Impact of ivermectin drug combinations on Pediculus humanus capitis infestation in primary schoolchildren of south Indian rural villages

Background  Antifilarial drug combinations including ivermectin provide antifilarial activity with ancillary benefits on intestinal helminths and ectoparasites, such as chiggers and lice. The impact of single oral dose of antifilarial drugs, viz; (1) diethylcarbamazine (DEC) alone, (ii) DEC + albend...

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Veröffentlicht in:International journal of dermatology 2009-11, Vol.48 (11), p.1201-1205
Hauptverfasser: Munirathinam, Arumugam, Sunish, Ittoop Pulikkottil, Rajendran, Rathinasamy, Tyagi, Brij Kishore
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container_end_page 1205
container_issue 11
container_start_page 1201
container_title International journal of dermatology
container_volume 48
creator Munirathinam, Arumugam
Sunish, Ittoop Pulikkottil
Rajendran, Rathinasamy
Tyagi, Brij Kishore
description Background  Antifilarial drug combinations including ivermectin provide antifilarial activity with ancillary benefits on intestinal helminths and ectoparasites, such as chiggers and lice. The impact of single oral dose of antifilarial drugs, viz; (1) diethylcarbamazine (DEC) alone, (ii) DEC + albendazole (ALB), (iii) ivermectin (IVR) + DEC and (iv) IVR + ALB, was determined, on the head louse (Pediculus humanus capitis) in primary school children in a rural community in south India. Methods  Primary school children (n = 534) of age 6–10 years from four villages of South India were examined for the presence of head lice before and after single dose of DEC + ivermectin drug combination. The effectiveness and the duration of cure sustained by these drugs were quantified. The head louse was examined by “combing method” during post‐treatment periods at 15, 45, 60 and 75 days interval. Results  The antifilarial drug consumption rate was similar (96–98%) in all treatment arms. In pre‐treatment survey the prevalence of head lice in children administered with DEC, DEC + ALB, IVR + DEC and IVR + ALB arm was 86%, 80%, 87% and 80%, respectively, with the latter two arms demonstrating significant reduction in louse infestation (P 
doi_str_mv 10.1111/j.1365-4632.2008.04059.x
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The impact of single oral dose of antifilarial drugs, viz; (1) diethylcarbamazine (DEC) alone, (ii) DEC + albendazole (ALB), (iii) ivermectin (IVR) + DEC and (iv) IVR + ALB, was determined, on the head louse (Pediculus humanus capitis) in primary school children in a rural community in south India. Methods  Primary school children (n = 534) of age 6–10 years from four villages of South India were examined for the presence of head lice before and after single dose of DEC + ivermectin drug combination. The effectiveness and the duration of cure sustained by these drugs were quantified. The head louse was examined by “combing method” during post‐treatment periods at 15, 45, 60 and 75 days interval. Results  The antifilarial drug consumption rate was similar (96–98%) in all treatment arms. In pre‐treatment survey the prevalence of head lice in children administered with DEC, DEC + ALB, IVR + DEC and IVR + ALB arm was 86%, 80%, 87% and 80%, respectively, with the latter two arms demonstrating significant reduction in louse infestation (P &lt; 0.05) for 60 days. Conclusion  Single dose with IVR combination demonstrates a greater impact in reducing head louse infestation in the endemic rural communities for nearly 60 days. Therefore, in regions such as Africa where ivermectin is part of the antifilariasis campaign, this drug will have an additional benefit in reducing head lice infestation.</description><identifier>ISSN: 0011-9059</identifier><identifier>EISSN: 1365-4632</identifier><identifier>DOI: 10.1111/j.1365-4632.2008.04059.x</identifier><identifier>PMID: 20064176</identifier><identifier>CODEN: IJDEBB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Administration, Oral ; Albendazole - therapeutic use ; Animals ; Anthelmintics - therapeutic use ; Antiparasitic Agents - therapeutic use ; Biological and medical sciences ; Child ; Dermatology ; Diethylcarbamazine - therapeutic use ; Drug Therapy, Combination ; Endemic Diseases - statistics &amp; numerical data ; Filaricides - therapeutic use ; General aspects ; Humans ; India ; Ivermectin - therapeutic use ; Lice Infestations - drug therapy ; Lice Infestations - epidemiology ; Lice Infestations - prevention &amp; control ; Medical sciences ; Pediculus ; Pediculus humanus capitis ; Prevalence ; Rural Population - statistics &amp; numerical data</subject><ispartof>International journal of dermatology, 2009-11, Vol.48 (11), p.1201-1205</ispartof><rights>2009 The International Society of Dermatology</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4679-8a129fc61b86b95f2dbd84335afd484e3878d43ed34eeb202aa44e70b2c83afb3</citedby><cites>FETCH-LOGICAL-c4679-8a129fc61b86b95f2dbd84335afd484e3878d43ed34eeb202aa44e70b2c83afb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-4632.2008.04059.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-4632.2008.04059.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22046758$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20064176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Munirathinam, Arumugam</creatorcontrib><creatorcontrib>Sunish, Ittoop Pulikkottil</creatorcontrib><creatorcontrib>Rajendran, Rathinasamy</creatorcontrib><creatorcontrib>Tyagi, Brij Kishore</creatorcontrib><title>Impact of ivermectin drug combinations on Pediculus humanus capitis infestation in primary schoolchildren of south Indian rural villages</title><title>International journal of dermatology</title><addtitle>Int J Dermatol</addtitle><description>Background  Antifilarial drug combinations including ivermectin provide antifilarial activity with ancillary benefits on intestinal helminths and ectoparasites, such as chiggers and lice. The impact of single oral dose of antifilarial drugs, viz; (1) diethylcarbamazine (DEC) alone, (ii) DEC + albendazole (ALB), (iii) ivermectin (IVR) + DEC and (iv) IVR + ALB, was determined, on the head louse (Pediculus humanus capitis) in primary school children in a rural community in south India. Methods  Primary school children (n = 534) of age 6–10 years from four villages of South India were examined for the presence of head lice before and after single dose of DEC + ivermectin drug combination. The effectiveness and the duration of cure sustained by these drugs were quantified. The head louse was examined by “combing method” during post‐treatment periods at 15, 45, 60 and 75 days interval. Results  The antifilarial drug consumption rate was similar (96–98%) in all treatment arms. In pre‐treatment survey the prevalence of head lice in children administered with DEC, DEC + ALB, IVR + DEC and IVR + ALB arm was 86%, 80%, 87% and 80%, respectively, with the latter two arms demonstrating significant reduction in louse infestation (P &lt; 0.05) for 60 days. Conclusion  Single dose with IVR combination demonstrates a greater impact in reducing head louse infestation in the endemic rural communities for nearly 60 days. 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Sunish, Ittoop Pulikkottil ; Rajendran, Rathinasamy ; Tyagi, Brij Kishore</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4679-8a129fc61b86b95f2dbd84335afd484e3878d43ed34eeb202aa44e70b2c83afb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Administration, Oral</topic><topic>Albendazole - therapeutic use</topic><topic>Animals</topic><topic>Anthelmintics - therapeutic use</topic><topic>Antiparasitic Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Dermatology</topic><topic>Diethylcarbamazine - therapeutic use</topic><topic>Drug Therapy, Combination</topic><topic>Endemic Diseases - statistics &amp; numerical data</topic><topic>Filaricides - therapeutic use</topic><topic>General aspects</topic><topic>Humans</topic><topic>India</topic><topic>Ivermectin - therapeutic use</topic><topic>Lice Infestations - drug therapy</topic><topic>Lice Infestations - epidemiology</topic><topic>Lice Infestations - prevention &amp; 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The impact of single oral dose of antifilarial drugs, viz; (1) diethylcarbamazine (DEC) alone, (ii) DEC + albendazole (ALB), (iii) ivermectin (IVR) + DEC and (iv) IVR + ALB, was determined, on the head louse (Pediculus humanus capitis) in primary school children in a rural community in south India. Methods  Primary school children (n = 534) of age 6–10 years from four villages of South India were examined for the presence of head lice before and after single dose of DEC + ivermectin drug combination. The effectiveness and the duration of cure sustained by these drugs were quantified. The head louse was examined by “combing method” during post‐treatment periods at 15, 45, 60 and 75 days interval. Results  The antifilarial drug consumption rate was similar (96–98%) in all treatment arms. In pre‐treatment survey the prevalence of head lice in children administered with DEC, DEC + ALB, IVR + DEC and IVR + ALB arm was 86%, 80%, 87% and 80%, respectively, with the latter two arms demonstrating significant reduction in louse infestation (P &lt; 0.05) for 60 days. Conclusion  Single dose with IVR combination demonstrates a greater impact in reducing head louse infestation in the endemic rural communities for nearly 60 days. Therefore, in regions such as Africa where ivermectin is part of the antifilariasis campaign, this drug will have an additional benefit in reducing head lice infestation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20064176</pmid><doi>10.1111/j.1365-4632.2008.04059.x</doi><tpages>5</tpages></addata></record>
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subjects Administration, Oral
Albendazole - therapeutic use
Animals
Anthelmintics - therapeutic use
Antiparasitic Agents - therapeutic use
Biological and medical sciences
Child
Dermatology
Diethylcarbamazine - therapeutic use
Drug Therapy, Combination
Endemic Diseases - statistics & numerical data
Filaricides - therapeutic use
General aspects
Humans
India
Ivermectin - therapeutic use
Lice Infestations - drug therapy
Lice Infestations - epidemiology
Lice Infestations - prevention & control
Medical sciences
Pediculus
Pediculus humanus capitis
Prevalence
Rural Population - statistics & numerical data
title Impact of ivermectin drug combinations on Pediculus humanus capitis infestation in primary schoolchildren of south Indian rural villages
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