Poverty, health and development in dermatology

Morrone, Andrea

doi:10.1111/j.1365-4632.2007.03540.x

Cited by 20 publications

(17 citation statements)

References 9 publications

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“…Eczemas constituted 21% of skin diseases and 6.4% children had congenital skin conditions. The relative similarity between the pattern of data in our study and those reported in the aforementioned developing countries might suggest a cumulative effect of various socioeconomic, nutritional and environmental factors [34].…”

Section: Discussionmentioning

confidence: 51%

Pattern of dermatoses in Iraqi children

Al‐Mendalawi¹,

Ibrahim²

2012

East Mediterr Health J

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The prevalence of paediatric dermatoses has risen in Iraq from 33.5% in 1987 to 40.9% in 2010. The objective of this study was to document the pattern of dermatoses in Iraqi children attending the outpatient clinic of a teaching hospital in Baghdad, Iraq. We conducted a cross-sectional study of 663 children under the age of 12 years who attended for dermatological consultation during 2008. The study showed that the prevailing dermatoses were as follow: infectious (32.3%), eczematous (20.8%), pigmentary (17.8%), papulosquamous (14.2%), drug-induced (4.5%), nutritional deficiency (1.8%) and miscellaneous (8.6%). The studied patterns of dermatoses were similar to that reported in other developing countries.

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Section: Discussionmentioning

confidence: 51%

Pattern of dermatoses in Iraqi children

Al‐Mendalawi¹,

Ibrahim²

2012

East Mediterr Health J

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“…Moreover, ongoing efforts to address the social determinants which lead to the disproportionate load borne by people of Aboriginal ethnicity, particularly those living in remote communities, remain of great importance[8, 21]. On a broader scale, skin infections are neglected at a global level with regard to prioritizing funding and policy development despite causing significant morbidity and mortality in resource-limited settings[53]. Our findings of under-recognition and under-treatment of skin infection in the clinical setting highlight some of the difficulties with addressing these conditions in disadvantaged populations and affirms the ongoing need for advocacy and a coordinated global approach to tackle common skin infections such as scabies and impetigo[1, 9].…”

Section: Discussionmentioning

confidence: 99%

Are scabies and impetigo “normalised”? A cross-sectional comparative study of hospitalised children in northern Australia assessing clinical recognition and treatment of skin infections

et al. 2017

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BackgroundComplications of scabies and impetigo such as glomerulonephritis and invasive bacterial infection in Australian Aboriginal children remain significant problems and the overall global burden of disease attributable to these skin infections remains high despite the availability of effective treatment. We hypothesised that one factor contributing to this high burden is that skin infection is under-recognised and hence under-treated, in settings where prevalence is high.MethodsWe conducted a prospective, cross-sectional study to assess the burden of scabies, impetigo, tinea and pediculosis in children admitted to two regional Australian hospitals from October 2015 to January 2016. A retrospective chart review of patients admitted in November 2014 (mid-point of the prospective data collection in the preceding year) was performed. Prevalence of documented skin infection was compared in the prospective and retrospective population to assess clinician recognition and treatment of skin infections.Results158 patients with median age 3.6 years, 74% Aboriginal, were prospectively recruited. 77 patient records were retrospectively reviewed. Scabies (8.2% vs 0.0%, OR N/A, p = 0.006) and impetigo (49.4% vs 19.5%, OR 4.0 (95% confidence interval [CI 2.1–7.7) were more prevalent in the prospective analysis. Skin examination was only documented in 45.5% of cases in the retrospective review. Patients in the prospective analysis were more likely to be prescribed specific treatment for skin infection compared with those in the retrospective review (31.6% vs 5.2%, OR 8.5 (95% CI 2.9–24.4).ConclusionsScabies and impetigo infections are under-recognised and hence under-treated by clinicians. Improving the recognition and treatment of skin infections by clinicians is a priority to reduce the high burden of skin infection and subsequent sequelae in paediatric populations where scabies and impetigo are endemic.

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“…Morrone 4 says that in assigning health priorities, skin diseases are sometimes thought of, in planning terms, as small‐time players in the global league of illnesses compared with diseases that cause significant mortality. The prevention and diagnosis of non‐life threatening dermatoses do not require high technology interventions, but nevertheless are essential in developing countries to improve the health quality and the self‐esteem of people 5 .…”

Section: Introductionmentioning

confidence: 99%

Community dermatology in Debre Markos: an attempt to define children’s dermatological needs in a rural area of Ethiopia

2010

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We think our work highlights the general health and living conditions of Ethiopian school children. The dermatological problems affecting most of the children could improve just by better skin hygiene conditions. The presence at the community level of health workers trained to perform a correct and early diagnosis and distribute efficacious, low-cost therapies would be a relevant step forward. We think this project could help draw attention and interest to these issues.

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Poverty, health and development in dermatology

Cited by 20 publications

References 9 publications

Pattern of dermatoses in Iraqi children

Pattern of dermatoses in Iraqi children

Are scabies and impetigo “normalised”? A cross-sectional comparative study of hospitalised children in northern Australia assessing clinical recognition and treatment of skin infections

Community dermatology in Debre Markos: an attempt to define children’s dermatological needs in a rural area of Ethiopia

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