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Scabies in Spain? A comprehensive epidemiological picture.
Lidia Redondo-Bravo1, Beatriz Fernandez-Martinez2,3, Diana Gómez-Barroso2,3
1National Centre for Tropical Medicine, Health Institute Carlos III (ISCIII), Madrid, Spain.
Plos One
|November 1, 2021
Summary
Scabies outbreaks in Spain showed an increasing trend since 2014, particularly in healthcare and social settings. Early detection and improved hygiene are crucial for vulnerable populations.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Scabies is a widespread neglected disease, posing challenges in detection and control within institutions.
- Outbreaks in high-income countries often affect residents and staff in long-term care facilities.
Purpose of the Study:
- To characterize scabies epidemiology in Spain from 1997-2019.
- To identify affected populations, geographical distribution, and transmission environments.
Main Methods:
- Nationwide retrospective study utilizing hospital admissions, primary care, outbreak, and occupational disease databases.
- Analysis of temporal and geographical patterns, transmission foci, and trend changes using Joinpoint regression.
Main Results:
- Elderly most affected in hospital admissions and outbreaks; children/young adults in primary care.
- Homes and nursing homes were common outbreak settings; military barracks, healthcare, and nursing homes had more cases per outbreak.
- A decreasing trend in admissions (1997-2014) was followed by an increasing trend (2014-2017).
Conclusions:
- An increasing scabies trend since 2014 may be linked to socioeconomic factors and healthcare cutbacks.
- Healthcare and social settings are primary transmission foci.
- Enhanced surveillance, diagnosis, hygiene, and treatment strategies are recommended to mitigate scabies impact.
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