Uyuz insidansı ve yaş dağılımındaki değişiklikler: Bir üçüncü basamak hastanede retrospektif bir kohort çalışma
Abstract
Amaç: Uyuz, sarkoptes scabies var hominis
adlı bir ektoparazitin neden olduğu kaşıntılı bir deri hastalığıdır. Değişen hayat
tarzlarına bağlı olarak endemiler yapmaktadır. Bu çalışmada, son yıllardaki uyuz
için insidans ve demografik faktörlere dikkat çekmeye çalıştık.
Yöntemler: Karabük Eğitim ve Araştırma Hastanesi
Dermatoloji polikliniğinde 2013 Ocak -2018 Temmuz arasında, uyuz tanısı alan
hastalar retrospektif olarak incelendi. Hastane kayıtları kullanılarak yapılan
çalışmada, uyuz tanılı hastaların yaş ve cinsiyetleri alındı. Uyuz tanısının
konulduğu mevsim not edildi.
Bulgular: Çalışmamızda, son beş yıl içinde,
hastanemiz dermatoloji polikliniğinde uyuz görülme sıklığının % 0,4 den %1'e
kadar yükseldiğini saptadık (r=0,886, p=0,001).
Uyuz tanısı alan hastaların yaş ortalamasının, bu 5 yıl içinde 49,7 yıldan 31,4
yıla düştüğü gözlemlendi (r=-0,753, p=0,006) . Uyuz tanılı kadın hastalar daha
fazlaydı (%56 vs %44) ve uyuzlu kadın hastaların yaş ortalaması, erkek
hastaların yaş ortalamasına göre daha yüksek idi (44 yıl ve 37 yıl) (p=0,001).
Sonuç: Son
yıllarda, uyuz tanısı konulan olguların arttığı ve uyuz görülme yaşının
azaldığı gözlemlenmiştir.
References
- 1. Khalil S, Abbas O, Kibbi AG, Kurban M. Scabies in the age of increasing drug resistance. PLoS Negl Trop Dis.2017;30:11.
- 2. Falay T, Gurel MS.Uyuz.Turkiye Klinikleri J Dermatol-Special Topics. 2017;10:143-53.
- 3. Thomas J, Peterson GM, Walton SF, Carson CF, Naunton M, Baby KE. Scabies: an ancient global disease with a need for new therapies. BMC Infect Dis.2015;15:250.
- 4. Hay RJ,Steer AC, Engelman D, Walton S. Scabies in the developing world--its prevalence, complications, and management. Clin Microbiol Infect. 2012;18:313-23.
- 5. Anderson KL, Strowd LC. Epidemiology, Diagnosis, and Treatment of Scabies in a Dermatology Office.J Am Board Fam Med. 2017;30:78-84.
- 6. Pannell RS, Fleming DM, Cross KW. The incidence of molluscum contagiosum, scabies and lichen planus. Epidemiol Infect. 2005;133:985-91.
- 7. Çetinkaya Ü, Şahin S, Ulutabanca RÖ. The Epidemiology of Scabies and Pediculosis in Kayseri. Turkiye Parazitol Derg. 2018;42:134-7.
- 8. Marks M, Taotao-Wini B, Satorara L, Engelman D, Nasi T,Mabey DC, et al. Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. PLoS Negl Trop Dis. 2015;9:e0004246.
- 9. Thornley S, Marshall R, Jarrett P, Sundborn G, Reynolds E, Schofield G. Scabies is strongly associated with acute rheumatic fever in a cohort study of Auckland children. J Paediatr Child Health. 2018;54:625-32.
- 10. Fuller LC. Epidemiology of scabies. Curr Opin Infect Dis. 2013;26:123-6.
- 11. Figueroa JI, Fuller LC, Abraha A, Hay RJ. Skin disease in south western Ethiopia: rationale for a community approach. Int J Dermatol.1998;37:752-8.
- 12. Savin JA. Scabies in Edinburgh from 1815 to 2000. J R Soc Med. 2005;98:124-9.
- 13. Mimouni D, Ankol OE, Davidovitch N, Gdalevich M, Zangvil E, Grotto I. Seasonality trends of scabies in a young adult population: a 20-year follow-up. Br J Dermatol. 2003;149:157-9.
- 14. Karaoğlu S. Amasya'da 1994-96 Yılları Arasında Uyuzun Durumu. T Klin J Dermatol. 1997;7:10-12.
- 15. Tüzün Y, Kotoğyan A, Cenesizoğlu E, Baransü O, Ozarmağan G, Ural A, et al. The epidemiology of scabies in Turkey. Int J Dermatol.1980;19:41-4.
- 16. Karaman Ü, Enginyurt Ö, Dündar Y, Baykal MK, Gür S. Infestation of Sarcoptes Scabiei and Pediculus Capitis in Terms of Socio-Economical Status.ODU J Med. 2014;2:23-9.
- 17. Lapeere H, Naeyaert JM, De Weert J, De Maeseneer J, Brochez L. Incidence of scabies in Belgium. Epidemiol Infect. 2008;136:395-8.
- 18. Sara J, Haji Y, Gebretsadik A. Scabies Outbreak Investigation and Risk Factors in East Badewacho District, Southern Ethiopia: Unmatched Case Control Study. Dermatol Res Pract. 2018;2018:7276938.
Changes in incidence and age distribution of scabies: A retrospective cohort study in a tertiary hospital
Abstract
Aim: Scabies is a pruritic skin disease caused
by an ectoparasite named sarcoptes scabies var hominis. It sometimes makes endemics
depending on lifestyles of communities. In this study, we tried to point out incidence
and demographic factors for scabies in recent years.
Methods: A retrospective review was carried out
in patients with scabies diagnosis between 2013 January and 2018 July at dermatology
outpatient clinic of Karabuk Research and Training Hospital. Age and gender of
patients, and season of diagnosis were recorded from hospital database.
Results: In this study, we found that incidence
of scabies increased from 0.4 % to 1% between study period (r=0.886, p=0.001 ).
Mean age of scabies patients decreased from 49.7 years to 31.4 years within 5
years (r=-0.753, p=0.006). There were more female patients than male patients
(56% vs 44%), and their mean age was older than males (44 years vs 37 years) (p=0.001).
Conclusion: Scabies cases are increasing in number and mean age of patients are decreasing gradually at recent years.
Keywords
References
- 1. Khalil S, Abbas O, Kibbi AG, Kurban M. Scabies in the age of increasing drug resistance. PLoS Negl Trop Dis.2017;30:11.
- 2. Falay T, Gurel MS.Uyuz.Turkiye Klinikleri J Dermatol-Special Topics. 2017;10:143-53.
- 3. Thomas J, Peterson GM, Walton SF, Carson CF, Naunton M, Baby KE. Scabies: an ancient global disease with a need for new therapies. BMC Infect Dis.2015;15:250.
- 4. Hay RJ,Steer AC, Engelman D, Walton S. Scabies in the developing world--its prevalence, complications, and management. Clin Microbiol Infect. 2012;18:313-23.
- 5. Anderson KL, Strowd LC. Epidemiology, Diagnosis, and Treatment of Scabies in a Dermatology Office.J Am Board Fam Med. 2017;30:78-84.
- 6. Pannell RS, Fleming DM, Cross KW. The incidence of molluscum contagiosum, scabies and lichen planus. Epidemiol Infect. 2005;133:985-91.
- 7. Çetinkaya Ü, Şahin S, Ulutabanca RÖ. The Epidemiology of Scabies and Pediculosis in Kayseri. Turkiye Parazitol Derg. 2018;42:134-7.
- 8. Marks M, Taotao-Wini B, Satorara L, Engelman D, Nasi T,Mabey DC, et al. Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. PLoS Negl Trop Dis. 2015;9:e0004246.
- 9. Thornley S, Marshall R, Jarrett P, Sundborn G, Reynolds E, Schofield G. Scabies is strongly associated with acute rheumatic fever in a cohort study of Auckland children. J Paediatr Child Health. 2018;54:625-32.
- 10. Fuller LC. Epidemiology of scabies. Curr Opin Infect Dis. 2013;26:123-6.
- 11. Figueroa JI, Fuller LC, Abraha A, Hay RJ. Skin disease in south western Ethiopia: rationale for a community approach. Int J Dermatol.1998;37:752-8.
- 12. Savin JA. Scabies in Edinburgh from 1815 to 2000. J R Soc Med. 2005;98:124-9.
- 13. Mimouni D, Ankol OE, Davidovitch N, Gdalevich M, Zangvil E, Grotto I. Seasonality trends of scabies in a young adult population: a 20-year follow-up. Br J Dermatol. 2003;149:157-9.
- 14. Karaoğlu S. Amasya'da 1994-96 Yılları Arasında Uyuzun Durumu. T Klin J Dermatol. 1997;7:10-12.
- 15. Tüzün Y, Kotoğyan A, Cenesizoğlu E, Baransü O, Ozarmağan G, Ural A, et al. The epidemiology of scabies in Turkey. Int J Dermatol.1980;19:41-4.
- 16. Karaman Ü, Enginyurt Ö, Dündar Y, Baykal MK, Gür S. Infestation of Sarcoptes Scabiei and Pediculus Capitis in Terms of Socio-Economical Status.ODU J Med. 2014;2:23-9.
- 17. Lapeere H, Naeyaert JM, De Weert J, De Maeseneer J, Brochez L. Incidence of scabies in Belgium. Epidemiol Infect. 2008;136:395-8.
- 18. Sara J, Haji Y, Gebretsadik A. Scabies Outbreak Investigation and Risk Factors in East Badewacho District, Southern Ethiopia: Unmatched Case Control Study. Dermatol Res Pract. 2018;2018:7276938.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Original Research |
| Authors | |
| Publication Date | March 15, 2019 |
| Published in Issue | Year 2019 |