Published in:
Open Access
01-12-2015 | Research article
Features of human scabies in resource-limited settings: the Cameroon case
Authors:
Emmanuel Armand Kouotou, Jobert Richie N Nansseu, Isidore Sieleunou, Defo Defo, Anne-Cécile Zoung-Kanyi Bissek, Elie Claude Ndjitoyap Ndam
Published in:
BMC Dermatology
|
Issue 1/2015
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Abstract
Background
The persistent high prevalence of human scabies, especially in low- and middle-income countries prompted us to research the sociodemographic profile of patients suffering from it, and its spreading factors in Cameroon, a resource-poor setting.
Methods
We conducted a cross-sectional survey from October 2011 to September 2012 in three hospitals located in Yaoundé, Cameroon, and enrolled patients diagnosed with human scabies during dermatologists’ consultations who volunteered to take part in the study.
Results
We included 255 patients of whom 158 (62 %) were male. Age ranged from 0 to 80 years old with a median of 18 (Inter quartile range: 3–29) years. One to eight persons of our patients’ entourage exhibited pruritus (mean = 2.1 ± 1.8). The number of persons per bed/room varied from 1 to 5 (mean = 2.1 ± 0.8). The first dermatologist’s consultation occurred 4 to 720 days after the onset of symptoms (mean = 77.1 ± 63.7). The post-scabies pruritus (10.2 % of cases) was unrelated to the complications observed before correct treatment (all p values > 0.05), mainly impetiginization (7.1 %) and eczematization (5.9 %).
Conclusion
Human scabies remains preponderant in our milieu. Populations should be educated on preventive measures in order to avoid this disease, and clinicians’ knowledges must be strengthened for its proper diagnosis and management.