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Burden of paediatric pyoderma and scabies in North West Queensland

John Whitehall1, Deniz Kuzulugil, Kyle Sheldrick

  • 1Department of Paediatrics and Child Health, University of Western Sydney, Sydney, New South Wales, Australia. john.whitehall@uws.edu.au

Journal of Paediatrics and Child Health
|January 26, 2013
PubMed

Insights

Scabies causes a significant health burden in North West Queensland children, leading to frequent hospital admissions and high costs. Community-based prevention is crucial, as individual treatment alone is insufficient.

Area of Science:

  • Public Health
  • Pediatrics
  • Infectious Diseases

Background:

  • Scabies and pyoderma represent substantial health challenges in North West Queensland.
  • Children, particularly Indigenous children, are disproportionately affected by these conditions.

Purpose of the Study:

  • To evaluate the health burden and financial impact of pediatric scabies admissions at Mt Isa Hospital.
  • To analyze associated conditions such as acute rheumatic fever (ARF) and acute post-streptococcal glomerulonephritis (APSGN).

Main Methods:

  • Retrospective chart audit of pediatric scabies admissions from 2006-2010.
  • Data collected included patient demographics, Indigenous status, length of stay, and co-occurring infections.
  • Financial burden was estimated using daily bed costs and transportation expenses.

Main Results:

  • 113 admissions for scabies occurred, with a mean age of 23 months and an average stay of 4.5 days.
  • Scabies accounted for 10.1% of medical admissions in children under 5.
  • Group A Streptococcus was found in 71% of swabs, often with methicillin-resistant Staphylococcus aureus (MRSA).
  • Indigenous children comprised the majority of scabies admissions, as well as those with ARF and APSGN.

Conclusions:

  • Scabies and associated pyoderma impose a significant health burden on children in North West Queensland.
  • The high rate of repeat admissions highlights the inadequacy of individual treatment strategies.
  • Organized, community-based prevention programs are essential to address these persistent health issues.
Abstract

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