Skin infections in Australian Aboriginal children: a narrative review

Davidson, Lucy; Bowen, Asha C

doi:10.5694/mja2.50743

Cited by 3 publications

(3 citation statements)

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“…Australian Aboriginal children in remote northern Australia have the highest documented prevalence of impetigo worldwide. In this cohort, the median prevalence is 45% ( IQR 34–49%), equating to almost half of all Aboriginal children in remote Australia with impetigo at any one time [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Children with scabies are high risk for secondary bacterial infection with impetigo; as a result, areas with a high prevalence of one condition often also have a high prevalence of the other [ 1 ]. It is estimated that up to one-third of all Aboriginal children in remote Australia have scabies at any one time [ 6 , 8 ], with the reported prevalence ranging from 16.1 to 35% [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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The burden of bacterial skin infection, scabies and atopic dermatitis among urban-living Indigenous children in high-income countries: a protocol for a systematic review

et al. 2022

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Background Bacterial skin infections and scabies disproportionately affect children in resource-poor countries as well as underprivileged children in high-income countries. Atopic dermatitis is a common childhood dermatosis that predisposes to bacterial skin infection. In Australia, at any one time, almost half of all Aboriginal and Torres Strait Islander children living remotely will have impetigo, and up to one-third will also have scabies. Yet, there is a gap in knowledge of the skin infection burden for urban-living Australian Aboriginal and Torres Strait Islander children, as well as atopic dermatitis which may be a contributing factor. The objective of this study is to provide a global background on the burden of these disorders in Indigenous urban-living children in high-income countries. These countries share a similar history of colonisation, dispossession and subsequent ongoing negative impacts on Indigenous people. Methods This protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols statement. Observational studies reporting incidence and/or prevalence data on bacterial skin infection, scabies and/or atopic dermatitis in urban-living Indigenous children in high-income countries will be included. Literature searches will be conducted in several international electronic databases (from 1990 onwards), including MEDLINE, Embase, EmCare, Web of Science and PubMed. Reference lists and citation records of all included articles will be scanned for additional relevant manuscripts. Two investigators will independently perform eligibility assessment of titles, abstract and full-text manuscripts, following which both investigators will independently extract data. Where there is disagreement, the senior author will determine eligibility. The methodological quality of selected studies will be appraised using an appropriate tool. Data will be tabulated and narratively synthesised. We expect there will be insufficient data to perform meta-analysis. Discussion This study will identify and evaluate epidemiological data on bacterial skin infection, scabies and atopic dermatitis in urban-living Indigenous children in high-income countries. Where available, the clinical features, risk factors, comorbidities and complications of these common childhood skin disorders will be described. The evidence will highlight the burden of disease in this population, to contribute to global burden of disease estimates and identify gaps in the current literature to provide direction for future research. Systematic review registration PROSPERO CRD42021277288

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The burden of bacterial skin infection, scabies and atopic dermatitis among urban-living Indigenous children in high-income countries: a protocol for a systematic review

et al. 2022

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“…Incidence of PIGN among Australian communities, specifically Indigenous people, is amongst the highest in the world [ 2 , 3 ]. Recent clusters of PIGN over the last 12 months were described from Kowanyama, a remote community in the northernmost part of the Australian state of Queensland [ 4 ].…”

Section: Lessons For the Clinical Nephrologistmentioning

confidence: 99%