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Sexual Transmission of American Trypanosomes from Males and Females to Naive Mates
Published on: January 27, 2019
Ectoparasites as sexually transmitted diseases
H B Routh1, Y M Mirensky, L C Parish
1Department of Dermatology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA.
Patients with scabies or pubic lice (Phthirus pubis) infestations should be screened for other sexually transmitted diseases as they often co-occur. Both conditions are treatable with Lindane 1% preparations, and household contacts should be treated for pubic lice to prevent reinfestation.
Area of Science:
- Dermatology
- Infectious Diseases
- Public Health
Background:
- Scabies (Sarcoptes scabiei) and pubic lice (Phthirus pubis) are common human ectoparasitic infestations.
- These infestations are frequently associated with other sexually transmitted diseases (STDs).
- Early diagnosis and treatment are crucial to prevent complications and transmission.
Purpose of the Study:
- To highlight the frequent co-occurrence of scabies and pubic lice with other STDs.
- To emphasize the importance of routine STD screening in patients presenting with these infestations.
- To discuss effective treatment options and prevention strategies.
Main Methods:
- Review of clinical presentations and patient histories.
- Assessment of treatment efficacy for Lindane 1% preparations.
- Analysis of reinfestation patterns, particularly for Phthirus pubis.
Main Results:
- Scabies and pubic lice infestations are often concurrent with other STDs.
- Lindane 1% preparations demonstrated high efficacy in eradicating both Sarcoptes scabiei and Phthirus pubis.
- No resistant strains of either parasite were observed.
- Treatment of household contacts is essential for managing pubic lice infestations and preventing recurrence.
Conclusions:
- Patients with scabies or pubic lice should undergo routine screening for STDs.
- Lindane 1% is an effective treatment for both Sarcoptes scabiei and Phthirus pubis.
- Comprehensive management, including treating household contacts, is vital for controlling these infestations.
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Sexually Transmitted Infections
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American Trypanosomiasis
Amebiasis
Trichomoniasis

