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Dear Editor, Scabies is a common pruritic ectoparasitic infestation of the skin caused by the mite Sarcoptes scabiei. It classically presents as an intensely pruritic eruption that usually involves hands and interdigital folds, wrists, axillae, areolae, abdomen, and genitalia. In immunocompetent adults, mite infestation affecting the face is considered exceptional; accordingly, if topical treatment is chosen, clinicians typically instruct patients to apply the product to the body, excluding the head area.

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[Approach to Scabies in Children: An Update].

Acta Med Port

March 2025

Serviço de Dermatologia. Unidade Local de Saúde Santo António. Porto. Portugal.

Scabies is a common dermatological infection that globally affects more than 200 million people. It is caused by the parasite Sarcoptes scabiei var. hominis and its transmission primarily occurs through direct contact.

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Burden and determinants of scabies in a pastoralist community: a case-control study from Southwest Ethiopia.

BMJ Open

November 2024

School of Public Health, College of Medicine and Health Science, Mizan-Tepi University, Mizan Teferi, Ethiopia.

Background: Scabies is a skin infestation caused by the human itch mite, affecting people globally across all demographics. However, it is more prevalent among children, individuals with poor hygiene, those in overcrowded or slum areas and people affected by drought and war. There is limited research on scabies in Ethiopia and none specifically focused on marginalised communities.

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Article Synopsis
  • Scabies is prevalent in resource-poor settings and is often misdiagnosed; laboratory confirmations can enhance diagnostic accuracy, while secondary bacterial infections complicate treatment and contribute to antibiotic resistance.
  • A study in Northeast Ethiopia involving 422 suspected scabies cases revealed that 37% were confirmed microscopically, with bed-sharing and contact history being key risk factors; additionally, 36% of those confirmed had secondary bacterial infections.
  • Common bacteria identified included Staphylococcus aureus and Streptococcus pyogenes, with notable resistance to tetracycline and ampicillin, indicating a concerning trend of multidrug resistance in both Gram-positive and Gram-negative bacteria.
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Article Synopsis
  • Fiji has a high prevalence of scabies, and mass drug administration (MDA) is being considered as an effective control strategy, but its acceptability has not been fully explored.
  • A qualitative study involved 44 community members and 12 key informants to identify barriers and facilitators of MDA acceptability, highlighting prior experiences, community attitudes, and leader endorsements as positive influences, while distrust and limited community outreach were significant barriers.
  • This study is the first to qualitatively examine MDA acceptability for scabies globally, suggesting that future programs should include better community engagement, tailored approaches for different areas, and involve local communities in planning and implementation.
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