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Related Experiment Videos

Interventions for treating scabies.

G J Walker1, P W Johnstone

  • 1Country Support Team for Central and South Asia, UNFPA, PO Box 5940, Kathmandu, Nepal. gwalker@unfpa.wlink.com.np

The Cochrane Database of Systematic Reviews
|July 25, 2000
PubMed
Summary
This summary is machine-generated.

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Scabies treatment effectiveness varies. Permethrin may be more effective than crotamiton, but evidence comparing it to lindane is inconsistent. Serious adverse reactions to scabicides like lindane, permethrin, and ivermectin are reported.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Pharmacology

Background:

  • Scabies is a widespread parasitic skin infestation affecting 300 million globally.
  • It causes significant discomfort, intense itching, and potential severe adverse drug effects.
  • Current treatments require careful consideration of efficacy and toxicity.

Purpose of the Study:

  • To systematically review the efficacy and toxicity of various topical and systemic drugs for scabies treatment.
  • To synthesize evidence from randomized controlled trials on scabies pharmacotherapy.
  • To identify gaps in research regarding scabies treatment options.

Main Methods:

  • Comprehensive literature search across multiple databases (Cochrane, MEDLINE, EMBASE) and other sources.
  • Inclusion of randomized controlled trials evaluating drug treatments for scabies.

Related Experiment Videos

  • Assessment of trial quality and data extraction by independent reviewers.
  • Main Results:

    • Permethrin showed potential for higher cure rates than crotamiton and possibly lindane, though evidence is inconsistent.
    • Ivermectin demonstrated a higher clinical cure rate than placebo in one small trial.
    • Serious adverse drug reactions, particularly with lindane, permethrin, and ivermectin, have been documented in non-trial data.

    Conclusions:

    • Evidence for permethrin's superiority over lindane is inconsistent.
    • Lindane, permethrin, and ivermectin are associated with rare but serious adverse reactions.
    • Further research is crucial for ivermectin, malathion, community management, and topical treatment variations.