경기 서북부지역 옴 감염의 역학 및 임상적 연구: 입원환자와 외래환자의 비교 및 치료 효과 중심으로 (Epidemiological and Clinical Study of Scabies over the Last 4 Years in the North-west Gyeonggido Province: Focus on the Treatment Effect and Comparison between Inpatients and Outpatients)

서지정보

· 발행기관 : 대한피부과학회
· 수록지 정보 : 대한피부과학회지 / 52권 / 11호 / 783 ~ 789페이지
· 저자명 : 김수진, 허식, 박혜진, 김성현

초록

Background: Scabies is a common parasitic infestation that is an important public-health problem in manyresource-poor regions. The incidence of scabies decreased during the past 20 years, but it has been increasing withthe increase in the number of elderly people and nursing hospitals in Korea.
Objective: This study was performed to evaluate and compare the clinical aspects and etiologic factors betweenoutpatients and inpatients diagnosed with scabies. Also, we tried to investigate the clinical efficacy of topicaltherapies for the treatment of scabies.
Methods: We conducted a retrospective analysis of the medical records of 200 patients who were diagnosed withscabies with a mineral oil test or skin biopsy between September 2009 and August 2013.
Results: Of 200 patients, 91 (45.5%) were men and 109 (54.5%) were women. The mean age of the patients was59.2±26.6 years (men: 54.9±27.6 years/women: 62.8±25.2 years), and 61% of patients were aged ＞60 years. Therewas no seasonal variation in occurrence. Common primary lesions were papules and burrows in both inpatients andoutpatients. Also, hyperkeratotic lesions were more commonly observed in inpatients (60%) than in outpatients(16.4%). The majority of the suspected routes of infection were transmissions through the nursing homes or hospitals(outpatients: 37.6%, inpatients: 71.4%). The mean time to diagnosis was 59±85.1 days (outpatients: 62.97±92.11days, inpatients: 40.6±32.2 days) and to complete treatment was 31.87±49.2 days (outpatients: 35.3±53.14 days,inpatients: 14.8±13.87 days).
Conclusion: We confirmed that nursing homes or hospitals are sources of herd infection. Therefore, dermatologistsshould educate the medical team and caregivers who work in nursing homes and hospitals about the clinical aspectsand treatments of scabies.

영어초록

Background: Scabies is a common parasitic infestation that is an important public-health problem in manyresource-poor regions. The incidence of scabies decreased during the past 20 years, but it has been increasing withthe increase in the number of elderly people and nursing hospitals in Korea.
Objective: This study was performed to evaluate and compare the clinical aspects and etiologic factors betweenoutpatients and inpatients diagnosed with scabies. Also, we tried to investigate the clinical efficacy of topicaltherapies for the treatment of scabies.
Methods: We conducted a retrospective analysis of the medical records of 200 patients who were diagnosed withscabies with a mineral oil test or skin biopsy between September 2009 and August 2013.
Results: Of 200 patients, 91 (45.5%) were men and 109 (54.5%) were women. The mean age of the patients was59.2±26.6 years (men: 54.9±27.6 years/women: 62.8±25.2 years), and 61% of patients were aged ＞60 years. Therewas no seasonal variation in occurrence. Common primary lesions were papules and burrows in both inpatients andoutpatients. Also, hyperkeratotic lesions were more commonly observed in inpatients (60%) than in outpatients(16.4%). The majority of the suspected routes of infection were transmissions through the nursing homes or hospitals(outpatients: 37.6%, inpatients: 71.4%). The mean time to diagnosis was 59±85.1 days (outpatients: 62.97±92.11days, inpatients: 40.6±32.2 days) and to complete treatment was 31.87±49.2 days (outpatients: 35.3±53.14 days,inpatients: 14.8±13.87 days).
Conclusion: We confirmed that nursing homes or hospitals are sources of herd infection. Therefore, dermatologistsshould educate the medical team and caregivers who work in nursing homes and hospitals about the clinical aspectsand treatments of scabies.

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