DEMOGRAPHIC DETAILS, CLINICAL PROFILE AND LIFE CYCLE IN SCABIES INFECTION PATIENTS -A STUDY IN BIRDEM GENERAL HOSPITAL, DHAKA, BANGLADESH
M. Moniruzzaman Khan*, Mir Nazrul Islam, Md. Kamrul Ahsan, M. Atiqulla, Tasnim Mahjabeen, Nura Alam, Md. Khorshed Alam Mondal and Md. Razu Ahmed
Introduction: Scabies is a highly contagious disease caused by the mite Sarcoptes scabiei var hominis. The disease is seen in all socioeconomic groups & communities throughout the world. The burden of scabies is highest in tropical countries, but recent data from Bangladesh is scanty. Scabies is a common contagious parasitic dermatosis. Transmission of the mite Sarcoptes scabiei var hominis generally occurs by skin-to-skin contact, but with crusted scabies it may also occur through fomites, such as infected clothing or bedding. Diagnosis is usually clinical. Objective: To find out demographic details, clinical profile and life cycle in scabies infection patients. Materials and Methods: Scope and Delimitation of the Study. This study focused the management of scabies. This study was conducted among the OPD patients in BIRDEM General Hospital, Dhaka, Bangladesh. The study was conducted from January to December 2017. The diagnoses of scabies of the potential respondents were based on the set criteria. Only those diagnose clinically with scabies were included in this study. There were no scraping procedures (acarus test) done to confirm the diagnosis of scabies. Other skin diseases aside from scabies were not included in the study. Results: In view of this, the study was designed in such a manner that data might be collected by personal interview. After collecting and Analyzing data, following results are obtained which are given in tables and discussed. It appears that maximum population affected with Scabies infection were aged between 0-6 years (16.20%) and 7-12 years (20-95%) and minimum were between 43-48 years (prevalence 3.8%) and 49-54 years (prevalence 3.8%). The highest prevalence 13.33% in female were in the 7-12 years and lowest prevalence 0.95% in 49-54 years. The highest prevalence 7.62% in male were in the 7-12 years and lowest prevalence 0.95% in 25-30 years and 31-36 years. November (28.57%), December and January (33.33%) show the highest prevalence in scabies infection. In Bangladesh, this three months represent a winter season. On the other hand, July to October represent almost hot condition. So from my result, it is concluded that scabies infection is more prevalent in winter than summer. Scabies infection is not serious problem for our country because the highest prevalence (49.52-50%) of severity of scabies infection limited with in Moderate (second stage of classical scabies infection) category. Classical scabies is more active in Bangladesh; on the other hand crusted scabies is not available in Bangladesh. Conclusion: At the end of this study, the researcher was able to arrive at the following Conclusion Scabies is more common where overcrowded conditions prevail; it can affect any individual irrespective of social status, personal hygiene, profession, gender, and age or ethic origin. These include increased number of household members, presence of other family members with scabies, overcrowding, poverty and low educational attainment. Children (l-12 yrs.) have the highest incidence of scabies as compared to the other age group.
Keywords: Scabies, Prevalence, Skin Disease, Socioeconomic Groups.
[Full Text Article]