Epidemiology and morbidity of scabies and pediculosis capitis in resource-poor communities in Brazil
Epidemiology and morbidity of scabies and pediculosis capitis in resource-poor communities in Brazil
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DOI:
10.1111/j.1365-2133.2005.06591.x
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发表时间:
2005-07-01
影响因子:
10.3
通讯作者:
Feldmeier, H
中科院分区:
文献类型:
--
作者:
Heukelbach, J;Wilcke, T;Feldmeier, H
Pediculosis capitis and scabies are common parasitic skin diseases, especially in resource-poor communities, but data on epidemiology and morbidity are scanty.To assess the prevalence, seasonal variation and morbidity of pediculosis capitis and scabies in poor neighbourhoods in north-east Brazil.The study comprised cross-sectional surveys of a representative population of an urban slum (n = 1460) in Fortaleza, the capital of Ceara State (Brazil) and a fishing community 60 km south of the city (n = 605). Study participants were examined for the presence of scabies and pediculosis capitis. In a longitudinal study in the slum, variation of prevalence in different seasons of the year was assessed.Prevalence of pediculosis capitis was 43.4% in the slum and 28.1% in the fishing community. Children aged 10-14 years and females were most frequently affected. Scabies was present in 8.8% of the population in the slum and in 3.8% of the population in the fishing community. There was no consistent pattern of age distribution. Superinfection was common in patients with scabies, and cervical lymphadenopathy in patients with pediculosis capitis. Multivariate analysis showed that age