of scabies in the study area. The aim of this study, therefore, was to assess the prevalence of scabies and associated factors among students in primary schools in Dabat district, northwest Ethiopia. METHOD: An institutional-based cross-sectional study was employed to determine the prevalence of scabies and associated factors among schoolchildren in Dabat district. A total of 494 students selected by a multi-stage sampling technique were included in this study. Scabies was diagnosed by medical practitioners based on lesions observed on body surfaces after a physical examination. Bivariable and multivariable binary logistic regression analyses were performed using SPSS version 20. Significance level was obtained at p value < 0.05. RESULT: The prevalence of scabies was 9.3% (46/494) with 95% CI (5.66%, 12.94%). Among schoolchildren who were infested by scabies, 65.22% (30/46) had a mild, 28.26% (13/46) had moderate, and 6.52% (3/46) had severe lesions. Studying at a rural school (AOR = 2.99, 95% CI 1.33, 6.71), had illiterate father (AOR = 5.11, 95% CI 2.25, 11.58), being grade level 1–4 (AOR = 3.91, 95% CI 1.69, 9.05), rarely taking a bath (AOR = 3.54, 95% CI 1.36, 9.25), contact with a person with itching symptom (AOR = 2.66, 95% CI 1. 21, 5.83), a family member with itchy symptoms (AOR = 4.76, 95% CI 2.20, 10.28), not living with both parents (AOR = 2.49, 95% CI 1.02, 6.06), and using water only for hand washing (AOR = 4.38, 95% CI 1.78, 10.76) were factors associated with scabies infestation among schoolchildren. CONCLUSION: The prevalence of human scabies among schoolchildren in Dabat district northwest Ethiopia was high. The school localization, first cycle level of education, paternal educational status, frequency of taking a bath, and contact with a person having itchy lesions, presence of a family member with itchy lesion, and type of frequently used hand washing material were the factors significantly impacting the occurrence of scabies. Special attention should be given to students at first cycle education as they are at the highest risk of infestation. BioMed Central 2019-11-30 2019 /pmc/articles/PMC6885305/ /pubmed/31785612 http://dx.doi.org/10.1186/s12199-019-0824-6 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Dagne, Henok
Dessie, Awrajaw
Destaw, Bikes
Yallew, Walelegn Worku
Gizaw, Zemichael
Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018
title Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018
title_full Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018
title_fullStr Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018
title_full_unstemmed Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018
title_short Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018
title_sort prevalence and associated factors of scabies among schoolchildren in dabat district, northwest ethiopia, 2018
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885305/
https://www.ncbi.nlm.nih.gov/pubmed/31785612
http://dx.doi.org/10.1186/s12199-019-0824-6
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