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[PMID]:29309411
[Au] Autor:Wiese S; Elson L; Feldmeier H
[Ad] Endereço:Institute of Microbiology and Hygiene, University Medicine Berlin, Germany.
[Ti] Título:Tungiasis-related life quality impairment in children living in rural Kenya.
[So] Source:PLoS Negl Trop Dis;12(1):e0005939, 2018 01.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Tungiasis (sand flea disease) is a neglected tropical skin disease caused by female sand fleas (Tunga spp.) embedded in the skin of the host. The disease is common in sub-Saharan Africa and predominantly affects children living in impoverished rural communities. In these settings tungiasis is associated with important morbidity. Whether tungiasis impairs life quality has never been studied. METHODS: The study was performed in 50 children with tungiasis, living in resource-poor communities in coastal Kenya. Based on the Dermatology Life Quality Index (DLQI) a tool was developed to determine life quality impairment associated with tungiasis in children, the tungiasis-related Dermatology of Life Quality Index (tungiasis-related-DLQI). Pain and itching were assessed using visual scales ranging from 0-3 points. The intensity of infection and the acute and chronic severity of tungiasis were determined using standard methods. RESULTS: Seventy eight percent of the patients reported a moderate to very large effect of tungiasis on life quality at the time of the diagnosis. The degree of impairment correlated with the number of viable sand fleas present in the skin (rho = 0.64, p < 0.001), the severity score of acute clinical pathology (rho = 0.74, p < 0.001), and the intensity of pain (rho = 0.82, p < 0.001). Disturbance of sleep and concentration difficulties were the most frequent restriction categories (86% and 84%, respectively). Four weeks after curative treatment, life quality had improved significantly. On the individual level the amelioration of life quality correlated closely with the regression of clinical pathology (rho = 0.61, p < 0.001). CONCLUSION: The parasitic skin disease tungiasis considerably impairs life quality in children in rural Kenya. After effective treatment, life quality improves rapidly.
[Mh] Termos MeSH primário: Dor/parasitologia
Prurido/parasitologia
Qualidade de Vida
Transtornos do Sono-Vigília/parasitologia
Tungíase/patologia
[Mh] Termos MeSH secundário: Adolescente
Animais
Criança
Pré-Escolar
Feminino
Seres Humanos
Quênia
Masculino
Medição da Dor
População Rural
Resultado do Tratamento
Tunga/efeitos dos fármacos
Tungíase/tratamento farmacológico
Tungíase/parasitologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180210
[Lr] Data última revisão:
180210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180109
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005939


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[PMID]:29264904
[Au] Autor:Santos RP; Resende C; da Luz Duarte M; Brito C
[Ad] Endereço:Department of Dermatology, Hospital de Braga, Braga, Portugal.
[Ti] Título:Tungiasis: a poorly-known diagnosis in Europe. Two paradigmatic cases from Portugal.
[So] Source:Acta Dermatovenerol Alp Pannonica Adriat;26(4):115-117, 2017 Dec.
[Is] ISSN:1581-2979
[Cp] País de publicação:Slovenia
[La] Idioma:eng
[Ab] Resumo:Tungiasis is a cutaneous parasitosis caused by infestation of the skin by gravid fleas of the genus Tunga, mainly Tunga penetrans. This flea is very common in tropical and subtropical regions of the globe, but not in Europe. The infestation is acquired by walking barefoot or lying in places where the flea is present, usually beaches or sandy soils. We report two unrelated cases of imported tungiasis in Portugal that presented to our clinic in the same week. We draw attention to one of the most common dermatological diseases in travelers returning from tropical countries, the diagnosis of which is primarily clinical but nonetheless is largely unfamiliar to clinicians attending those patients.
[Mh] Termos MeSH primário: Doenças do Pé/diagnóstico
Doenças do Pé/parasitologia
Viagem
Tungíase/diagnóstico
[Mh] Termos MeSH secundário: África
Animais
Brasil
Dermoscopia
Diagnóstico Diferencial
Seres Humanos
Masculino
Meia-Idade
Portugal
Tunga
Tungíase/parasitologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:28991909
[Au] Autor:Wiese S; Elson L; Reichert F; Mambo B; Feldmeier H
[Ad] Endereço:Institute of Microbiology and Hygiene, Charité University Medicine, Berlin, Germany.
[Ti] Título:Prevalence, intensity and risk factors of tungiasis in Kilifi County, Kenya: I. Results from a community-based study.
[So] Source:PLoS Negl Trop Dis;11(10):e0005925, 2017 Oct.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Tungiasis is a neglected tropical disease caused by female sand fleas (Tunga penetrans) embedded in the skin. The disease is associated with important morbidity. Tungiasis is endemic along the Coast of Kenya with a prevalence ranging from 11% to 50% in school-age children. Hitherto, studies on epidemiological characteristics of tungiasis in Africa are scanty. METHODS: In a cross-sectional study 1,086 individuals from 233 households in eight villages located in Kakuyuni and Malanga Sub-locations, Kilifi County, on the Kenyan Coast, were investigated. Study participants were examined systematically and the presence and severity of tungiasis were determined using standard methods. Demographic, socio-economic, environmental and behavioral risk factors of tungiasis were assessed using a structured questionnaire. Data were analyzed using bivariate and multivariate regression analysis. RESULTS: The overall prevalence of tungiasis was 25.0% (95% CI 22.4-27.5%). Age-specific prevalence followed an S-shaped curve, peaking in the under-15 year old group. In 42.5% of the households at least one individual had tungiasis. 15.1% of patients were severely infected (≥ 30 lesions). In the bivariate analysis no specific animal species was identified as a risk factor for tungiasis. Multivariate analysis showed that the occurrence of tungiasis was related to living in a house with poor construction characteristics, such as mud walls (OR 3.35; 95% CI 1.71-6.58), sleeping directly on the floor (OR 1.68; 95% CI 1.03-2.74), the number of people per sleeping room (OR = 1.77; 95% CI 1.07-2.93) and washing the body without soap (OR = 7.36; 95% CI 3.08-17.62). The odds of having severe tungiasis were high in males (OR 2.29; 95% CI 1.18-44.6) and were very high when only mud puddles were available as a water source and lack of water permitted washing only once a day (OR 25.48 (95% CI 3.50-185.67) and OR 2.23 (95% CI 1.11-4.51), respectively). CONCLUSIONS: The results of this study show that in rural Kenya characteristics of poverty determine the occurrence and the severity of tungiasis. Intra-domiciliary transmission seems to occur regularly.
[Mh] Termos MeSH primário: Tungíase/epidemiologia
Tungíase/patologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Animais
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Lactente
Quênia/epidemiologia
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Tunga/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171010
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005925


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[PMID]:28771469
[Au] Autor:Walker SL; Lebas E; De Sario V; Deyasso Z; Doni SN; Marks M; Roberts CH; Lambert SM
[Ad] Endereço:London School of Hygiene and Tropical Medicine, London, United Kingdom.
[Ti] Título:The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia.
[So] Source:PLoS Negl Trop Dis;11(8):e0005808, 2017 Aug.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The prevalence of skin disease in low and middle income countries is high and communicable skin diseases are a significant public health problem. Tungiasis is an ectoparasite infestation caused by the flea Tunga penetrans, which has a widespread geographical distribution. Tungiasis causes painful skin lesions and may affect activities of daily living. OBJECTIVE: We wished to determine the prevalence and impact of tungiasis and scabies in schoolchildren in southern Ethiopia. METHODS: A cross-sectional study was performed in which students were examined by dermatologists and the skin disorders recorded. Individuals with pyogenic skin infections, scabies and tungiasis were also invited to complete the Children's Dermatology Life Quality Index. RESULTS: There was a high burden of skin disease amongst this cohort with more than 40% having an ectodermal parasitic skin disease. The majority of these were due to tungiasis. Tungiasis was evident in more than a third of children and was associated with onychodystophy. There was a significant association between wearing "closed" footwear and a greater number of tungiasis lesions but not tungiasis per se. Dermatophyte infections, acne and plantar maceration secondary to occlusive footwear were also common. Scabies and tungiasis appeared to have a significant negative effect on quality of life. CONCLUSION: Tungiasis is highly prevalent in schoolchildren in the part of Ethiopia where the study was conducted and is associated with a deleterious effect on quality of life. The role of footwear in both preventing and possibly exacerbating cutaneous ailments in this setting requires further study.
[Mh] Termos MeSH primário: Qualidade de Vida
Escabiose/epidemiologia
Tungíase/epidemiologia
[Mh] Termos MeSH secundário: Atividades Cotidianas
Adolescente
Animais
Criança
Efeitos Psicossociais da Doença
Estudos Transversais
Etiópia/epidemiologia
Feminino
Seres Humanos
Masculino
Saúde Pública
Sarcoptes scabiei
Instituições Acadêmicas
Sapatos
Tunga
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005808


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[PMID]:28364835
[Au] Autor:Harvey TV; Heukelbach J; Assunção MS; Fernandes TM; da Rocha CM; Carlos RS
[Ad] Endereço:UESC, Universidade Estadual de Santa Cruz, Departamento de Ciências Agrárias e Ambientais, Programa de Pós-Graduação em Ciência Animal, Ilhéus, Bahia, Brazil. Electronic address: tatianivitor@yahoo.com.br.
[Ti] Título:Canine tungiasis: High prevalence in a tourist region in Bahia state, Brazil.
[So] Source:Prev Vet Med;139(Pt A):76-81, 2017 Apr 01.
[Is] ISSN:1873-1716
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Tungiasis is a parasitic skin disease neglected by authorities, health professionals, and the general population. Its occurrence is significantly associated with poverty. A cross-sectional study was conducted to describe the prevalence of tungiasis, associated clinical signs and risk factors of the canine population at a tourist site in the city of Ilhéus, Bahia (northeast Brazil). All village households were visited and dogs inspected after authorization by owners. A semi-structured questionnaire was administered. Of the 114 dogs included in the study, 71 (62.3%) were infested; all of them had lesions on their pads. An ectopic lesion on the nose was observed in one dog (1.4%). The number of manipulated lesions outnumbered the number of vital and avital lesions with an average of 88.3%. Edema (95.8%) and hyperkeratosis (85.9%) were the most prevalent clinical signs. Behavioral disorders such as excessive licking (6/71; 8.5%), disobedience (1/71; 1.4%) and prostration (2/71; 2.8%) were reported. In the multi-variate analysis, semi-restricted condition of the dogs (adjusted OR=8.58; 95% CI=2.47-29.76) and the presence of sand on the compound (adjusted OR=14.23, 95% CI=2.88-70.28) were significantly associated with infestation. We concluded that, infestation with Tunga spp. is highly endemic in the canine population of the village. The low level of restrictions on dogs and the presence of sand in areas most frequented by the animals are perpetuating factors of infestation in the community, subject to integrated and multidisciplinary intervention measures.
[Mh] Termos MeSH primário: Doenças do Cão/epidemiologia
Doenças do Cão/parasitologia
Tungíase/veterinária
[Mh] Termos MeSH secundário: Animais
Brasil/epidemiologia
Estudos Transversais
Cães
Feminino
Coxeadura Animal/complicações
Coxeadura Animal/parasitologia
Masculino
Análise Multivariada
Prevalência
Fatores de Risco
Dermatopatias Parasitárias/complicações
Dermatopatias Parasitárias/veterinária
Inquéritos e Questionários
Tunga
Tungíase/complicações
Tungíase/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170403
[St] Status:MEDLINE


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[PMID]:27402650
[Au] Autor:Ugbomoiko US; Ariza L; Babamale AO; Heukelbach J
[Ad] Endereço:Department of Zoology, University of Ilorin, Ilorin, Nigeria.
[Ti] Título:Prevalence and clinical aspects of tungiasis in south-west Nigerian schoolchildren.
[So] Source:Trop Doct;47(1):34-38, 2017 Jan.
[Is] ISSN:1758-1133
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Tungiasis is highly prevalent in resource-poor communities in sub-Saharan Africa, but studies among schoolchildren are scanty. We assessed prevalence, parasite load and clinical aspects of tungiasis in schoolchildren in south-western Nigeria. A total of 545 schoolchildren was examined. Of these, 133 (24.4%; 95% CI, 20.9-28.2%) were infested with Tunga penetrans Boys showed a higher prevalence than girls (31% versus 18%, P < 0.0001); in those infested, the median number of lesions was two, with no gender difference (2 boys, interquartile range, 1-4; 2 girls; interquartile range, 1-4; P = 0.34). The maximum number of 44 lesions was found in a 14-year-old boy. Desquamation was present in 90.2%, followed by erythema (54.9%) and oedema (43.6%); 54.9% showed any chronic pathology and more one-third nail deformations. Our study indicates that tungiasis is an important health problem in rural Nigerian schoolchildren. Sustainable interventions are required to control the disease in this and similar communities.
[Mh] Termos MeSH primário: Tungíase/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Animais
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Masculino
Nigéria/epidemiologia
Prevalência
Fatores de Risco
População Rural
Fatores Sexuais
Tunga
Tungíase/etiologia
Tungíase/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160713
[St] Status:MEDLINE


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[PMID]:27998311
[Au] Autor:Pallangyo P; Nicholaus P
[Ad] Endereço:Unit of Research, Jakaya Kikwete Cardiac Institute, PO Box 65141, Dar es Salaam, Tanzania. pedro.pallangyo@gmail.com.
[Ti] Título:Disseminated tungiasis in a 78-year-old woman from Tanzania: a case report.
[So] Source:J Med Case Rep;10(1):354, 2016 Dec 20.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Tungiasis is one of the neglected tropical diseases; it affects up to 40% of individuals living in societies with poor housing and sanitation standards. In endemic areas, Tunga infestation, which predominantly affects the periungual areas of the lower limbs in humans, is associated with considerable morbidity and poor quality of life. CASE PRESENTATION: A 78-year-old woman of African descent presented with pain, inflammation, suppuration, ulceration, and deformation of digits of all four limbs. She had a total of 1146 embedded sand fleas: 812 in lower limbs and 334 in her hands. She was febrile; her full blood count revealed pancytopenia and blood cultures were positive for Staphylococcus aureus and Streptococcus pyogenes isolates. Furthermore, she had severe hyponatremia. We applied 20% salicylated petroleum jelly followed by the manual removal of embedded sand fleas with a sterile needle. Intravenously administered piperacillin-tazobactam, topical ivermectin, ferrous sulfate, folic acid, tolvaptan, albendazole, multivitamins, and tetanus prophylaxis were instituted. She was discharged home after 16 days of hospitalization. CONCLUSIONS: Tungiasis is a neglected disease of concern in underprivileged societies that is preventable and curable. Early recognition and prompt treatment is crucial to prevent complications in this disease which may potentially mimic other conditions resulting in erroneous management.
[Mh] Termos MeSH primário: Antibacterianos/administração & dosagem
Ectoparasitoses/tratamento farmacológico
Extremidades/parasitologia
Ácido Penicilânico/análogos & derivados
Sepse/parasitologia
Tunga/efeitos dos fármacos
Tungíase/tratamento farmacológico
[Mh] Termos MeSH secundário: Idoso
Animais
Antagonistas de Receptores de Hormônios Antidiuréticos/administração & dosagem
Benzazepinas/administração & dosagem
Ectoparasitoses/imunologia
Ectoparasitoses/patologia
Extremidades/patologia
Feminino
Compostos Ferrosos/administração & dosagem
Ácido Fólico/administração & dosagem
Seres Humanos
Ácido Penicilânico/administração & dosagem
Piperacilina/administração & dosagem
Áreas de Pobreza
Qualidade de Vida
Sepse/tratamento farmacológico
Sepse/patologia
Índice de Gravidade de Doença
Tanzânia
Toxoide Tetânico/administração & dosagem
Resultado do Tratamento
Tungíase/imunologia
Tungíase/patologia
Vitaminas/administração & dosagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Antidiuretic Hormone Receptor Antagonists); 0 (Benzazepines); 0 (Ferrous Compounds); 0 (Tetanus Toxoid); 0 (Vitamins); 157044-21-8 (piperacillin, tazobactam drug combination); 21G72T1950 (tolvaptan); 39R4TAN1VT (ferrous sulfate); 87-53-6 (Penicillanic Acid); 935E97BOY8 (Folic Acid); X00B0D5O0E (Piperacillin)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170512
[Lr] Data última revisão:
170512
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-016-1146-6


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[PMID]:27727268
[Au] Autor:Mutebi F; von Samson-Himmelstjerna G; Feldmeier H; Waiswa C; Bukeka Muhindo J; Krücken J
[Ad] Endereço:School of Veterinary Medicine and Animal Resources, College of Veterinary Medicine, Animal Resources and Bio-security, Makerere University, Kampala, Uganda.
[Ti] Título:Successful Treatment of Severe Tungiasis in Pigs Using a Topical Aerosol Containing Chlorfenvinphos, Dichlorphos and Gentian Violet.
[So] Source:PLoS Negl Trop Dis;10(10):e0005056, 2016 Oct.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In endemic communities, zoonotic tungiasis, a severe skin disease caused by penetrating female sand fleas, is a public health hazard causing significant human and animal morbidity. No validated drugs are currently available for treatment of animal tungiasis. Due to the reservoir in domestic animals, integrated management of human and animal tungiasis is required to avert its negative effects. METHODS AND PRINCIPAL FINDINGS: A topical aerosol containing chlorfenvinphos 4.8%, dichlorphos 0.75% and gentian violet 0.145% licensed to treat tick infestations, myiasis and wound sepsis in animals in the study area, was tested for its potential tungicidal effects in a randomized controlled field trial against pig tungiasis in rural Uganda. Animals with at least one embedded flea were randomized in a treatment (n = 29) and a control (n = 26) group. One week after treatment, 58.6% of the treated pigs did not show any viable flea lesion whereas all control pigs had at least one viable lesion. After treatment the number of viable lesions (treated median = 0, overall range = 0-18 vs. control median = 11.5, range = 1-180) and the severity score for estimating acute pathology in pig tungiasis (treated median = 1, range = 0-3.5 vs. control median = 7, range = 0-25) were significantly lower in treated than in control pigs (p < 0.001). In the treatment group the median number of viable flea lesions decreased from 8.5 to 0 (p < 0.001). Similarly, the median acute severity score dropped from 6 to 1 (p < 0.001). Every pig in the treatment group showed a decrease in the number of viable fleas and tungiasis-associated acute morbidity while medians for both increased in the control group. CONCLUSIONS: The study demonstrates that a topical treatment based on chlorfenvinphos, dichlorphos and gentian violet is highly effective against pig tungiasis. Due to its simplicity, the new approach can be used for the treatment of individual animals as well as in mass campaigns.
[Mh] Termos MeSH primário: Aerossóis/uso terapêutico
Anti-Infecciosos Locais/administração & dosagem
Clorfenvinfos/administração & dosagem
Infestações por Pulgas/tratamento farmacológico
Violeta de Genciana/administração & dosagem
Inseticidas/administração & dosagem
Doenças dos Suínos/tratamento farmacológico
Tunga/efeitos dos fármacos
Tungíase/tratamento farmacológico
[Mh] Termos MeSH secundário: Administração Tópica
Animais
Clorfenvinfos/efeitos adversos
Reservatórios de Doenças
Combinação de Medicamentos
Feminino
Seres Humanos
Inseticidas/efeitos adversos
Masculino
Sus scrofa
Suínos
Doenças dos Suínos/parasitologia
Tungíase/epidemiologia
Tungíase/parasitologia
Uganda/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Aerosols); 0 (Anti-Infective Agents, Local); 0 (Drug Combinations); 0 (Insecticides); F2G9XS1W91 (Chlorfenvinphos); J4Z741D6O5 (Gentian Violet)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161012
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005056


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[PMID]:27642416
[Au] Autor:Wafula ST; Ssemugabo C; Namuhani N; Musoke D; Ssempebwa J; Halage AA
[Ad] Endereço:Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
[Ti] Título:Prevalence and risk factors associated with tungiasis in Mayuge district, Eastern Uganda.
[So] Source:Pan Afr Med J;24:77, 2016.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Tungiasis is an endemic but neglected health problem in Uganda especially in resource poor communities. It is largely affecting rural communities in the Eastern, West Nile and Central regions. This study assessed prevalence and risk factors associated with tungiasis in Mayuge district, Eastern Uganda. METHODS: This was a cross sectional study that used a semi-structured questionnaire and observational checklist to collect quantitative data from 422 households in 12 villages. Prevalence of tungiasis was defined as presence of Tunga penetrans in the skin of any household member at the time of data collection. RESULTS: The prevalence of tungiasis was 22.5%. However, a big percentage 41.5% of households were reported to have had T. penetrans in the previous month while 49.5% had T. penetrans for more than one month. Majority (90.5%)of the participants used a pin, needle, or thorn to remove sand flea from infected body parts. Having dirty feet (AOR 3.86, CI (1.76-8.34)), dirty clothes (AOR 3.46, CI (2.00-5.97)), cracked house floor (AOR =6.28, CI (3.28-12.03)), dirty floor (AOR 3.21, CI (1.38-7.46)), littered compounds (AOR= 2.95, CI (1.66-5.26)) and rearing cattle (AOR 2.38, CI (1.28-4.45)) were associated with tungiasis. However, practicing preventive measures (AOR 0.51, CI (0.29-0.90)) was found protective for disease. CONCLUSION: Tungiasis is still a prevalent health problem in rural communities in Eastern Uganda due to a number of individual (host) and environmental factors. There is need to increase awareness regarding improvement in sanitation and hygiene to enable communities' implements interventions for prevention of T. penetrans.
[Mh] Termos MeSH primário: População Rural
Tunga
Tungíase/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Animais
Bovinos
Estudos Transversais
Feminino
Seres Humanos
Higiene/normas
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Saneamento/normas
Inquéritos e Questionários
Tungíase/prevenção & controle
Uganda/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160920
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2016.24.77.8916


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[PMID]:27068598
[Au] Autor:Vaira F; Çuka E; Barbareschi M; Veraldi S
[Ad] Endereço:Department of Pathophysiology and Transplantation, University of Milan, I.R.C.C.S. Foundation, Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy - stefano.veraldi@unimi.it.
[Ti] Título:Bullous tungiasis.
[So] Source:G Ital Dermatol Venereol;151(2):207-8, 2016 Apr.
[Is] ISSN:1827-1820
[Cp] País de publicação:Italy
[La] Idioma:eng
[Mh] Termos MeSH primário: Dermatopatias Parasitárias/diagnóstico
Tunga/parasitologia
Tungíase/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Animais
Seres Humanos
Masculino
Dermatopatias Parasitárias/parasitologia
Dermatopatias Parasitárias/patologia
Tungíase/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160413
[St] Status:MEDLINE



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