Management of scabies in 2019

Abstract

La gale est une dermatose infectieuse transmise par l'ectoparasite Sarcoptes scabiei var. hominis. Elle reste encore fréquente et affecte les patients indépendamment de leur niveau socio-économique et de l'hygiène. Le diagnostic est essentiellement clinique. Un prurit généralisé à recrudescence nocturne et des manifestations cutanées de topographie particulière sont hautement évocateurs. La présentation clinique varie avec l'âge. Le diagnostic précoce est impératif pour limiter la transmission. Les traitements individuels et familiaux font appel aux traitements topiques (perméthrine ; benzoate de benzyle). L'ivermectine orale est indiquée en cas d'épidémie institutionnelle (homes, hôpitaux et prisons). Pour espérer un contrôle durable de l'infection, de nouvelles méthodes diagnostiques et des thérapeutiques simples, précises, efficaces et peu coûteuses sont nécessaires.

Peer Medicine Application Supervisor: A Breakthrough for the Elimination of Scabies in Islamic Boarding School

“…[3] All subjects were treated with the anti-scabies treatment, which is Medslab cream (Permethrin 5%) applied thinly throughout the body except for the face and should be left for 24 hours before bathing. [14] The next stage was the Peer medicine application supervisor, which started with education for all participants. Medical students conducted the education.…”

Subungual scraping for the diagnosis of common scabies: A prospective observational study

“…2 The diagnosis of scabies is clinical but, given the lack of optimal detection methods, misdiagnosis remains common. 3 Itch is the main symptom and scratching can lead to the presence of mites under the nails that are considered a potential reservoir. 4 Scraping, collecting, and analyzing the subungual debris under a microscope may reveal mites.…”

“…Understanding and quantifying these patient-centered outcomes and perspectives are critical to facilitate patienteclinician discussions and promote shared decision making, especially given the concerns of neurocognitive effects in young children undergoing repeated general anesthesia. 3 In this prospective observational study, children \2 years of age undergoing outpatient PWB treatment with PDL (Vbeam Perfecta; Syneron-Candela, Marlborough, MA) at purpuric parameters 1 without general anesthesia were studied. The Evaluation Enfant Douleur (EVENDOL) pain scale 4 and Parents' Postoperative Pain Measure (PPPM), 5 two validated pediatric pain assessment tools with high internal consistency and interrater reliability, were used to evaluate peri-and postprocedure pain in the clinic and at home, respectively.…”