Epidemiological, Clinical and Evolutionary Human Scabies in the Aioun Hospital Center (Hodh El Gharbi Region), Mauritania

Abstract

Background: Scabies is an ectoparasitic disease caused by Sarcoptes scabie, an obligate human parasite. Its diagnosis is mainly clinical. Several authors have recently described his resurgence. Objectives: This study aimed to describe the epidemiological and clinical profile of human scabies and appreciate its therapeutic outcomes in patients seen in consultation at Hospital Aïoun center. Patients and methods: This is a prospective descriptive study in regional hospital Aïoun (Hodh El Gharbi) over a period from 1 st November 2014 to 31 August 2015. Results: At 10 months, 66 cases were collected, representing a proportional morbidity of 1.6% (mean age 28 years, 59% female). The majority of patients were from urban areas (61%). Family contagion was found in 77% of cases. Among our patients, 64% used the clothes of a member of the entourage. The bad personal hygiene and use lightening cosmetics were observed respectively in 53% and 8% of cases. The clinic was dominated by the nocturnal pruritus associated with scraping ridges (30%), pustules (26%) and vesicles (21%). The main lesions observed sat at the folds or in the inter gluteus (20%), the interdigital spaces (17%), genital lesions (12%) and the armpits (11%). The clinical forms observed were dominated by common form in adults (73%) followed by the common form of infant and children (20%) and profuse form (8%). Among our patients, 33% had a bacterial infection. Under topical anti scabious treatment, antibiotic and antihistamine, the outcome was favorable and no cases of recurrence or complications were observed did. Conclusion: Scabies is a highly contagious to affection, and especially prevalent neglected. Following this work, we recommend public awareness to behavior changes and early diagnosis and taking appropriate burden of disease in order to prevent the epidemic in communities.