[Translated article] Spanish Academy of Dermatology and Venereology (AEDV) expert recommendations for the management of sexual transmitted parasitosis. Scabies, and pediculosis pubis

Galván-Casas, C.; Ortiz-Álvarez, J.; Martínez-García, E.; Corbacho-Monné, M.

doi:10.1016/j.ad.2024.03.016

Actas Dermo-Sifiliográficas

2024

DOI: 10.1016/j.ad.2024.03.016

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[Translated article] Spanish Academy of Dermatology and Venereology (AEDV) expert recommendations for the management of sexual transmitted parasitosis. Scabies, and pediculosis pubis

C. Galván-Casas,

J. Ortiz-Álvarez,

E. Martínez-García

et al.

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Cited by 1 publication

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Escalating Threat of Drug-Resistant Human Scabies: Current Insights and Future Directions

Simonart,

Lam Hoai

2024

JCM

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Background: Scabies is a prevalent dermatological condition with significant public health implications. The recent rise in drug-resistant scabies presents new challenges for effective disease management and control. Methods: A comprehensive literature review was conducted using PubMed, Cochrane Library, and Web of Science. Studies published from 2000 to August 2024 were considered, focusing on those reporting drug-resistant scabies and advancements in treatment approaches. Results: Clinical studies, in vitro investigations, and case reports show significant resistance of human scabies to permethrin. Main resistance mechanisms involve genetic mutations in the mites’ voltage-gated sodium channels (VGSCs) and enhanced activity or expression of the detoxifying enzyme glutathione S-transferase (GST). Resistance to ivermectin and benzyle benzoate, although suggested by some authors, seems less obvious. The clinical evidence of widespread ivermectin resistance in human scabies infestations is lacking, despite indications of increased tolerance in laboratory settings and anecdotal reports of resistance in patients with crusted scabies. Benzyl benzoate resistance in scabies mites remains unconfirmed. Conclusions: Permethrin-resistant scabies is an escalating threat requiring new management strategies and updated guidelines. Infection control measures, alternative treatments, and ongoing research into new therapeutics are crucial to mitigate the impact of drug-resistant scabies.

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Escalating Threat of Drug-Resistant Human Scabies: Current Insights and Future Directions

Simonart,

Lam Hoai

2024

JCM

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[Translated article] Spanish Academy of Dermatology and Venereology (AEDV) expert recommendations for the management of sexual transmitted parasitosis. Scabies, and pediculosis pubis

Cited by 1 publication

References 68 publications

Escalating Threat of Drug-Resistant Human Scabies: Current Insights and Future Directions

Escalating Threat of Drug-Resistant Human Scabies: Current Insights and Future Directions

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