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Increase in Scabies Incidence: Tertiary, Retrospective, Single Center Study

Yıl 2023, Cilt: 18 Sayı: 1, 108 - 114, 16.03.2023
https://doi.org/10.17517/ksutfd.1086638

Öz

Objective: The purpose of this study was to investigate the increase in scabies cases that we have observed in our region in recent years and changes in the frequency of scabies.
Materials and Methods: All patients who applied to Elazig Fethi Sekin City Hospital Dermatology Clinic between January 2019 and December 2021 and were diagnosed with scabies were evaluated retrospectively. Age, gender, citizenship and application dates were obtained by anonymizing from the hospital database.
Results: Scabies was diagnosed in 2898 of a total of 191925 patients who applied to the dermatology outpatient clinic between 2019-2021. It was observed that there was a statistically significant increase in the frequency of scabies patients in this period (χ2:296.158; p=0.000). It was observed that the frequency of scabies increased gradually in the last three years (0.95%, 1.75% and 1.99%, respectively). The disease was significantly more common in males than females (p<0.001). The mean age of the patients was 27.52, 27.74, 26.78 by years. There was no change in the mean age of the total patients and the mean age of the male patients over the years. However, a significant decrease was found in the mean age of women (p<0.001). According to age groups, the incidence of scabies was highest in patients between the ages of 15-44 for each year. When the quarters of the year were evaluated, it was observed that the frequency of skabies increased significantly in the last quarters and reached its highest value in the last quarter of 2021 (p<0.001).
Conclusion: It was detected that the frequency of patients with scabies in our region has been increasing gradually in the last three years. It was determined that this increase was the most in 2021 and in the last quarter of the year.

Kaynakça

  • Hicks MI, Elston DM. Scabies. Dermatol Ther 2009;22:279-292.
  • Rao MA, Raza N, Faheem M, Saleem MA. Comparison of efficacy of permethrin 5% cream with crotamiton 10% cream in patients with scabies. J Ayub Med Coll Abbottabad 2019;31:230-232.
  • Heukelbach J, Mazigo HD, Ugbomoiko US. Impact of scabies in resourcepoor communities. Curr Opin Infect Dis 2013;26:127-132.
  • Falay T, Gürel MS. Uyuz. Turkiye Klinikleri J Dermatol-Special Topics 2017;10:143-153.
  • Salavastru CM, Chosidow O, Boffa MJ, Janier M, Tiplica GS. European guideline for the management of scabies. J Eur Acad Dermatol Venereol 2017;31:1248-1253.
  • Nair PA, Vora RV, Jivani NB, Gandhi SS. A study of clinical profile and quality of life in patients with scabies at a rural tertiary care centre. Clin Diagn Res 2016;10:WC01-WC5.
  • Olsen JR, Gallacher J, Finlay AY, Piguet V, Francis NA. Quality of life impact of childhood skin conditions measured using the Children’s Dermatology Life Quality Index (CDLQI): A meta‐analysis. Br J Dermatol 2016;174:853-861.
  • Turan Ç, Metin N, Utlu Z. Epidemiological evaluation of scabies cases encountered in the last three years as a tertiary health center. Turkiye Parazitol Derg 2020;44:77-82.
  • Aktaş H, Cebecik A. Changes in incidence and age distribution of scabies: A retrospective cohort study in a tertiary hospital. Arch Clin Exp Med 2019;4:21-24.
  • Sunderkötter C, Aebischer A, Neufeld M, Löser C, Kreuter A, Bialek R et al. Increase of scabies in Germany and development of resistant mites? Evidence and consequences. J Dtsch Dermatol Ges 2019;17:15-23.
  • World Health Organization. Neglected tropical disease. Scabies 2017 (cited 2020 Jan 22). Available from URL https://www.who.int/neglected_diseases/diseases/scabies/en/
  • Pişkin S, Görgülü A, Akgün N, Öztürk A, Şen Ö, Gürkök F. Epidemiology of scabies in Edirne. Balkan Med J 1993;10:157-161.
  • Tüzün Y, Kotoğyan A, Cenesizoğlu E, Baransü O, Ozarmağan G, Ural A et al. The epidemiology of scabies in Turkey. Int J Dermatol 1980;19:41-44.
  • Çiftçi IH, Karaca S, Dogru Ö, Cetinkaya Z, Kulaç M. Prevalence of pediculosis and scabies in preschool nursery children of Afyon, Turkey. Korean J Parasitol 2006;44:95-98.
  • Yılmaz M, Korkmaz E, Karakoç S, Yaztürk Ş, Kizirgil A, Yakupoğulları Y. Investigation of intestinal parasites and ectoparasites in three primary school students in Elazığ. Türkiye Parazitol Derg 2007;31:139-141.
  • Bener F. Increase in scabies incidence: A retrospective cohort study. The European Research Journal 2021;7:488-494.
  • Baykal C, Atci T, Kutlay A, Baykut B, Türkoğlu Z. Scabies outbreak in Turkey in 2018-2019. J Eur Acad Dermatol Venereol. 2021;35:384-385.
  • Özden MG, Ertürk K, Kartal SP, Yayli S, Göktay F, Doğramacı CA, Bayramgürler D et al. An extraordinary outbreak of scabies in Turkey. J Eur Acad Dermatol Venereol.2020;34(12):818-820.
  • Çetinkaya Ü, Şahin S, Ulutabanca RÖ. The epidemiology of scabies and pediculosis in Kayseri. Turkiye Parazitol Derg. 2018;42:134-137.
  • Seyedi Arani HR, Dehghani R, Ghannaee Arani M, Seyyedi Arani HR, Zarghi I. Scabies contamination status in Iran: A review. Int J Epidemiol Res 2016;3:86-94.
  • Turan Ç, Metin N. Impact of pandemic in the frequency of scabies: possible scabies outbreak scenario aftermath COVID-19. Turkiye Parazitol Derg 2021;45:190-194.
  • Porsuk AÖ, Cerit Ç. Status of scabies cases in COVID-19 Pandemic Days. Iran J Parasitol. 2021;16:499-505.
  • Liu J-M, Wang HW, Chang FW, Liu YP, Chiu FH, Lin YC et al. The effects of climate factors on scabies. A 14-year population-based study in Taiwan. Parasite 2016;23.
  • Azene AG, Aragaw AM, Wassie GT. Prevalence and associated factors of scabies in Ethiopia: systematic review and Meta-analysis. BMC Infect Dis. 2020;27;20(1):380.
  • Ahmed AE, Jradi H, AlBuraikan DA, ALMuqbil BI, Albaijan MA, Al-Shehri AM, Al-Jahdali H. Rate and factors for scabies recurrence in children in Saudi Arabia: A retrospective study. BMC Pediatr. 2019;8;19(1):187.
  • Amato E, Dansie LS, Grøneng GM, Blix HS, Bentele H, Veneti L, et al. Increase of scabies infestations, Norway, 2006 to 2018. Euro Surveill. 2019;24(23):190020.
  • De Lucia M, Potestio L, Costanzo L, Fabbrocini G, Gallo L. Scabies outbreak during COVID-19: an Italian experience. Int J Dermatol. 2021;60(10):1307-1308.

Skabies İnsidansında Artış: Üçüncü Basamak, Retrospektif, Tek Merkez Çalışması

Yıl 2023, Cilt: 18 Sayı: 1, 108 - 114, 16.03.2023
https://doi.org/10.17517/ksutfd.1086638

Öz

Amaç: Son yıllarda bölgemizde gözlemlediğimiz skabies olgularındaki artışı ve skabies hastalarının demografik özelliklerini araştırmayı amaçladık.
Gereç ve Yöntemler: Elazığ Fethi Sekin Şehir Hastanesi Dermatoloji Kliniğine Ocak 2019 ve Aralık 2021 tarihleri arasında başvuran ve skabies tanısı alan tüm hastalar retrospektif olarak değerlendirildi. Yaş, cinsiyet, vatandaşlık ve başvuru tarihleri hastane veri tabanından anonimleştirilerek elde edildi.
Bulgular: 2019-2021 yılları arasında dermatoloji polikliniğine başvuran toplam 191925 hastanın 2898’ine skabies tanısı kondu. Bu üç yılda gözlenen skabies hasta sıklıklarının istatistiksel olarak anlamlı artış gösterdiği gözlendi (χ2:296.158; p=0.000). Skabies frekansının son üç yılda tedricen arttığı (sırasıyla %0.95, %1.75 ve %1.99) gözlendi. Hastalık erkeklerde kadınlara oranla anlamlı olarak daha sıktı (p<0.001). Hastaların yaş ortalaması yıllara göre 27.52, 27.74, 26.78 idi. Yıllar içinde toplam yaş ortalaması ve erkek hastaların yaş ortalamasında değişim olmazken kadınların yaş ortalamasında anlamlı bir azalma tespit edildi (p<0.001). Yaş gruplarına göre skabies görülme sıklığı her yıl için 15-44 yaş arasındaki hastalarda en yüksek izlendi. Yılın çeyrekleri değerlendirildiğinde skabies frekansının, son çeyreklerde anlamlı derecede arttığı ve en yüksek değerine 2021 yılının son çeyreğinde ulaştığı gözlendi (p<0.001).
Sonuç: Bölgemizdeki skabies hasta sıklığının son üç yıl içinde giderek arttığı, bu artışın en fazla 2021 yılında ve yılın son çeyreğinde olduğu tespit edildi.

Kaynakça

  • Hicks MI, Elston DM. Scabies. Dermatol Ther 2009;22:279-292.
  • Rao MA, Raza N, Faheem M, Saleem MA. Comparison of efficacy of permethrin 5% cream with crotamiton 10% cream in patients with scabies. J Ayub Med Coll Abbottabad 2019;31:230-232.
  • Heukelbach J, Mazigo HD, Ugbomoiko US. Impact of scabies in resourcepoor communities. Curr Opin Infect Dis 2013;26:127-132.
  • Falay T, Gürel MS. Uyuz. Turkiye Klinikleri J Dermatol-Special Topics 2017;10:143-153.
  • Salavastru CM, Chosidow O, Boffa MJ, Janier M, Tiplica GS. European guideline for the management of scabies. J Eur Acad Dermatol Venereol 2017;31:1248-1253.
  • Nair PA, Vora RV, Jivani NB, Gandhi SS. A study of clinical profile and quality of life in patients with scabies at a rural tertiary care centre. Clin Diagn Res 2016;10:WC01-WC5.
  • Olsen JR, Gallacher J, Finlay AY, Piguet V, Francis NA. Quality of life impact of childhood skin conditions measured using the Children’s Dermatology Life Quality Index (CDLQI): A meta‐analysis. Br J Dermatol 2016;174:853-861.
  • Turan Ç, Metin N, Utlu Z. Epidemiological evaluation of scabies cases encountered in the last three years as a tertiary health center. Turkiye Parazitol Derg 2020;44:77-82.
  • Aktaş H, Cebecik A. Changes in incidence and age distribution of scabies: A retrospective cohort study in a tertiary hospital. Arch Clin Exp Med 2019;4:21-24.
  • Sunderkötter C, Aebischer A, Neufeld M, Löser C, Kreuter A, Bialek R et al. Increase of scabies in Germany and development of resistant mites? Evidence and consequences. J Dtsch Dermatol Ges 2019;17:15-23.
  • World Health Organization. Neglected tropical disease. Scabies 2017 (cited 2020 Jan 22). Available from URL https://www.who.int/neglected_diseases/diseases/scabies/en/
  • Pişkin S, Görgülü A, Akgün N, Öztürk A, Şen Ö, Gürkök F. Epidemiology of scabies in Edirne. Balkan Med J 1993;10:157-161.
  • Tüzün Y, Kotoğyan A, Cenesizoğlu E, Baransü O, Ozarmağan G, Ural A et al. The epidemiology of scabies in Turkey. Int J Dermatol 1980;19:41-44.
  • Çiftçi IH, Karaca S, Dogru Ö, Cetinkaya Z, Kulaç M. Prevalence of pediculosis and scabies in preschool nursery children of Afyon, Turkey. Korean J Parasitol 2006;44:95-98.
  • Yılmaz M, Korkmaz E, Karakoç S, Yaztürk Ş, Kizirgil A, Yakupoğulları Y. Investigation of intestinal parasites and ectoparasites in three primary school students in Elazığ. Türkiye Parazitol Derg 2007;31:139-141.
  • Bener F. Increase in scabies incidence: A retrospective cohort study. The European Research Journal 2021;7:488-494.
  • Baykal C, Atci T, Kutlay A, Baykut B, Türkoğlu Z. Scabies outbreak in Turkey in 2018-2019. J Eur Acad Dermatol Venereol. 2021;35:384-385.
  • Özden MG, Ertürk K, Kartal SP, Yayli S, Göktay F, Doğramacı CA, Bayramgürler D et al. An extraordinary outbreak of scabies in Turkey. J Eur Acad Dermatol Venereol.2020;34(12):818-820.
  • Çetinkaya Ü, Şahin S, Ulutabanca RÖ. The epidemiology of scabies and pediculosis in Kayseri. Turkiye Parazitol Derg. 2018;42:134-137.
  • Seyedi Arani HR, Dehghani R, Ghannaee Arani M, Seyyedi Arani HR, Zarghi I. Scabies contamination status in Iran: A review. Int J Epidemiol Res 2016;3:86-94.
  • Turan Ç, Metin N. Impact of pandemic in the frequency of scabies: possible scabies outbreak scenario aftermath COVID-19. Turkiye Parazitol Derg 2021;45:190-194.
  • Porsuk AÖ, Cerit Ç. Status of scabies cases in COVID-19 Pandemic Days. Iran J Parasitol. 2021;16:499-505.
  • Liu J-M, Wang HW, Chang FW, Liu YP, Chiu FH, Lin YC et al. The effects of climate factors on scabies. A 14-year population-based study in Taiwan. Parasite 2016;23.
  • Azene AG, Aragaw AM, Wassie GT. Prevalence and associated factors of scabies in Ethiopia: systematic review and Meta-analysis. BMC Infect Dis. 2020;27;20(1):380.
  • Ahmed AE, Jradi H, AlBuraikan DA, ALMuqbil BI, Albaijan MA, Al-Shehri AM, Al-Jahdali H. Rate and factors for scabies recurrence in children in Saudi Arabia: A retrospective study. BMC Pediatr. 2019;8;19(1):187.
  • Amato E, Dansie LS, Grøneng GM, Blix HS, Bentele H, Veneti L, et al. Increase of scabies infestations, Norway, 2006 to 2018. Euro Surveill. 2019;24(23):190020.
  • De Lucia M, Potestio L, Costanzo L, Fabbrocini G, Gallo L. Scabies outbreak during COVID-19: an Italian experience. Int J Dermatol. 2021;60(10):1307-1308.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Neşe Göçer Gürok 0000-0001-7069-0447

Yayımlanma Tarihi 16 Mart 2023
Gönderilme Tarihi 12 Mart 2022
Kabul Tarihi 28 Mayıs 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 18 Sayı: 1

Kaynak Göster

AMA Göçer Gürok N. Skabies İnsidansında Artış: Üçüncü Basamak, Retrospektif, Tek Merkez Çalışması. KSÜ Tıp Fak Der. Mart 2023;18(1):108-114. doi:10.17517/ksutfd.1086638