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The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau

INTRODUCTION: Skin diseases represent a significant public health problem in most low and middle income settings. Nevertheless, there is a relative paucity of high-quality epidemiological data on the prevalence of these conditions. MATERIALS/METHODS: We conducted two cross-sectional population-based...

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Autores principales: Marks, Michael, Sammut, Thomas, Cabral, Marito Gomes, Teixeira da Silva, Eunice, Goncalves, Adriana, Rodrigues, Amabelia, Manjuba, Cristóvão, Nakutum, Jose, Ca, Janete, D’Alessandro, Umberto, Achan, Jane, Logan, James, Bailey, Robin, Mabey, David, Last, Anna, Walker, Stephen L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886863/
https://www.ncbi.nlm.nih.gov/pubmed/31738757
http://dx.doi.org/10.1371/journal.pntd.0007820
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author Marks, Michael
Sammut, Thomas
Cabral, Marito Gomes
Teixeira da Silva, Eunice
Goncalves, Adriana
Rodrigues, Amabelia
Manjuba, Cristóvão
Nakutum, Jose
Ca, Janete
D’Alessandro, Umberto
Achan, Jane
Logan, James
Bailey, Robin
Mabey, David
Last, Anna
Walker, Stephen L.
author_facet Marks, Michael
Sammut, Thomas
Cabral, Marito Gomes
Teixeira da Silva, Eunice
Goncalves, Adriana
Rodrigues, Amabelia
Manjuba, Cristóvão
Nakutum, Jose
Ca, Janete
D’Alessandro, Umberto
Achan, Jane
Logan, James
Bailey, Robin
Mabey, David
Last, Anna
Walker, Stephen L.
author_sort Marks, Michael
collection PubMed
description INTRODUCTION: Skin diseases represent a significant public health problem in most low and middle income settings. Nevertheless, there is a relative paucity of high-quality epidemiological data on the prevalence of these conditions. MATERIALS/METHODS: We conducted two cross-sectional population-based skin-surveys of children (6 months to 9 years old) in the Bijagós Archipelago of Guinea-Bissau during the dry season (February-March 2018) and the wet season (June-July 2018). Following a period of training, a nurse performed a standardised examination for communicable dermatoses for each participant. We calculated the prevalence of each skin condition and investigated demographic associations. RESULTS: 1062 children were enrolled in the dry season survey of whom 318 (29.9%) had at least one skin diseases. The most common diagnosis was tinea capitis (154/1062, 14.5% - 95% CI 12.5–16.8%) followed by tinea corporis (84/1062, 7.9% - 95% CI 6.4–9.7%), pyoderma (82/1062, 7.7% - 95% CI 6.2–9.5%) and scabies (56/1062. 5.2% - 95%CI 4.0–6.8%). 320 children were enrolled in the wet season survey of whom 121 (37.8%) had at least one skin problem. Tinea capitis remained the most common diagnosis (79/320, 24.7% - 95% CI 20.1–29.9%), followed by pyoderma (38/320, 11.9% - 95% CI 8.6–16.1%), tinea corporis (23/320, 7.2% - 95% 4.7–10.7%) and scabies (6/320, 1.9% - 95% CI 0.8–4.2%). CONCLUSIONS: Our study, which utilised robust population-based cluster random sampling methodology, demonstrates the substantial disease burden caused by common communicable dermatoses in this setting. Given these findings, there is a need to consider common dermatoses as part of Universal Health Coverage to deliver ‘skin-health for all’.
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spelling pubmed-68868632019-12-13 The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau Marks, Michael Sammut, Thomas Cabral, Marito Gomes Teixeira da Silva, Eunice Goncalves, Adriana Rodrigues, Amabelia Manjuba, Cristóvão Nakutum, Jose Ca, Janete D’Alessandro, Umberto Achan, Jane Logan, James Bailey, Robin Mabey, David Last, Anna Walker, Stephen L. PLoS Negl Trop Dis Research Article INTRODUCTION: Skin diseases represent a significant public health problem in most low and middle income settings. Nevertheless, there is a relative paucity of high-quality epidemiological data on the prevalence of these conditions. MATERIALS/METHODS: We conducted two cross-sectional population-based skin-surveys of children (6 months to 9 years old) in the Bijagós Archipelago of Guinea-Bissau during the dry season (February-March 2018) and the wet season (June-July 2018). Following a period of training, a nurse performed a standardised examination for communicable dermatoses for each participant. We calculated the prevalence of each skin condition and investigated demographic associations. RESULTS: 1062 children were enrolled in the dry season survey of whom 318 (29.9%) had at least one skin diseases. The most common diagnosis was tinea capitis (154/1062, 14.5% - 95% CI 12.5–16.8%) followed by tinea corporis (84/1062, 7.9% - 95% CI 6.4–9.7%), pyoderma (82/1062, 7.7% - 95% CI 6.2–9.5%) and scabies (56/1062. 5.2% - 95%CI 4.0–6.8%). 320 children were enrolled in the wet season survey of whom 121 (37.8%) had at least one skin problem. Tinea capitis remained the most common diagnosis (79/320, 24.7% - 95% CI 20.1–29.9%), followed by pyoderma (38/320, 11.9% - 95% CI 8.6–16.1%), tinea corporis (23/320, 7.2% - 95% 4.7–10.7%) and scabies (6/320, 1.9% - 95% CI 0.8–4.2%). CONCLUSIONS: Our study, which utilised robust population-based cluster random sampling methodology, demonstrates the substantial disease burden caused by common communicable dermatoses in this setting. Given these findings, there is a need to consider common dermatoses as part of Universal Health Coverage to deliver ‘skin-health for all’. Public Library of Science 2019-11-18 /pmc/articles/PMC6886863/ /pubmed/31738757 http://dx.doi.org/10.1371/journal.pntd.0007820 Text en © 2019 Marks 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
Marks, Michael
Sammut, Thomas
Cabral, Marito Gomes
Teixeira da Silva, Eunice
Goncalves, Adriana
Rodrigues, Amabelia
Manjuba, Cristóvão
Nakutum, Jose
Ca, Janete
D’Alessandro, Umberto
Achan, Jane
Logan, James
Bailey, Robin
Mabey, David
Last, Anna
Walker, Stephen L.
The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau
title The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau
title_full The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau
title_fullStr The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau
title_full_unstemmed The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau
title_short The prevalence of scabies, pyoderma and other communicable dermatoses in the Bijagos Archipelago, Guinea-Bissau
title_sort prevalence of scabies, pyoderma and other communicable dermatoses in the bijagos archipelago, guinea-bissau
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886863/
https://www.ncbi.nlm.nih.gov/pubmed/31738757
http://dx.doi.org/10.1371/journal.pntd.0007820
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