Prevalence and Alternative Treatment of Head-Lice Infestation in Rural Thailand: A Community-Based Study
Head-lice infestation, pediculosis capitis, remains a public-health burden in many countries. The widely used first-line pediculicides and alternative treatments are often too costly for use in poor socio-economic settings. Ivermectin has been considered an alternate treatment for field practice. Th...
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| Veröffentlicht in: | Korean journal of parasitology 2019, Hosts and Diseases, 57(5), , pp.499-504 |
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| creator | Singhasivanon, On-Uma Lawpoolsri, Saranath Mungthin, Mathirut Yimsamran, Surapon Soonthornworasiri, Ngamphol Krudsood, Srivicha |
| description | Head-lice infestation, pediculosis capitis, remains a public-health burden in many countries. The widely used first-line pediculicides and alternative treatments are often too costly for use in poor socio-economic settings. Ivermectin has been considered an alternate treatment for field practice. This study was composed of 2 parts, a cross-sectional survey and an intervention study. The main objectives were to determine the prevalence and potential factors associated with head-lice infestation, and to evaluate the effectiveness and safety of oral ivermectin administration. A community-based cross-sectional survey was conducted among 890 villagers in rural areas along Thai-Myanmar border. Females with infestations were eligible for the intervention study, and 181 participated in the intervention study. A post-treatment survey was conducted to assess acceptance of ivermectin as a treatment choice. Data analysis used descriptive statistics and a generalized-estimation-equation model adjusted for cluster effect. The study revealed the prevalence of head-lice infestation was 50% among females and only 3% among males. Age stratification showed a high prevalence among females aged |
| doi_str_mv | 10.3347/kjp.2019.57.5.499 |
| format | Article |
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The widely used first-line pediculicides and alternative treatments are often too costly for use in poor socio-economic settings. Ivermectin has been considered an alternate treatment for field practice. This study was composed of 2 parts, a cross-sectional survey and an intervention study. The main objectives were to determine the prevalence and potential factors associated with head-lice infestation, and to evaluate the effectiveness and safety of oral ivermectin administration. A community-based cross-sectional survey was conducted among 890 villagers in rural areas along Thai-Myanmar border. Females with infestations were eligible for the intervention study, and 181 participated in the intervention study. A post-treatment survey was conducted to assess acceptance of ivermectin as a treatment choice. Data analysis used descriptive statistics and a generalized-estimation-equation model adjusted for cluster effect. The study revealed the prevalence of head-lice infestation was 50% among females and only 3% among males. Age stratification showed a high prevalence among females aged <20 years, and among 50% of female school-children. The prevalence was persistent among those with a history of infestation. The major risk factors were residing in a setting with other infected cases, and sharing a hair comb. The study also confirmed that ivermectin was safe and effective for field-based practice. It was considered a preferable treatment option. In conclusion, behavior-change communication should be implemented to reduce the observed high prevalence of headlice infestation. Ivermectin may be an alternative choice for head-lice treatment, especially in remote areas.</description><identifier>ISSN: 0023-4001</identifier><identifier>ISSN: 1738-0006</identifier><identifier>ISSN: 2982-5164</identifier><identifier>EISSN: 1738-0006</identifier><identifier>EISSN: 2982-6799</identifier><identifier>DOI: 10.3347/kjp.2019.57.5.499</identifier><identifier>PMID: 31715690</identifier><language>eng</language><publisher>Korea (South): 대한기생충학열대의학회</publisher><subject>Administration, Oral ; Adolescent ; Adult ; Animals ; Child ; Female ; Humans ; Insecticides - administration & dosage ; Ivermectin - administration & dosage ; Lice Infestations - drug therapy ; Lice Infestations - epidemiology ; Lice Infestations - parasitology ; Male ; Middle Aged ; Original ; Pediculus - drug effects ; Pediculus - physiology ; Rural Population ; Thailand - epidemiology ; Treatment Outcome ; Young Adult ; 예방의학</subject><ispartof>Parasites, 2019, Hosts and Diseases, 57(5), , pp.499-504</ispartof><rights>Copyright © 2019 by The Korean Society for Parasitology and Tropical Medicine 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-884b456d70c33b8062bea1cfbabe89b0e46ddbad55fb270551b59ab5664158533</citedby><cites>FETCH-LOGICAL-c463t-884b456d70c33b8062bea1cfbabe89b0e46ddbad55fb270551b59ab5664158533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851250/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851250/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31715690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002523119$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Singhasivanon, On-Uma</creatorcontrib><creatorcontrib>Lawpoolsri, Saranath</creatorcontrib><creatorcontrib>Mungthin, Mathirut</creatorcontrib><creatorcontrib>Yimsamran, Surapon</creatorcontrib><creatorcontrib>Soonthornworasiri, Ngamphol</creatorcontrib><creatorcontrib>Krudsood, Srivicha</creatorcontrib><title>Prevalence and Alternative Treatment of Head-Lice Infestation in Rural Thailand: A Community-Based Study</title><title>Korean journal of parasitology</title><addtitle>Korean J Parasitol</addtitle><description>Head-lice infestation, pediculosis capitis, remains a public-health burden in many countries. The widely used first-line pediculicides and alternative treatments are often too costly for use in poor socio-economic settings. Ivermectin has been considered an alternate treatment for field practice. This study was composed of 2 parts, a cross-sectional survey and an intervention study. The main objectives were to determine the prevalence and potential factors associated with head-lice infestation, and to evaluate the effectiveness and safety of oral ivermectin administration. A community-based cross-sectional survey was conducted among 890 villagers in rural areas along Thai-Myanmar border. Females with infestations were eligible for the intervention study, and 181 participated in the intervention study. A post-treatment survey was conducted to assess acceptance of ivermectin as a treatment choice. Data analysis used descriptive statistics and a generalized-estimation-equation model adjusted for cluster effect. The study revealed the prevalence of head-lice infestation was 50% among females and only 3% among males. Age stratification showed a high prevalence among females aged <20 years, and among 50% of female school-children. The prevalence was persistent among those with a history of infestation. The major risk factors were residing in a setting with other infected cases, and sharing a hair comb. The study also confirmed that ivermectin was safe and effective for field-based practice. It was considered a preferable treatment option. In conclusion, behavior-change communication should be implemented to reduce the observed high prevalence of headlice infestation. Ivermectin may be an alternative choice for head-lice treatment, especially in remote areas.</description><subject>Administration, Oral</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Animals</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Insecticides - administration & dosage</subject><subject>Ivermectin - administration & dosage</subject><subject>Lice Infestations - drug therapy</subject><subject>Lice Infestations - epidemiology</subject><subject>Lice Infestations - parasitology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Pediculus - drug effects</subject><subject>Pediculus - physiology</subject><subject>Rural Population</subject><subject>Thailand - epidemiology</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><subject>예방의학</subject><issn>0023-4001</issn><issn>1738-0006</issn><issn>2982-5164</issn><issn>1738-0006</issn><issn>2982-6799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc2O0zAUhS0EYjoDD8AGeYMEixT_J2ExUukMTKWKQUNZW3Z8Qz1NnOIklfr2uNNSweou7neOfe5B6A0lU85F_nHzuJ0yQsupzKdyKsryGZrQnBcZIUQ9RxNCGM8EIfQCXfb9IyGcyZy-RBec5lSqkkzQ-nuEnWkgVIBNcHjWDBCDGfwO8CqCGVoIA-5qfAfGZUufsEWooR8S0gXsA34Yo2nwam18kww-4Rmed207Bj_ss8-mB4d_DKPbv0IvatP08Po0r9DPL7er-V22vP-6mM-WWSUUH7KiEFZI5XJScW4LopgFQ6vaGgtFaQkI5Zw1TsraspxISa0sjZVKCSoLyfkV-nD0DbHWm8rrzvin-avTm6hnD6uFVoxxRg_s9ZHdjrYFV6WoKYveRt-auH9S_r8Jfp18dloVkjJJksH7k0Hsfo_pKrr1fQVNugR0Y68Zp4JJyVWeUHpEq9j1fYT6_Awl-tCmTm3qQ5ta5lrq1GbSvP33f2fF3_oS8O4UdkwrcN6cmW_3N7ekZEXBBed_AFLKqKk</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Singhasivanon, On-Uma</creator><creator>Lawpoolsri, Saranath</creator><creator>Mungthin, Mathirut</creator><creator>Yimsamran, Surapon</creator><creator>Soonthornworasiri, Ngamphol</creator><creator>Krudsood, Srivicha</creator><general>대한기생충학열대의학회</general><general>The Korean Society for Parasitology and Tropical Medicine</general><general>대한기생충학ㆍ열대의학회</general><scope>DBRKI</scope><scope>TDB</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ACYCR</scope></search><sort><creationdate>20191001</creationdate><title>Prevalence and Alternative Treatment of Head-Lice Infestation in Rural Thailand: A Community-Based Study</title><author>Singhasivanon, On-Uma ; Lawpoolsri, Saranath ; Mungthin, Mathirut ; Yimsamran, Surapon ; Soonthornworasiri, Ngamphol ; Krudsood, Srivicha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-884b456d70c33b8062bea1cfbabe89b0e46ddbad55fb270551b59ab5664158533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Administration, Oral</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Animals</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Insecticides - administration & dosage</topic><topic>Ivermectin - administration & dosage</topic><topic>Lice Infestations - drug therapy</topic><topic>Lice Infestations - epidemiology</topic><topic>Lice Infestations - parasitology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Pediculus - drug effects</topic><topic>Pediculus - physiology</topic><topic>Rural Population</topic><topic>Thailand - epidemiology</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><topic>예방의학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singhasivanon, On-Uma</creatorcontrib><creatorcontrib>Lawpoolsri, Saranath</creatorcontrib><creatorcontrib>Mungthin, Mathirut</creatorcontrib><creatorcontrib>Yimsamran, Surapon</creatorcontrib><creatorcontrib>Soonthornworasiri, Ngamphol</creatorcontrib><creatorcontrib>Krudsood, Srivicha</creatorcontrib><collection>DBPIA - 디비피아</collection><collection>DBPIA</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Korean journal of parasitology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singhasivanon, On-Uma</au><au>Lawpoolsri, Saranath</au><au>Mungthin, Mathirut</au><au>Yimsamran, Surapon</au><au>Soonthornworasiri, Ngamphol</au><au>Krudsood, Srivicha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and Alternative Treatment of Head-Lice Infestation in Rural Thailand: A Community-Based Study</atitle><jtitle>Korean journal of parasitology</jtitle><addtitle>Korean J Parasitol</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>57</volume><issue>5</issue><spage>499</spage><epage>504</epage><pages>499-504</pages><issn>0023-4001</issn><issn>1738-0006</issn><issn>2982-5164</issn><eissn>1738-0006</eissn><eissn>2982-6799</eissn><abstract>Head-lice infestation, pediculosis capitis, remains a public-health burden in many countries. The widely used first-line pediculicides and alternative treatments are often too costly for use in poor socio-economic settings. Ivermectin has been considered an alternate treatment for field practice. This study was composed of 2 parts, a cross-sectional survey and an intervention study. The main objectives were to determine the prevalence and potential factors associated with head-lice infestation, and to evaluate the effectiveness and safety of oral ivermectin administration. A community-based cross-sectional survey was conducted among 890 villagers in rural areas along Thai-Myanmar border. Females with infestations were eligible for the intervention study, and 181 participated in the intervention study. A post-treatment survey was conducted to assess acceptance of ivermectin as a treatment choice. Data analysis used descriptive statistics and a generalized-estimation-equation model adjusted for cluster effect. The study revealed the prevalence of head-lice infestation was 50% among females and only 3% among males. Age stratification showed a high prevalence among females aged <20 years, and among 50% of female school-children. The prevalence was persistent among those with a history of infestation. The major risk factors were residing in a setting with other infected cases, and sharing a hair comb. The study also confirmed that ivermectin was safe and effective for field-based practice. It was considered a preferable treatment option. In conclusion, behavior-change communication should be implemented to reduce the observed high prevalence of headlice infestation. Ivermectin may be an alternative choice for head-lice treatment, especially in remote areas.</abstract><cop>Korea (South)</cop><pub>대한기생충학열대의학회</pub><pmid>31715690</pmid><doi>10.3347/kjp.2019.57.5.499</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Parasites, 2019, Hosts and Diseases, 57(5), , pp.499-504 |
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| source | MEDLINE; KoreaMed Open Access; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Administration, Oral Adolescent Adult Animals Child Female Humans Insecticides - administration & dosage Ivermectin - administration & dosage Lice Infestations - drug therapy Lice Infestations - epidemiology Lice Infestations - parasitology Male Middle Aged Original Pediculus - drug effects Pediculus - physiology Rural Population Thailand - epidemiology Treatment Outcome Young Adult 예방의학 |
| title | Prevalence and Alternative Treatment of Head-Lice Infestation in Rural Thailand: A Community-Based Study |
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