Burden of scabies in a Ghanaian penitentiary
There is a dearth of information concerning the epidemiology of human scabies in prisons. Therefore, we aimed to assess the burden of scabies and ascertain if prevalence was high enough to warrant mass drug administration (MDA) with ivermectin in a medium security prison in central Ghana. We conduct...
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| Veröffentlicht in: | PloS one 2024-12, Vol.19 (12), p.e0312108 |
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| creator | Amoako, Yaw Ampem Oppong, Michael Ntiamoah Laryea, Dennis Odai Kyem, Gloria Gyabaah, Solomon Agbanyo, Abigail Agbavor, Bernadette Kotey, Nana Konama Dzathor, Irene Owusu-Antwi, Felicia Asiedu, Kingsley Phillips, Richard Odame Stienstra, Ymkje |
| description | There is a dearth of information concerning the epidemiology of human scabies in prisons. Therefore, we aimed to assess the burden of scabies and ascertain if prevalence was high enough to warrant mass drug administration (MDA) with ivermectin in a medium security prison in central Ghana.
We conducted a cross-sectional study in December 2022 and recruited inmates at the Kumasi central prison in Ghana. Medical history and demographic information was collected using a REDCap questionnaire. A standardised skin examination of exposed regions of the body was performed on all participants and scabies was diagnosed based on the criteria of the International Alliance for the Control of Scabies (IACS).
Of the 559 participants, 19 (3.4%) were female. The median (IQR) age was 36 (33-40) years. There were 368 cases (65.8%) of scabies which was mostly located on the hands, fingers and finger webs. No female inmate had scabies. Scabies severity was predominantly mild (63.3%) or moderate (30.7%). Among males, the median (IQR) number of persons per cell was 115 (56-118) and 7 (7-8) for female prisoners. 79.2% of 96 individuals previously treated in the preceding two months still demonstrated skin manifestations of scabies. Impetigo was found in 12.9% of participants. Seventeen percent of participants with scabies had impetigo compared to 5.8% in individuals without scabies [RR 2.9 (95% CI 1.6-5.5)].
A very high proportion of inmates suffered from scabies in the prison. MDA with ivermectin and health education are needed to reduce the burden of scabies in the prison. Its implementation and effectiveness should be studied. |
| doi_str_mv | 10.1371/journal.pone.0312108 |
| format | Article |
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We conducted a cross-sectional study in December 2022 and recruited inmates at the Kumasi central prison in Ghana. Medical history and demographic information was collected using a REDCap questionnaire. A standardised skin examination of exposed regions of the body was performed on all participants and scabies was diagnosed based on the criteria of the International Alliance for the Control of Scabies (IACS).
Of the 559 participants, 19 (3.4%) were female. The median (IQR) age was 36 (33-40) years. There were 368 cases (65.8%) of scabies which was mostly located on the hands, fingers and finger webs. No female inmate had scabies. Scabies severity was predominantly mild (63.3%) or moderate (30.7%). Among males, the median (IQR) number of persons per cell was 115 (56-118) and 7 (7-8) for female prisoners. 79.2% of 96 individuals previously treated in the preceding two months still demonstrated skin manifestations of scabies. Impetigo was found in 12.9% of participants. Seventeen percent of participants with scabies had impetigo compared to 5.8% in individuals without scabies [RR 2.9 (95% CI 1.6-5.5)].
A very high proportion of inmates suffered from scabies in the prison. MDA with ivermectin and health education are needed to reduce the burden of scabies in the prison. Its implementation and effectiveness should be studied.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0312108</identifier><identifier>PMID: 39642185</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Care and treatment ; Confidentiality ; Cross-Sectional Studies ; Diagnosis ; Distribution ; Dormitories ; Epidemiology ; Female ; Females ; Fingers ; Ghana - epidemiology ; Health aspects ; Humans ; Impetigo ; Infectious diseases ; Informed consent ; Ivermectin ; Ivermectin - therapeutic use ; Male ; Males ; Mental health ; Middle Aged ; Parasitic diseases ; Prevalence ; Prisoners ; Prisons ; Scabies ; Scabies - drug therapy ; Scabies - epidemiology ; Skin diseases ; Surveys and Questionnaires</subject><ispartof>PloS one, 2024-12, Vol.19 (12), p.e0312108</ispartof><rights>Copyright: © 2024 Amoako et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Amoako et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Amoako et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c470t-f41bfce369e71ac1d81d26e6887e6ced2f12a98d7b6643c3a756d581998f08753</cites><orcidid>0000-0001-8992-0222 ; 0000-0001-9482-4438 ; 0000-0002-4642-789X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0312108&type=printable$$EPDF$$P50$$Gplos$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0312108$$EHTML$$P50$$Gplos$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,2096,2915,23845,27901,27902,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39642185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amoako, Yaw Ampem</creatorcontrib><creatorcontrib>Oppong, Michael Ntiamoah</creatorcontrib><creatorcontrib>Laryea, Dennis Odai</creatorcontrib><creatorcontrib>Kyem, Gloria</creatorcontrib><creatorcontrib>Gyabaah, Solomon</creatorcontrib><creatorcontrib>Agbanyo, Abigail</creatorcontrib><creatorcontrib>Agbavor, Bernadette</creatorcontrib><creatorcontrib>Kotey, Nana Konama</creatorcontrib><creatorcontrib>Dzathor, Irene</creatorcontrib><creatorcontrib>Owusu-Antwi, Felicia</creatorcontrib><creatorcontrib>Asiedu, Kingsley</creatorcontrib><creatorcontrib>Phillips, Richard Odame</creatorcontrib><creatorcontrib>Stienstra, Ymkje</creatorcontrib><title>Burden of scabies in a Ghanaian penitentiary</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>There is a dearth of information concerning the epidemiology of human scabies in prisons. Therefore, we aimed to assess the burden of scabies and ascertain if prevalence was high enough to warrant mass drug administration (MDA) with ivermectin in a medium security prison in central Ghana.
We conducted a cross-sectional study in December 2022 and recruited inmates at the Kumasi central prison in Ghana. Medical history and demographic information was collected using a REDCap questionnaire. A standardised skin examination of exposed regions of the body was performed on all participants and scabies was diagnosed based on the criteria of the International Alliance for the Control of Scabies (IACS).
Of the 559 participants, 19 (3.4%) were female. The median (IQR) age was 36 (33-40) years. There were 368 cases (65.8%) of scabies which was mostly located on the hands, fingers and finger webs. No female inmate had scabies. Scabies severity was predominantly mild (63.3%) or moderate (30.7%). Among males, the median (IQR) number of persons per cell was 115 (56-118) and 7 (7-8) for female prisoners. 79.2% of 96 individuals previously treated in the preceding two months still demonstrated skin manifestations of scabies. Impetigo was found in 12.9% of participants. Seventeen percent of participants with scabies had impetigo compared to 5.8% in individuals without scabies [RR 2.9 (95% CI 1.6-5.5)].
A very high proportion of inmates suffered from scabies in the prison. MDA with ivermectin and health education are needed to reduce the burden of scabies in the prison. 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Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amoako, Yaw Ampem</au><au>Oppong, Michael Ntiamoah</au><au>Laryea, Dennis Odai</au><au>Kyem, Gloria</au><au>Gyabaah, Solomon</au><au>Agbanyo, Abigail</au><au>Agbavor, Bernadette</au><au>Kotey, Nana Konama</au><au>Dzathor, Irene</au><au>Owusu-Antwi, Felicia</au><au>Asiedu, Kingsley</au><au>Phillips, Richard Odame</au><au>Stienstra, Ymkje</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Burden of scabies in a Ghanaian penitentiary</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-12-06</date><risdate>2024</risdate><volume>19</volume><issue>12</issue><spage>e0312108</spage><pages>e0312108-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>There is a dearth of information concerning the epidemiology of human scabies in prisons. Therefore, we aimed to assess the burden of scabies and ascertain if prevalence was high enough to warrant mass drug administration (MDA) with ivermectin in a medium security prison in central Ghana.
We conducted a cross-sectional study in December 2022 and recruited inmates at the Kumasi central prison in Ghana. Medical history and demographic information was collected using a REDCap questionnaire. A standardised skin examination of exposed regions of the body was performed on all participants and scabies was diagnosed based on the criteria of the International Alliance for the Control of Scabies (IACS).
Of the 559 participants, 19 (3.4%) were female. The median (IQR) age was 36 (33-40) years. There were 368 cases (65.8%) of scabies which was mostly located on the hands, fingers and finger webs. No female inmate had scabies. Scabies severity was predominantly mild (63.3%) or moderate (30.7%). Among males, the median (IQR) number of persons per cell was 115 (56-118) and 7 (7-8) for female prisoners. 79.2% of 96 individuals previously treated in the preceding two months still demonstrated skin manifestations of scabies. Impetigo was found in 12.9% of participants. Seventeen percent of participants with scabies had impetigo compared to 5.8% in individuals without scabies [RR 2.9 (95% CI 1.6-5.5)].
A very high proportion of inmates suffered from scabies in the prison. MDA with ivermectin and health education are needed to reduce the burden of scabies in the prison. Its implementation and effectiveness should be studied.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39642185</pmid><doi>10.1371/journal.pone.0312108</doi><tpages>e0312108</tpages><orcidid>https://orcid.org/0000-0001-8992-0222</orcidid><orcidid>https://orcid.org/0000-0001-9482-4438</orcidid><orcidid>https://orcid.org/0000-0002-4642-789X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2024-12, Vol.19 (12), p.e0312108 |
| issn | 1932-6203 1932-6203 |
| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Care and treatment Confidentiality Cross-Sectional Studies Diagnosis Distribution Dormitories Epidemiology Female Females Fingers Ghana - epidemiology Health aspects Humans Impetigo Infectious diseases Informed consent Ivermectin Ivermectin - therapeutic use Male Males Mental health Middle Aged Parasitic diseases Prevalence Prisoners Prisons Scabies Scabies - drug therapy Scabies - epidemiology Skin diseases Surveys and Questionnaires |
| title | Burden of scabies in a Ghanaian penitentiary |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T22%3A05%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Burden%20of%20scabies%20in%20a%20Ghanaian%20penitentiary&rft.jtitle=PloS%20one&rft.au=Amoako,%20Yaw%20Ampem&rft.date=2024-12-06&rft.volume=19&rft.issue=12&rft.spage=e0312108&rft.pages=e0312108-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0312108&rft_dat=%3Cgale_plos_%3EA819144894%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3141788104&rft_id=info:pmid/39642185&rft_galeid=A819144894&rft_doaj_id=oai_doaj_org_article_a09890de185b4727b094c80ec650b455&rfr_iscdi=true |