Thornley Simon, Sundborn Gerhard, Engelman Daniel, Roskvist Rachel, Pasay Cielo, Marshall Roger, Long Wei, Dugu Noela, Hopoi Natalie, Moritsuka Shunsuke, McCarthy James, Morris Arthur J
Section of Epidemiology and Biostatistics, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Section of Pacific Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
J Paediatr Child Health. 2023 Dec;59(12):1296-1303. doi: 10.1111/jpc.16512. Epub 2023 Nov 2.
Here, we present results of a survey of scabies prevalence in childcare centres and primary schools in Auckland.
Children whose parents agreed to take part in participating centres in the Auckland region were examined for scabies by general practitioners and given questionnaires of relevant symptoms. Diagnoses of clinical or suspected scabies were made according to the International Alliance for the Control of Scabies (IACS) criteria. The survey was a stratified random sample of schools and early childcare centres. A quantitative polymerase chain reaction (PCR) test was also used to complement the IACS criteria.
A total of 181 children were examined, with 145 children with history information, 16 of whom (11.0%) met the criteria for 'clinical' or 'suspected' scabies. Weighted analysis, accounting for the survey design, indicated that the prevalence of scabies in early childcare centres was 13.2% (95% CI: 4.3 to 22.1), with no school-aged children fulfilling these criteria. A higher proportion had clinical signs of scabies with 23 (12.7%) having typical scabies lesions and a further 43 (23.8%) had atypical lesions. A total of 64 PCR tests were taken and 15 (23%) were positive. None of these cases were receiving treatment for scabies. Five were undergoing topical skin treatment: three with topical steroid and two with calamine lotion.
The prevalence of children with scabies is high in early childcare centres in Auckland. Misdiagnosis is suggested by several PCR positive cases being treated by topical agents used to treat other skin conditions.
在此，我们展示了奥克兰托儿所和小学疥疮患病率的调查结果。
父母同意参与奥克兰地区相关中心调查的儿童，由全科医生检查是否患有疥疮，并发放有关相关症状的问卷。根据国际疥疮控制联盟（IACS）标准对临床或疑似疥疮进行诊断。该调查是对学校和早期儿童保育中心的分层随机抽样。还使用了定量聚合酶链反应（PCR）测试来补充IACS标准。
共检查了181名儿童，其中145名儿童有病史信息，其中16名（11.0%）符合“临床”或“疑似”疥疮标准。考虑到调查设计的加权分析表明，早期儿童保育中心疥疮患病率为13.2%（95%CI：4.3至22.1），没有学龄儿童符合这些标准。有更高比例的儿童有疥疮临床体征，23名（12.7%）有典型疥疮皮损，另有43名（23.8%）有非典型皮损。共进行了64次PCR检测，15次（23%）呈阳性。这些病例均未接受疥疮治疗。5名儿童正在接受局部皮肤治疗：3名使用局部类固醇，2名使用炉甘石洗剂。
奥克兰早期儿童保育中心患疥疮儿童的患病率较高。一些PCR阳性病例用治疗其他皮肤病的局部药物治疗，提示存在误诊情况。
