Scabies outbreak investigation and risk factors in Kechabira district, Southern Ethiopia: unmatched case control study

Abstract

Objective Scabies is an infection of the skin, which caused by human itch mite Sarcoptes scabiei . It is a common health problem in Ethiopia, especially during disasters, poor sanitation and overcrowded living condition. However, investigation on scabies outbreak and associated factors was absent or scarce in the country in general and in the study area in particular. Hence, this study was intended to investigate scabies outbreak, identify risk factors, and recommend preventive measures in Kechabira district, Kembata Tembaro zone, Southern Ethiopia. Result We identified a total of 243 scabies cases line listed with overall prevalence of 2.5% and attack rate of (AR) 20.5 per 1000 populations and no death was reported. Of the suspected cases 126 (51.9%) were males and 117 (48.1%) were females. The median age was 24 years with inter-quartile range (IQR) of 22 years. The highest cases were seen in children aged 5–14 (50.6%) years. The cases were seen in three villages and the highest incidence was in Burchana, 23.9 per 1000 population. Identified determinant factors for scabies outbreak were sharing clothes with scabies patients (AOR = 6.08, 95% CI [1.54–23.92], and households having greater than six family members AOR = 38.755, 95% CI [8.084–185.787]. Electronic supplementary material The online version of this article (10.1186/s13104-019-4317-x) contains supplementary material, which is available to authorized users.

Prevalence and associated factors of scabies in Ethiopia: systematic review and Meta-analysis

“…Furthermore; we have conducted a sensitivity analysis by the JBI quality score, which is categorized as "good quality" (JBI quality score equal to or above 5) and "low quality" (JBI quality score less than 5). We found that only one study, which has low quality in this review (JBI quality score = 4) [14]. Consequently, the pooled prevalence of scabies was 16.3% (95% CI; 4.2, 28.3) after removing a study which has low quality.…”

“…Eight studies were reported the associated factors of human scabies in Ethiopia. Regarding to the prevalence of scabies, the smallest was 2.5%, which was reported a study conducted in SNNPR and the highest was 35%, which reported a study conducted in Amhara regional state [14,31]. In this review, the studies were found from only two Ethiopian regions out of nine regions and two administrative cities.…”

“…Finally, twelve studies were included in this systematic review and meta-analysis. Of those included studies, eight studies were estimated the prevalence [8,14,[26][27][28][29][30][31] and eight studies were identified associated factor of scabies [14,27,28,[31][32][33][34][35] Fig. 1.…”

“…A total of four studies were included to estimate the association between family size and scabies [14,28,32,33]. As we see from Fig.…”

“…Scabies is one of public health concerns among communicable disease in Ethiopia, especially disadvantaged people like streets, migrants and poorer [5,8]. The magnitude of scabies infestation in Ethiopia was varied which ranged from 2.5 to 78% and inconsistent [13,14]. To our best knowledge, there is no study which estimates a pooled prevalence of scabies in Ethiopia.…”