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Implications from an Ongoing Scabies Outbreak During the COVID-19 Isolation Period: Clues for Controlling Scabies Today

Year 2023, Volume: 37 Issue: 3, 273 - 280, 25.01.2024
https://doi.org/10.18614/deutip.1392053

Abstract

Background: Contrary to the expectation that the number of scabies cases will decrease during the COVID-19 isolation period, scabies has been frequently reported in Turkey.
Objective: The aim of this study is to investigate the epidemiological pattern of the scabies outbreak in the context of the pandemic to provide additional information for the control of the devastating scabies outbreak that continues today.
Methods: Patients seen in our dermatology clinic before and during the pandemic were evaluated retrospectively.
Results: There was no decrease in the rate of scabies patients among all dermatology admissions during the pandemic period (n=143/2912; 4.9%) compared to the pre-pandemic period (n=526/11679; 4.5%) (p=0.348). The high incidence of the new scabies cases before the detection of COVID-19 in the country decreased in the quarantine period. However, the high recurrent admissions of old scabies cases, who already got scabies before pandemic but could not be cured despite repeated treatments, contributed to the ongoing high prevalance of scabies during the pandemic (one-third of all scabies cases seen during the pandemic, n=30/87).
Conclusions: We suggest that self-quarantine and increased hygiene during COVID-19 reduced re-infestations and led to a decrease in new cases. Treatment failure of old cases has been observed to contribute to the high prevalence of scabies in the pandemic. Permethrin resistance may have led to inadequate treatment success, given that treatment application errors, which may also lead to treatment failure, are managed with active surveillance in our patient population. Studies addressing permethrin resistance are needed as a priority.

References

  • 1. Srivastava N, Baxi P, Ratho R, Saxena SK. Global trends in epidemiology of coronavirus disease 2019 (COVID-19). Coronavirus Disease 2019 (COVID-19) Epidemiology, Pathogenesis, Diagnosis, and Therapeutics. 2020:9-21.
  • 2. Cengiz FP, Emiroglu N, Bahali AG, Dizman D, Taslidere N, Akarslan TC, et al. Which dermatology patients attend to dermatology outpatient clinics during the SARS‐CoV‐2 outbreak in Turkey and what happened to them? Dermatologic therapy. 2020;33(4):e13470.
  • 3. Kutlu Ö, Güneş R, Coerdt K, Metin A, Khachemoune A. The effect of the “stay‐at‐home” policy on requests for dermatology outpatient clinic visits after the COVID‐19 outbreak. Dermatologic Therapy. 2020;33(4):e13581.
  • 4. Kutlu Ö, Aktaş H. The explosion in scabies cases during COVID‐19 pandemic. Dermatologic Therapy. 2020;33(5).
  • 5. Bilgili ME, Yildiz H, Sarici G. Prevalence of skin diseases in a dermatology outpatient clinic in Turkey. A cross-sectional, retrospective study. Journal of dermatological case reports. 2013;7(4):108.
  • 6. Aktaş H, Cebecik A. Changes in incidence and age distribution of scabies: A retrospective cohort study in a tertiary hospital. Archives of Clinical and Experimental Medicine. 2019;4(1):21-4.
  • 7. 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. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 2019;17(1):15-23.
  • 8. Amato E, Dansie LS, Grøneng GM, Blix HS, Bentele H, Veneti L, et al. Increase of scabies infestations, Norway, 2006 to 2018. Eurosurveillance. 2019;24(23):190020.
  • 9. Turan Ç, Metin N, Utlu Z, Öner Ü, Kotan ÖS. Change of the diagnostic distribution in applicants to dermatology after COVID‐19 pandemic: What it whispers to us? Dermatologic Therapy. 2020;33(4):e13804.
  • 10. Özden M, Ertürk K, Kartal S, Yayli S, Göktay F, Doğramacı C, et al. An extraordinary outbreak of scabies in Turkey. Journal of the European Academy of Dermatology and Venereology: JEADV. 2020;34(12):e818-e20.
  • 11. Nemecek R, Stockbauer A, Lexa M, Poeppl W, Mooseder G. Application errors associated with topical treatment of scabies: an observational study. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 2020;18(6):554-9.
  • 12. Mazzatenta C, Piccolo V, Argenziano G, Bassi A. Is Scabies becoming less sensitive to permethrin therapy? Journal of the European Academy of Dermatology and Venereology: JEADV. 2021;35(9):e607-e9.

COVID-19 İzolasyon Döneminde Devam Eden Uyuz Salgınının Çıkarımları: Bugün Uyuz Kontrolü İçin İpuçları

Year 2023, Volume: 37 Issue: 3, 273 - 280, 25.01.2024
https://doi.org/10.18614/deutip.1392053

Abstract

Arka plan: COVID-19 izolasyon döneminde, skabiyez vakalarının azalması beklenirken, Türkiye'de aksine, skabiyez sıkça rapor edilmiştir.
Amaç: Bu çalışmanın amacı, günümüzde devam eden yıkıcı uyuz salgınının kontrolü için ek bilgi sağlamak amacıyla, pandemi bağlamında uyuz salgınının epidemiyolojik yapısını araştırmaktır.
Yöntem: Dermatoloji kliniğimizde pandemi öncesinde ve pandemi sırasında görülen hastalar retrospektif olarak değerlendirilmiştir.
Bulgular: Pandemi döneminde tüm dermatoloji başvuruları arasında uyuz hastalarının oranında (n=143/2912; %4.9), pandemi öncesi döneme (n=526/11679; %4.5) kıyasla bir azalma gözlemlenmedi (p=0.348). Ülkede COVID-19 tespit edilmeden önce yeni uyuz vakalarının insidansı yüksek ve bu oran karantina döneminde azalmıştır. Ancak, pandemi öncesinde uyuz geçirmiş ancak tekrarlayan tedavilere rağmen iyileştirilemeyen eski uyuz vakalarının yüksek oranda tekrar başvuruları (pandemi sırasında görülen tüm uyuz vakalarının üçte biri, n=30/87), pandemi sırasında uyuz prevalansının yüksek düzeyde devam etmesine katkıda bulunmuştur.
Sonuçlar: COVID-19 sırasında karantina ve artan hijyenin, re-infestasyonları azalttığını ve yeni vakalarda bir azalmaya neden olduğunu düşünüyoruz. Ancak, eski vakalardaki tedavi başarısızlığının, pandemide uyuz prevalansına katkıda bulunduğu gözlemlendi. Hasta popülasyonumuzda tedavi uygulama hatalarının izlem ile yönetildiği göz önüne alındığında, permetrin direnci yetersiz tedavi başarısına yol açmış olabilir. Permetrin direncini ele alan çalışmalara öncelikli olarak ihtiyaç vardır.

References

  • 1. Srivastava N, Baxi P, Ratho R, Saxena SK. Global trends in epidemiology of coronavirus disease 2019 (COVID-19). Coronavirus Disease 2019 (COVID-19) Epidemiology, Pathogenesis, Diagnosis, and Therapeutics. 2020:9-21.
  • 2. Cengiz FP, Emiroglu N, Bahali AG, Dizman D, Taslidere N, Akarslan TC, et al. Which dermatology patients attend to dermatology outpatient clinics during the SARS‐CoV‐2 outbreak in Turkey and what happened to them? Dermatologic therapy. 2020;33(4):e13470.
  • 3. Kutlu Ö, Güneş R, Coerdt K, Metin A, Khachemoune A. The effect of the “stay‐at‐home” policy on requests for dermatology outpatient clinic visits after the COVID‐19 outbreak. Dermatologic Therapy. 2020;33(4):e13581.
  • 4. Kutlu Ö, Aktaş H. The explosion in scabies cases during COVID‐19 pandemic. Dermatologic Therapy. 2020;33(5).
  • 5. Bilgili ME, Yildiz H, Sarici G. Prevalence of skin diseases in a dermatology outpatient clinic in Turkey. A cross-sectional, retrospective study. Journal of dermatological case reports. 2013;7(4):108.
  • 6. Aktaş H, Cebecik A. Changes in incidence and age distribution of scabies: A retrospective cohort study in a tertiary hospital. Archives of Clinical and Experimental Medicine. 2019;4(1):21-4.
  • 7. 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. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 2019;17(1):15-23.
  • 8. Amato E, Dansie LS, Grøneng GM, Blix HS, Bentele H, Veneti L, et al. Increase of scabies infestations, Norway, 2006 to 2018. Eurosurveillance. 2019;24(23):190020.
  • 9. Turan Ç, Metin N, Utlu Z, Öner Ü, Kotan ÖS. Change of the diagnostic distribution in applicants to dermatology after COVID‐19 pandemic: What it whispers to us? Dermatologic Therapy. 2020;33(4):e13804.
  • 10. Özden M, Ertürk K, Kartal S, Yayli S, Göktay F, Doğramacı C, et al. An extraordinary outbreak of scabies in Turkey. Journal of the European Academy of Dermatology and Venereology: JEADV. 2020;34(12):e818-e20.
  • 11. Nemecek R, Stockbauer A, Lexa M, Poeppl W, Mooseder G. Application errors associated with topical treatment of scabies: an observational study. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 2020;18(6):554-9.
  • 12. Mazzatenta C, Piccolo V, Argenziano G, Bassi A. Is Scabies becoming less sensitive to permethrin therapy? Journal of the European Academy of Dermatology and Venereology: JEADV. 2021;35(9):e607-e9.
There are 12 citations in total.

Details

Primary Language English
Subjects Dermatology
Journal Section Research Articles
Authors

Fatmagül Gülbaşaran 0000-0002-7550-6052

Kamer Gündüz 0000-0002-1319-9237

Publication Date January 25, 2024
Submission Date November 16, 2023
Acceptance Date December 18, 2023
Published in Issue Year 2023 Volume: 37 Issue: 3

Cite

Vancouver Gülbaşaran F, Gündüz K. Implications from an Ongoing Scabies Outbreak During the COVID-19 Isolation Period: Clues for Controlling Scabies Today. J DEU Med. 2024;37(3):273-80.