Debe Worku Etsehiwot, Asemahagn Mulusew Andualem, Endalifer Melese Linger
Public health emergency management officer, North Showa Zone, Amhara Regional Health Bureau.
School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar.
J Public Health Afr. 2020 Dec 31;11(2):1325. doi: 10.4081/jphia.2020.1325.
Human scabies is a highly contagious human dermatitis disease. As indicated by the national and regional reports, the epidemic of scabies became a major public health problem in Ethiopia since 2015.
To identify the determinant factors of scabies outbreak in Takusa district, Northwest Ethiopia, 2017.
A community based unmatched case-control study among 188 participants (63 cases and 125 controls) was conducted in Takusa district from September to October 2017. Data were collected using a pretested structured questionnaire. Multivariable logistic regression analysis was computed using SPSS version 22 to identify factors associated with scabies. Odds ratio at 95% CI and p-value less than 0.05 were used to describe the strength of the association and statistical significance.
The median age of cases was 20 years (ranges1-61). Presence of person with itching in the family (AOR=7.7, 95% CI:1.9-30.5), sleeping with scabies patient (AOR=3.99, 95% CI:1.37-11.7), travel to scabies epidemic area in the last six weeks (AOR=3.79, 95%CI:1.28-11.1) and infrequent use of detergent for showering (AOR=4.85; 95% CI: 1.3-17.9)) were found to be determinant factors of scabies outbreak.
Frequent contact with people who develop scabies at home, not using detergents for washing, and mobility of people from non-epidemic to the epidemic areas were determinant factors. Giving special emphasis on regular awareness creation to the rural community is important to prevent scabies outbreak.
人类疥疮是一种具有高度传染性的人类皮肤炎症疾病。根据国家和地区报告显示，自2015年以来，疥疮疫情已成为埃塞俄比亚的一个主要公共卫生问题。
确定2017年埃塞俄比亚西北部塔库萨区疥疮暴发的决定因素。
2017年9月至10月在塔库萨区对188名参与者（63例病例和125名对照）进行了一项基于社区的非匹配病例对照研究。使用预先测试的结构化问卷收集数据。使用SPSS 22版进行多变量逻辑回归分析，以确定与疥疮相关的因素。采用95%置信区间的比值比和小于0.05的p值来描述关联强度和统计学意义。
病例的中位年龄为20岁（范围1 - 61岁）。家庭中有瘙痒者（比值比=7.7，95%置信区间：1.9 - 30.5）、与疥疮患者同睡（比值比=3.99，95%置信区间：1.37 - 11.7）、在过去六周内前往疥疮流行地区（比值比=3.79，95%置信区间：1.28 - 11.1）以及不经常使用洗涤剂洗澡（比值比=4.85；95%置信区间：1.3 - 17.9）被发现是疥疮暴发的决定因素。
在家中与患疥疮的人频繁接触、不使用洗涤剂洗澡以及人员从非流行地区向流行地区的流动是决定因素。特别重视对农村社区定期开展宣传教育对于预防疥疮暴发很重要。
