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Banafshi Z, Khatony A. Exploring the lived experiences of adolescent girls affected by head lice infestation: a qualitative descriptive study. BMC Infect Dis 2024; 24:825. [PMID: 39143538 PMCID: PMC11323612 DOI: 10.1186/s12879-024-09739-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Accepted: 08/08/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND Head lice infestation is a prevalent dermatological condition among adolescent girls, which has wide-ranging adverse physical, psychological, and emotional effects on their lives. However, these experiences have been sparsely documented. This study aimed to investigate the lived experiences of Iranian adolescent girls regarding head lice infestation. METHODS In this phenomenological study, a purposive sampling technique was employed to select 15 adolescent girls who were experiencing head lice infestation. Collaboration was established with local schools to identify and recruit the participants. Subsequently, the purpose and nature of the study were explained to the identified participants and their guardians. Semi-structured in-depth interviews were conducted to gather the necessary data. The collected data underwent analysis using Colaizzi's seven-step method. To enhance the credibility of the findings, Lincoln and Guba's (2004) criteria were applied. The management of the data was facilitated through the utilization of MAXQDA software version 0.9.5. RESULTS The average age of the participants, aged 12 to 17, was 14.5 (standard deviation = 1.7). In terms of education, the majority of them had completed upper secondary education (n = 8, 53.3%), followed by lower secondary education (n = 4, 26.6%). The participants' experiences were categorized into four main themes and 15 sub-themes. The main themes included living in the shadow of fear, torment of infestation, "struggling with head lice, and disturbing ramifications. The sub-themes encompassed social fear, fear of harm, fear of beauty decline, stigma, bullying behavior, self-blame, adversity, challenging struggle, effective coping, nonconforming behavior, family disruption, academic disruption, health threats, and confused mental state. CONCLUSION During head lice infestation, adolescent girls endured negative experiences and extensive fears, considering it a significant ordeal. They encountered multiple challenges while dealing with lice and utilized both adaptive and maladaptive strategies to cope with the infestation. It is recommended to enhance public awareness regarding head lice infestation, and healthcare providers should offer emotional support and counseling services to affected girls and their families.
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Affiliation(s)
- Zhina Banafshi
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Alireza Khatony
- Social Development and Health Promotion Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.
- Infectious Diseases Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.
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Delie AM, Melese M, Limenh LW, Esubalew D, Worku NK, Fenta ET, Hailu M, Abie A, Mehari MG, Dagnaw TE. Prevalence and associated factors of head lice infestation among primary school children in low- and middle-income countries: systematic review and meta-analysis. BMC Public Health 2024; 24:2181. [PMID: 39135177 PMCID: PMC11318336 DOI: 10.1186/s12889-024-19712-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Accepted: 08/07/2024] [Indexed: 08/16/2024] Open
Abstract
INTRODUCTION Head lice infestation remains a persistent public health concern among primary school children in resource-limited settings, affecting their well-being and academic performance. Despite previous studies, there is no consistent evidence on the prevalence and factors associated with head lice infestation. This study aimed to determine the prevalence and factors related to head lice infestation among primary school children in low and middle-income countries. METHODS This review was conducted by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. Relevant electronic databases, including PubMed, Cochrane Library, Web of Science, Science Direct, AJOL, and Google Scholar, were used to retrieve articles. The study included only published articles written in English languages between December 01, 2014 to January 31, 2024 for studies reporting the prevalence of head lice infestation or associated factors among primary school children in low- and middle-income countries. This review has been registered on PROSPERO with Prospero registration number CRD42024506959. The heterogeneity of the data was evaluated using the I2 statistic. A meta-analysis was conducted using STATA 17 software, with a 95% confidence interval. Publication bias was evaluated using funnel plots and statistical tests, such as Egger's and Beggs's tests, to identify publication biases in the included studies. Meta-regression was also carried out to assess the source of publication of publication bias. RESULTS The review included 39 studies involving 105,383 primary school children. The pooled prevalence of head lice infestation among primary school children in low- and middle-income countries was 19.96% (95% CI; 13.97, 25.95). This review also found out that being a girl was 3.71 times (AOR = 3.71; 95% CI: 1.22-11.26) more likely to have head lice infestation as compared to boys, while children with a previous history of infestation were 4.51 times (AOR = 4.51; 95% CI: 2.31-8.83) more likely to have head lice infestation as compared to their counterparts. CONCLUSION The overall prevalence of head lice infestation among primary school children in low- and middle-income countries was found to be high. Female gender, children who had a previous history of infestation, and family size were significant predictors of head lice infestation. As a result, policymakers and program administrators should focus on the identified determinants.
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Affiliation(s)
- Amare Mebrat Delie
- Department of Public Health, College of Medicine and Health Sciences, Injibara University, P.O. Box: 40, Injibara, Ethiopia.
| | - Mihret Melese
- Department of Human Physiology, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Liknaw Workie Limenh
- Department of Pharmaceutics, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Dereje Esubalew
- Department of Human Physiology, College of Medicine and Health Science, Ambo University, Ambo, Ethiopia
| | - Nigus Kassie Worku
- Department of Public Health, College of Medicine and Health Science, Dire Dawa University, Dire Dawa, Ethiopia
| | - Eneyew Talie Fenta
- Department of Public Health, College of Medicine and Health Sciences, Injibara University, P.O. Box: 40, Injibara, Ethiopia
| | - Mickiale Hailu
- Department of Midwifery, College of Medicine and Health Science, Dire Dawa University, Bahir Dar, Ethiopia
| | - Alemwork Abie
- Department of Midwifery, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Molla Getie Mehari
- Department of Medical Laboratory Science, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
| | - Tenagnework Eseyneh Dagnaw
- Department of Public Health, College of Medicine and Health Sciences, Injibara University, P.O. Box: 40, Injibara, Ethiopia
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Subahar R, Hadyansyah R, Aldilla R, Yulhasri Y, Winita R, Dwira S, El Bayani GF. Toxicity of 6-gingerol and Cymbopogon citratus against Pediculus humanus capitis De Geer (Phthiraptera: Pediculidae): Mortality, detoxifying enzymes, and morphological ultrastructure alterations in lice. Res Vet Sci 2024; 177:105364. [PMID: 39053092 DOI: 10.1016/j.rvsc.2024.105364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Revised: 07/17/2024] [Accepted: 07/20/2024] [Indexed: 07/27/2024]
Abstract
Pediculus humanus capitis (head louse), which causes pediculosis capitis, remains a global health concern. Plant products are efficient alternative pediculicides for treating the human ectoparasite P. h. capitis which is resistant to permethrin. The study evaluates the toxicity and mechanisms of 6-gingerol and Cymbopogon citratus leaf extract on P. h. capitis. Pediculus humanus capitis adult stages were exposed to three different dosages of 6-gingerol and C. citratus crude leaf extract on filter sheets for 5, 10, and 30 min, respectively. The biochemical approach was used to assess the activity of detoxifying enzymes including acetylcholinesterase (AChE), glutathione S-transferase (GST), and oxidase. Scanning electron microscope (SEM) was used to investigate the ultrastructure of the morphological body of lice. After 30 min, 6-gingerol and C. citratus leaf extract killed P. h. capitis completely. Bioassay periods significantly affected lice mortality (P < 0.05). The LC50 values for 6-gingerol and C. citratus extract were 1.79 μg/cm2 and 25.0 μg/cm2, respectively. 6-Gingerol and C. citratus leaf extract significantly lower AChE and GST activity (P < 0.05). Cymbopogon citratus also caused morphological ultrastructure changes in P. h. capitis, including an irregularly formed head, thorax, abdominal respiratory spiracles, and belly. 6-Gingerol and C. citratus leaf extracts could be used as an alternate pediculicide to decrease P. h. capitis populations.
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Affiliation(s)
- Rizal Subahar
- Department of Parasitology, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia.
| | - Rizqy Hadyansyah
- Medical Doctor Program, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia
| | - Rachmanin Aldilla
- Medical Doctor Program, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia
| | - Yulhasri Yulhasri
- Department of Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia
| | - Rawina Winita
- Department of Parasitology, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia
| | - Surya Dwira
- Department of Medical Chemistry, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia
| | - Gulshan Fahmi El Bayani
- Department of Medical Physiology and Biophysics, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia
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Mirzajanzadeh F, Karami M, Gorgani-Firouzjaee T, Babapour R, Jafarzadeh J, Jalilnavaz-Novin M. High mitochondrial gene diversity of Pediculus humanus capitis among children in northern Iran. Trans R Soc Trop Med Hyg 2024:trae040. [PMID: 38895866 DOI: 10.1093/trstmh/trae040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 03/19/2024] [Accepted: 06/01/2024] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND The head louse, Pediculus humanus capitis, is an obligate ectoparasite and its infestation remains a major public health issue worldwide. Determining the genetic characteristics of the existing clades is essential to identify the population structure and to develop head lice-control programs. Hence, we aimed to investigate the genetic diversity of head lice among infested individuals in northern Iran. METHODS Adult head lice were collected from 100 infested individuals referring to the health centers throughout five geographical regions in Mazandaran Province, Iran. Partial fragments of the mitochondrial cytb gene were amplified by PCR, then consequently sequenced. RESULTS The results of the phylogenetic tree of collected head lice confirmed the existence of two clades, A and B, in the studied areas. Thirteen haplotypes were detected in the studied populations, of which 11 were novel haplotypes. Clade A was the dominant form and accounted for 75% of samples, while clade B included the rest. Haplotype and nucleotide diversity were 0.999 and 0.0411, respectively. CONCLUSIONS Clade A and B of Pediculus humanus capitis exist among the human populations of northern Iran. We observed high genotypic diversity of this head lice.
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Affiliation(s)
- Fayaz Mirzajanzadeh
- Student Research Committee, Babol University of Medical Sciences, Ganj Afrooz Ave., Babol 47176-47745, Iran
| | - Mohsen Karami
- Department of Mycology and Parasitology, School of Medicine, Babol University of Medical Sciences, Babol, Ganj Afrooz Ave., Babol 47176-47745, Iran, Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Ganj Afrooz Ave., Babol 47176-47745, Iran
| | - Tahmineh Gorgani-Firouzjaee
- Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Ganj Afrooz Ave., Babol 47176-47745, Iran
| | - Rahman Babapour
- Babol Health Center, Babol University of Medical Sciences, Ganj Afrooz Ave., Babol 47176-47745, Iran
| | - Jalal Jafarzadeh
- Department of Mycology and Parasitology, School of Medicine, Babol University of Medical Sciences, Babol, Ganj Afrooz Ave., Babol 47176-47745, Iran, Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Ganj Afrooz Ave., Babol 47176-47745, Iran
| | - Mohamad Jalilnavaz-Novin
- Smart University of Medical Sciences, No 3, 1st Alley, Sarafraz St., Shaheed Beheshti St., Tehran 1416634793, Iran
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Almeida D, Rodrigues AT, Guerreiro JP, Bałkowiec-Iskra E, Vander Stichele R, Sepodes B, Torre C. COVID-19 pandemic and the consumption of self-care products for pediculosis capitis in Portugal: an interrupted time-series analysis. Parasitol Res 2024; 123:235. [PMID: 38850458 PMCID: PMC11162394 DOI: 10.1007/s00436-024-08258-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 05/30/2024] [Indexed: 06/10/2024]
Abstract
This study aims to assess the effect of the COVID-19 pandemic on the consumption of self-care products for pediculosis capitis management, in Portugal. A segmented regression analysis of interrupted time series (March 2020) was performed from January 2017 to August 2023 to analyze the short- and long-term impact of the COVID-19 pandemic on the consumption of pediculicides and related products. Monthly rates of absolute consumption were estimated by community pharmacies' dispensing records. Portuguese municipalities were organized into quintiles according to their purchasing power index and percentage of youth, to study the association of these social and demographic variables on the sale of these products. COVID-19 pandemic significantly reduced the sales of products indicated for pediculosis. Since the start of the pandemic, an absolute decrease of 21.0 thousand packages was observed in the monthly average consumption (p < 0.0001) compared to the pre-pandemic period. After this reduction, the average monthly trend increased in the pandemic period in comparison with the previous period, although not significant (267.0 packages per month, p = 0.1102). Regions with higher disposable income and more young people were associated with higher sales of these products. The outbreak of the COVID-19 pandemic has had a notable impact on the sales of self-care products for pediculosis capitis in Portugal, in the short term. The lockdowns and other isolation measures implemented to control the spread of the virus may have led to a decrease in the number of head lice cases, consequently resulting in a reduction in sales of products.
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Affiliation(s)
- Diogo Almeida
- Faculdade de Farmácia, Universidade de Lisboa, Avenida Professor Gama Pinto, 1649-003, Lisbon, Portugal
| | - Antonio Teixeira Rodrigues
- Centre for Health Evaluation & Research (CEFAR-INFOSAUDE), National Association of Pharmacies (ANF), Lisbon, Portugal
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Campus de Gualtar, Braga, Portugal
| | - Jose Pedro Guerreiro
- Centre for Health Evaluation & Research (CEFAR-INFOSAUDE), National Association of Pharmacies (ANF), Lisbon, Portugal
| | - Ewa Bałkowiec-Iskra
- Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Warsaw, Poland
| | | | - Bruno Sepodes
- Faculdade de Farmácia, Universidade de Lisboa, Avenida Professor Gama Pinto, 1649-003, Lisbon, Portugal
- Laboratory of Systems Integration Pharmacology, Clinical and Regulatory Science, Research Institute for Medicines of the University of Lisbon (iMed.ULisboa), Lisbon, Portugal
| | - Carla Torre
- Faculdade de Farmácia, Universidade de Lisboa, Avenida Professor Gama Pinto, 1649-003, Lisbon, Portugal.
- Laboratory of Systems Integration Pharmacology, Clinical and Regulatory Science, Research Institute for Medicines of the University of Lisbon (iMed.ULisboa), Lisbon, Portugal.
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Toloza AC, Sosa-Quiroga E, Fañani A, Puente-Santamaria A, Guzmán E, Martínez E, Lucia A. Effectiveness and chemical insights: Exploring interactions between nanomicelles and monoterpenoids for head lice treatment. PESTICIDE BIOCHEMISTRY AND PHYSIOLOGY 2024; 201:105886. [PMID: 38685252 DOI: 10.1016/j.pestbp.2024.105886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Revised: 03/14/2024] [Accepted: 03/23/2024] [Indexed: 05/02/2024]
Abstract
This study evaluates the pediculicidal activity of nanoformulations containing different binary essential oil component mixtures (eugenol:linalool, 1,8 -cineole:linalool, and eugenol:thymol) using immersion bioassays. These have allowed us to evaluate the knockdown time affecting 50% of the individuals (KT50). In addition, the type of interaction between the components in each mixture was established in terms of the combination index (IC). The KT50 values were 6.07; 8.83; 7.17 and 27.23 h for linalool, 1,8 -cineole, eugenol, and thymol, respectively. For the eugenol:linalool mixtures, the efficacy was lower or equal to that obtained for the nanoformulations of the pure compounds, with values of KT50 about 13.33, 8.16 and 6.71 h for mixtures with ratios 3:1, 1:1 and 1:3, respectively. These mixtures present IC > 1, evidencing antagonistic interaction, which is enhanced with eugenol content. In the case of the binary mixtures of 1,8 -cineole: linalool, KT50 values were similar to those obtained for eugenol:linalool mixtures with similar ratios. In this case, IC assumes values close to unity, suggesting additive interactions independently of the mixture composition. On the other side, mixtures of eugenol:thymol with 1:1 and 1:3 ratios showed values of 9.40 and 32.93 h, while the mixture with a 3:1 ratio showed the greatest effectiveness (KT50 of 4.42 h). Eugenol:thymol mixtures show synergistic interaction (IC < 1) for combinations 3:1 and 1:1, while no interaction was observed for 1:3 combination. This indicates that eugenol enhances thymol activity. These results must be considered an important step forward to the development of effective pediculicidal nanoformulations based on botanical compounds.
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Affiliation(s)
- Ariel C Toloza
- Centro de Investigaciones de Plagas e Insecticidas (UNIDEF, CONICET), J. Bautista de La Salle 4397, 1603 Villa Martelli, Buenos Aires, Argentina.
| | - Eunice Sosa-Quiroga
- Centro de Investigaciones de Plagas e Insecticidas (UNIDEF, CONICET), J. Bautista de La Salle 4397, 1603 Villa Martelli, Buenos Aires, Argentina
| | - Agustina Fañani
- Instituto de Ecología y Desarrollo Sustentable (INEDES, CONICET-UNLu), Ruta 5 y Avenida Constitución 6700, Luján, Buenos Aires, Argentina; Departamento de Ciencias Básicas, Universidad Nacional de Luján, Ruta 5 y Avenida Constitución - (6700), Luján, Buenos Aires, Argentina
| | - Ana Puente-Santamaria
- Departamento de Química Física, Universidad Complutense de Madrid, Ciudad Universitaria s/n, 28040 Madrid, Spain
| | - Eduardo Guzmán
- Departamento de Química Física, Universidad Complutense de Madrid, Ciudad Universitaria s/n, 28040 Madrid, Spain; Instituto Pluridisciplinar, Universidad Complutense de Madrid, Paseo Juan XXIII, Madrid, Spain
| | - Emilia Martínez
- Instituto de Ecología y Desarrollo Sustentable (INEDES, CONICET-UNLu), Ruta 5 y Avenida Constitución 6700, Luján, Buenos Aires, Argentina
| | - Alejandro Lucia
- Instituto de Ecología y Desarrollo Sustentable (INEDES, CONICET-UNLu), Ruta 5 y Avenida Constitución 6700, Luján, Buenos Aires, Argentina
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Ghorbani E, Moradi-Asl E, Yusuf MA. Body lice: a vector for re-emerging disease outbreak in a rehabilitation camp in Northwestern Iran. BMC Res Notes 2024; 17:55. [PMID: 38378626 PMCID: PMC10880360 DOI: 10.1186/s13104-024-06709-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Accepted: 01/31/2024] [Indexed: 02/22/2024] Open
Abstract
OBJECTIVE The report of the outbreak of body louse in northwestern Iran after three decades reminds us again of the danger of the re-emerging of previous epidemics. RESULTS The results of the study that nearly 70% of the patients in a rehabilitation Centre were infected with body louse. In this study, scientific measures were taken to prevent the spread of body lice to healthy people, including isolation of the patients, washing the clothes of those infected at high temperatures, and spraying the rest area, beddings, and blankets. This is a more recent report on an outbreak of body louse in Iran in 2023.
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Affiliation(s)
- Esmail Ghorbani
- Arthropod-Borne Diseases Research Centre, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Eslam Moradi-Asl
- Arthropod-Borne Diseases Research Centre, Ardabil University of Medical Sciences, Ardabil, Iran.
| | - Mustapha Ahmed Yusuf
- Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Clinical Microbiology, Aminu Kano Teaching Hospital, Kano, Nigeria
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Yingklang M, Gordon CN, Jaidee PH, Thongpon P, Pinlaor S. Comparative efficacy of chemical and botanical pediculicides in Thailand and 4% dimeticone against head louse, Pediculus humanus capitis. PLoS One 2023; 18:e0287616. [PMID: 37352268 PMCID: PMC10289457 DOI: 10.1371/journal.pone.0287616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 06/08/2023] [Indexed: 06/25/2023] Open
Abstract
Head louse infestations remain a global public-health concern due to increased resistance of lice to artificial pediculicides. In Thailand, there is a lack of comparative data on the current efficacy of pediculicides for treating head lice. In this study, we explored the status of botanical and toxic synthetic pediculicides with that of 4% dimeticone liquid gel for treating head lice in Thailand. The ex-vivo pediculicidal activity of various pediculicidal shampoos available at drugstores in Thailand was assessed and compared with that of 4% dimeticone liquid gel. The shampoos chosen were based on active ingredients toxic to lice (1% permethrin, 0.6% carbaryl, 0.15% Stemona root crude extract, or mixed plant extracts), whereas dimeticone acts physically on lice. We found that exposure to 4% dimeticone liquid gel following the manufacturer's instructions completely killed 100% of head lice in 15 min, whereas other pediculicide products failed to kill the great majority of head lice, whether treatment was for 10 min (resulting in 0% to 50.0% mortality) or 30 min (resulting in 17.0% to 60.0% mortality). We also extended a clinical assessment to confirm the efficacy of 1% permethrin for treating head lice in infested schoolchildren. In this clinical assessment, none of the 26 children treated with 1% permethrin shampoo achieved a cure after two applications. These results highlight that 4% dimeticone demonstrated a higher ex-vivo pediculicidal efficacy compared to both chemical and botanical pediculicides in Thailand. Conversely, 1% permethrin showed low efficacy in both laboratory and clinical assessments. Given its physical mode of action, 4% dimeticone merits consideration as an alternative treatment option for lice in Thailand, particularly in cases where treatment with toxic pediculicides has proven ineffective.
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Affiliation(s)
| | - Chadaporn Nuchjangreed Gordon
- Department of Medical Sciences, Faculty of Allied Health Sciences, Burapha University, Chonburi, Chonburi Province, Thailand
| | | | - Phonpilas Thongpon
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Somchai Pinlaor
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
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Morales-Suarez-Varela M, Álvarez-Fernández BE, Peraita-Costa I, Llopis-Morales A, Valero MA. Pediculosis humanus capitis in 6-7 years old schoolchildren in Valencia, Spain. Cent Eur J Public Health 2023; 31:144-150. [PMID: 37451249 DOI: 10.21101/cejph.a7640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 03/14/2023] [Indexed: 07/18/2023]
Abstract
OBJECTIVES Pediculosis humanus capitis is a worldwide public health concern that affects mostly school-aged children. The aim of this study is to determine the rate of pediculosis and to determine possible risk factors in a group of primary school children in Valencia, Spain; 227 children, 6-7 years old, were selected from 7 schools. METHODS A self-reported questionnaire completed by the parents/guardians about the presence of pediculosis in their children and their knowledge about pediculosis. The results recorded in the questionnaire were analysed by SPSS® software. RESULTS 30.4% of the children had pediculosis. The results showed significant variation (p < 0.05) in prevalence depending on the following factors: sex, hair length, level of parental education, family size, presence of affected family member in the home, and frequency of hair washing. Less than half of parents/guardians showed an appropriate level of knowledge on pediculosis. Pediculosis remains a health problem in Valencian schoolchildren. The family size and existence of another member with pediculosis were shown to be the main potentiating factors. CONCLUSIONS Parents are not sufficiently informed about pediculosis and adopt inappropriate practices. There is a need to promote studies with the objective of determining risk factors for pediculosis as well as the need for actions to increase the knowledge of parents and healthcare professionals on this parasitosis to prevent outbreaks in the community, assure correct treatment and maintain effective epidemiological surveillance.
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Affiliation(s)
- María Morales-Suarez-Varela
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, University of Valencia, Burjassot, Spain
- CIBER of Epidemiology and Public Health (CIBERESP), Carlos III Health Institute, Madrid, Spain
| | - Blanca E Álvarez-Fernández
- Department of Parasitology, Faculty of Pharmacy, University of Valencia, Burjassot, Spain
- Faculty of Chemistry-Biological Sciences, Autonomous University of Guerrero, Chilpancingo, Guerrero, Mexico
| | - Isabel Peraita-Costa
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, University of Valencia, Burjassot, Spain
- CIBER of Epidemiology and Public Health (CIBERESP), Carlos III Health Institute, Madrid, Spain
| | - Agustín Llopis-Morales
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, University of Valencia, Burjassot, Spain
| | - M. Adela Valero
- Department of Parasitology, Faculty of Pharmacy, University of Valencia, Burjassot, Spain
- CIBER of Infectious Diseases (CIBERINFEC), Carlos III Health Institute, Madrid, Spain
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Head Lice Infestation in Pre-High School Girls, Lak Hok Suburban Area, Pathum Thani Province, in Central Thailand. J Parasitol Res 2023; 2023:8420859. [PMID: 36733373 PMCID: PMC9889157 DOI: 10.1155/2023/8420859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 12/31/2022] [Accepted: 01/12/2023] [Indexed: 01/25/2023] Open
Abstract
This is a cross-sectional descriptive survey to determine the prevalence of lice infestation in a pre-high school, Lak Hok subdistrict, Pathum Thani Province, in central part of Thailand. The knowledge, attitudes, and practices of parents/guardians toward head lice in female children during February-April 2020 were evaluated. A total of 83 out of 111 parents (74.8%) agreed to complete consent forms and questionnaires. The prevalence of pediculosis found in this study was 68.7%. The infestation was found in the primary school level (87.5%), which was significantly higher than pre-primary school (29.6%; p < 0.05). Itching scalp was revealed in 93.0% of pediculosis. The results showed that occupation, religion, education, and income showed no significant difference between lice infested and non-infested students (p > 0.05). There was no significant association between sex, occupation, religion, education, income, status of parents, and family size among lice infested and non-infested students (p > 0.05). The parents/guardians showed the middle level of knowledge concerning with pediculosis capitis (66.8%). The lack of knowledge leading, first, to the belief that pediculosis does not need any treatment (89.2%), followed by boys getting head lice more frequently than girls (85.5%), and the belief that sharing infested combs, brushes, or hair ribbons does not result in lice transmission (79.9%). More than 75% of the parents/guardians had experienced infestation of head lice and showed themselves willing and able to diagnose and treat their family. However, 50.6% of them did not feel shame when their children were infested with head lice. Children washing their hair by themselves were found to be a significant factor in infestation (88.5%). High rate of pediculosis in this suburban school needs more intensive care by parents/guardians and teachers. Furthermore, improvement strategies to prevent and control lice in the school need to be more specifically planned and scheduled by teachers and health administrators.
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Pérez-Gaxiola G, Velásquez-Salazar P, Veroniki AA, Zambrano-Rico S, Hernández Alcaraz M, Cuello-García CA, Florez ID. Interventions for treating head lice: a network meta-analysis. Hippokratia 2022. [DOI: 10.1002/14651858.cd014735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | - Pamela Velásquez-Salazar
- Evidence and Deliberation Unit for Decision Making - UNED; University of Antioquia; Medellín Colombia
| | | | | | | | - Carlos A Cuello-García
- Department of Health Research Methods, Evidence, and Impact; McMaster University; Hamilton Canada
| | - Ivan D Florez
- Department of Pediatrics; University of Antioquia; Medellín Colombia
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12
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Pyrethroid-linked resistance allelic mutations by molecular analysis in wild human head louse (Phthiraptera: Pediculidae) populations from schoolgirls of South Iran. Parasite Epidemiol Control 2022; 18:e00252. [PMID: 35573893 PMCID: PMC9095884 DOI: 10.1016/j.parepi.2022.e00252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 04/13/2022] [Accepted: 04/27/2022] [Indexed: 11/20/2022] Open
Abstract
Background Human head louse, Pediculus humanus capitis De Geer, 1767 (Anoplura: Pediculidae), is one of the most frequent ectoparasites infesting Homo sapiens worldwide. Reduced sensitivity to treatment due to genetic mutations, in particular knockdown resistance (kdr) (or target site insensitivity) allele, has led to this infestation prevalence. Molecular characterization of this resistance has a crucial impact on selecting appropriate treatment protocol. The aim of this study was to investigate kdr gene mutations on voltage-sensitive sodium channel (VSSC) among wild head lice samples from Fars province, southern Iran. Methods Head lice were collected using plastic detection combs on girls enrolled in public schools from 10 counties in Fars province. The specimens were screened in 10 pools (each pool per county containing 35 specimens), with three pools (30%) being positive. Following species identification with valid entomological keys, 350 (68%) out of 514 randomly collected adult head lice were analyzed after their somatic genomic DNA extraction using Sinaclon kit. Samples were investigated by polymerase chain reactions (PCR), and the amplicon was subsequently sequenced. Results Sequence analysis showed that the sodium channel genes in the pooled ectoparasites had two intron and three exon regions. Single (L840F), double (I836L, E837K), and triple novel point mutations (V875L, Q876P, S879V); the last involving two concomitant allelic substitutions; were discovered in the second and third exon regions of head louse DNA on chromosome II from three (30%) counties. Other exon or intron regions remained non-mutated from the remaining seven counties. Conclusions The detection of six amino acid substitutions from 30% of examined head lice among infested schoolgirls reveal that mutants are minutely developing. These findings provide further incentive to recapitulate the legitimacy of current control measures and resolve dynamics of resistance in human head louse populations.
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Fu YT, Yao C, Deng YP, Elsheikha HM, Shao R, Zhu XQ, Liu GH. Human pediculosis, a global public health problem. Infect Dis Poverty 2022; 11:58. [PMID: 35619191 PMCID: PMC9134731 DOI: 10.1186/s40249-022-00986-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 05/11/2022] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Human pediculosis is caused by hematophagous lice, which are transmitted between individuals via direct and/or indirect contact. Despite the public health importance of louse infestation, information concerning the global burden of pediculosis and the epidemiological landscape of louse-borne diseases is limited. The aim of this review was to summarize the biology, epidemiology, diagnosis, and control of lice infestation in humans. We also discussed the latest advances in molecular taxonomy and molecular genetics of lice. METHODS We searched five electronic bibliographic databases (PubMed, ScienceDirect, CNKI, VIP Chinese Journal Database, and Wanfang Data) and followed a standard approach for conducting scoping reviews to identify studies on various aspects of human lice. Relevant information reported in the identified studies were collated, categorized, and summarized. RESULTS A total of 282 studies were eligible for the final review. Human pediculosis remains a public health issue affecting millions of people worldwide. Emerging evidence suggests that head lice and body lice should be considered conspecific, with different genotypes and ecotypes. Phylogenetic analysis based on mitochondrial (mt) cytb gene sequences identified six distinct clades of lice worldwide. In addition to the direct effect on human health, lice can serve as vectors of disease-causing pathogens. The use of insecticides plays a crucial role in the treatment and prevention of louse infestation. Genome sequencing has advanced our knowledge of the genetic structure and evolutionary biology of human lice. CONCLUSIONS Human pediculosis is a public health problem affecting millions of people worldwide, particularly in developing countries. More progress can be made if emphasis is placed on the use of emerging omics technologies to elucidate the mechanisms that underpin the physiological, ecological, and evolutionary aspects of lice.
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Affiliation(s)
- Yi-Tian Fu
- Research Center for Parasites and Vectors, College of Veterinary Medicine, Hunan Agricultural University, Changsha, Hunan China
| | - Chaoqun Yao
- Department of Biomedical Sciences and One Health Center for Zoonoses and Tropical Veterinary Medicine, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis
| | - Yuan-Ping Deng
- Research Center for Parasites and Vectors, College of Veterinary Medicine, Hunan Agricultural University, Changsha, Hunan China
| | - Hany M. Elsheikha
- Faculty of Medicine and Health Sciences, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, LE12 5RD UK
| | - Renfu Shao
- Centre for Bioinnovation, School of Science, Technology and Engineering, University of the Sunshine Coast, Sippy Downs, QLD 4556 Australia
| | - Xing-Quan Zhu
- College of Veterinary Medicine, Shanxi Agricultural University, Taigu, 030801 Shanxi China
- Key Laboratory of Veterinary Public Health of Higher Education of Yunnan Province, College of Veterinary Medicine, Yunnan Agricultural University, Kunming, Yunnan 650201 People’s Republic of China
| | - Guo-Hua Liu
- Research Center for Parasites and Vectors, College of Veterinary Medicine, Hunan Agricultural University, Changsha, Hunan China
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Bartosik K, Janczaruk M, Zając Z, Sędzikowska A, Kulisz J, Woźniak A, Jasztal-Kniażuk A, Kulbaka E, Tytuła A. Head Lice Infestation in Schoolchildren, in Poland-Is There a Chance for Change? J Clin Med 2022; 11:jcm11030783. [PMID: 35160233 PMCID: PMC8837132 DOI: 10.3390/jcm11030783] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/23/2022] [Accepted: 01/29/2022] [Indexed: 02/04/2023] Open
Abstract
Pediculosis capitis is a current and neglected health issue worldwide. The lack of screening programs contributes to the marginalization of the problem and delays therapeutic measures. Our study aimed to analyze the occurrence of this parasitosis in primary schools in Poland and to determine factors contributing to the persistence of its foci. The research tools were two questionnaires: one for primary school children and the other for school managers. While children answered questions about the epidemiology of pediculosis capitis and expressed their opinion on the hygienic condition of infested persons, the school directors were asked about the occurrence of head lice in schools, preventive measures, and institutions supporting schools in combating the infestation. The survey covered the period 2014–2018. Pediculosis capitis was reported in 87.5% of the schools. The greatest number of cases was reported in the group of 6–9 year-olds (68%). Among 4970 children, 16.7% had no knowledge of head lice; however, 57.1% wanted to increase their awareness of the problem. Campaigns on lice were conducted mainly as a result of emerging pediculosis capitis cases, and most schools could not rely on institutional support. Screening programs and preventive educational campaigns should be part of pediculosis capitis control in Poland.
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Affiliation(s)
- Katarzyna Bartosik
- Department of Biology and Parasitology, Faculty of Health Sciences, Medical University of Lublin, Radziwiłłowska 11, 20-080 Lublin, Poland; (Z.Z.); (J.K.); (A.W.)
- Correspondence:
| | - Marzena Janczaruk
- II Chair and Department of General and Gastrointestinal Surgery and Surgical Oncology of the Alimentary Tract, Faculty of Medicine, Medical University of Lublin, 20-081 Lublin, Poland;
| | - Zbigniew Zając
- Department of Biology and Parasitology, Faculty of Health Sciences, Medical University of Lublin, Radziwiłłowska 11, 20-080 Lublin, Poland; (Z.Z.); (J.K.); (A.W.)
| | - Aleksandra Sędzikowska
- Department of General Biology and Parasitology, Faculty of Medicine, Medical University of Warsaw, 02-004 Warsaw, Poland;
| | - Joanna Kulisz
- Department of Biology and Parasitology, Faculty of Health Sciences, Medical University of Lublin, Radziwiłłowska 11, 20-080 Lublin, Poland; (Z.Z.); (J.K.); (A.W.)
| | - Aneta Woźniak
- Department of Biology and Parasitology, Faculty of Health Sciences, Medical University of Lublin, Radziwiłłowska 11, 20-080 Lublin, Poland; (Z.Z.); (J.K.); (A.W.)
| | - Anita Jasztal-Kniażuk
- Regional Chamber of Nurses and Midwives in Lublin, 20-072 Lublin, Poland; (A.J.-K.); (A.T.)
| | - Ewa Kulbaka
- Department of Pediatric Hematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, Medical University of Lublin, 20-093 Lublin, Poland;
| | - Andrzej Tytuła
- Regional Chamber of Nurses and Midwives in Lublin, 20-072 Lublin, Poland; (A.J.-K.); (A.T.)
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Mohammadi J, Azizi K, Alipour H, Kalantari M, Bagheri M, Shahriari-Namadi M, Ebrahimi S, Moemenbellah-Fard MD. Frequency of pyrethroid resistance in human head louse treatment: systematic review and meta-analysis. Parasite 2021; 28:86. [PMID: 34935614 PMCID: PMC8693761 DOI: 10.1051/parasite/2021083] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 12/10/2021] [Indexed: 12/23/2022] Open
Abstract
Head lice (Pediculus humanus capitis) are one of the most common insects causing infestations in humans worldwide, and infestation is associated with adverse socio-economic and public health effects. The development of genetic insensitivity (e.g., target site insensitivity = knockdown resistance or kdr) to topical insecticides has impaired effective treatment. Therefore, this study was undertaken to review and meta-analyze the frequency of pyrethroid resistance in treated head louse populations from the beginning of 2000 to the end of June 2021 worldwide. In order to accomplish this, all English language articles published over this period were extracted and reviewed. Statistical analyses of data were performed using fixed and random effect model tests in meta-analysis, Cochrane, meta-regression and I2 index. A total of 24 articles from an initial sample size of 5033 were accepted into this systematic review. The mean frequency of pyrethroid resistance was estimated to be 76.9%. In collected resistant lice, 64.4% were homozygote and 30.3% were heterozygote resistant. Globally, four countries (Australia, England, Israel, and Turkey) have 100% kdr gene frequencies, likely resulting in the ineffectiveness of pyrethrin- and pyrethroid-based pediculicides. The highest resistance recorded in these studies was against permethrin. This study shows that pyrethroid resistance is found at relatively high frequencies in many countries. As a result, treatment with current insecticides may not be effective and is likely the cause of increased levels of infestations. It is recommended that resistance status be evaluated prior to insecticide treatment, to increase efficacy.
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Affiliation(s)
- Jalal Mohammadi
- Department of Biology and Control of Disease Vectors, School of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
| | - Kourosh Azizi
- Department of Biology and Control of Disease Vectors, School of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
| | - Hamzeh Alipour
- Department of Biology and Control of Disease Vectors, School of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
| | - Mohsen Kalantari
- Department of Biology and Control of Disease Vectors, School of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
| | - Masoumeh Bagheri
- Department of Biology and Control of Disease Vectors, School of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
| | - Marzieh Shahriari-Namadi
- Department of Biology and Control of Disease Vectors, School of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
| | | | - Mohammad D. Moemenbellah-Fard
- Department of Biology and Control of Disease Vectors, School of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences 71645 Shiraz Iran
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Launay T, Bardoulat I, Lemaitre M, Blanchon T, Fardet L. Effects of the Covid-19 pandemic on head lice and scabies infestation dynamics: a population based study in France. Clin Exp Dermatol 2021; 47:867-872. [PMID: 34888912 DOI: 10.1111/ced.15054] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 12/01/2021] [Accepted: 12/07/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Lockdowns and physical distancing have dramatically limited the circulation of SARS-CoV-2 and other common communicable infections. However, little is known about their impact on head lice and scabies. OBJECTIVES To assess the impact of the 2020 French National lockdowns (March 17th -May 11th , and Oct 30th -Dec 15th ) and physical distancing recommendations (from February 2020) on the head lice and scabies infestation dynamics. METHODS The weekly sales of topical head lice treatments, topical scabies treatments, and oral ivermectin were extracted from the IQVIA database (60% of all French retail pharmacies) and analysed over a 5-year period (March 2016 - December 2020). A periodic regression model was fit to drug sales before the COVID-19 period (i.e. 2016-2019) and extrapolated afterwards in order to compare the sales observed in 2020 to the expected sales. RESULTS A decrease of the sales of tracer topical treatments for head lice and scabies was observed from March 2020, synchronously with the first French national lockdown. For the period March 2020-December 2020, the mean reduction in observed versus expected sales were 44% and 14% for head lice and scabies topical treatments, respectively. On the other hand, the observed decrease of oral ivermectin sales after March 2020 was much lower (4%), probably because of studies reporting the potential positive effects of this drug on the Covid-19 infection. CONCLUSION COVID-19 lockdown and physical distancing reduce circulation of head lice and scabies in France. Further studies are needed to assess long term impact of these social behaviour changes.
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Affiliation(s)
- T Launay
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Paris, France
| | | | | | - T Blanchon
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Paris, France
| | - L Fardet
- Service de dermatologie, AP-HP, hôpital Henri Mondor, Créteil, France.,Université Paris Est Créteil Val de Marne, UPEC, Créteil, France
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Simonart T, Lam Hoai XL, De Maertelaer V. Epidemiologic evolution of common cutaneous infestations and arthropod bites: A Google Trends analysis. JAAD Int 2021; 5:69-75. [PMID: 34505090 PMCID: PMC8416960 DOI: 10.1016/j.jdin.2021.08.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2021] [Indexed: 11/16/2022] Open
Abstract
Background Common cutaneous infestations and arthropod bites are not reportable conditions in most countries. Their worldwide epidemiologic evolution and distribution are mostly unknown. Objective To explore the evolution and geographic distribution of common cutaneous infestations and arthropod bites through an analysis of Google Trends. Methods Search trends from 2004 through March 2021 for common cutaneous infestations and arthropod bites were extracted from Google Trends, quantified, and analyzed. Results Time series decomposition showed that total search term volume for pubic lice decreased worldwide over the study period, while the interest for ticks, pediculosis, insect bites, scabies, lice, and bed bugs increased (in increasing order). The interest for bed bugs was more pronounced in the former Union of Soviet Socialist Republics countries, interest for lice in Near East and Middle East countries, and interest for pubic lice in South American countries. Internet searches for bed bugs, insect bites, and ticks exhibited the highest seasonal patterns. Limitations Retrospective analysis limits interpretation. Conclusion Surveillance systems based on Google Trends may enhance the timeliness of traditional surveillance systems and suggest that, while most cutaneous infestations increase worldwide, pubic lice may be globally declining.
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Affiliation(s)
- Thierry Simonart
- Department of Dermatology, Delta Hospital, Centre Hospitalier Interrégional Edith Cavell, Université Libre de Bruxelles, Brussels, Belgium
| | - Xuân-Lan Lam Hoai
- Department of Dermatology, St Pierre - Brugmann - Hôpital Universitaire Des Enfants Reine Fabiola University Hospitals, Université Libre de Bruxelles, Brussels, Belgium
| | - Viviane De Maertelaer
- Department of Biostatistics, Institut de Recherche Interdisciplinaire en Biologie Humaine et Moléculaire, Université Libre de Bruxelles, Brussels, Belgium
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Ruenchit P. State-of-the-Art Techniques for Diagnosis of Medical Parasites and Arthropods. Diagnostics (Basel) 2021; 11:diagnostics11091545. [PMID: 34573887 PMCID: PMC8470585 DOI: 10.3390/diagnostics11091545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 08/19/2021] [Accepted: 08/23/2021] [Indexed: 12/29/2022] Open
Abstract
Conventional methods such as microscopy have been used to diagnose parasitic diseases and medical conditions related to arthropods for many years. Some techniques are considered gold standard methods. However, their limited sensitivity, specificity, and accuracy, and the need for costly reagents and high-skilled technicians are critical problems. New tools are therefore continually being developed to reduce pitfalls. Recently, three state-of-the-art techniques have emerged: DNA barcoding, geometric morphometrics, and artificial intelligence. Here, data related to the three approaches are reviewed. DNA barcoding involves an analysis of a barcode sequence. It was used to diagnose medical parasites and arthropods with 95.0% accuracy. However, this technique still requires costly reagents and equipment. Geometric morphometric analysis is the statistical analysis of the patterns of shape change of an anatomical structure. Its accuracy is approximately 94.0-100.0%, and unlike DNA barcoding, costly reagents and equipment are not required. Artificial intelligence technology involves the analysis of pictures using well-trained algorithms. It showed 98.8-99.0% precision. All three approaches use computer programs instead of human interpretation. They also have the potential to be high-throughput technologies since many samples can be analyzed at once. However, the limitation of using these techniques in real settings is species coverage.
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Affiliation(s)
- Pichet Ruenchit
- Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
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19
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Ogbuefi N, Kenner-Bell B. Common pediatric infestations: update on diagnosis and treatment of scabies, head lice, and bed bugs. Curr Opin Pediatr 2021; 33:410-415. [PMID: 34074914 DOI: 10.1097/mop.0000000000001031] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE OF THE REVIEW This review will update pediatric providers on the recent data regarding the epidemiology, diagnosis, and treatment of common skin infestations affecting children and adolescents. RECENT FINDINGS Standard superficial skin biopsy for scabies and the vacuum method for head lice can increase diagnostic accuracy and efficiency. There is growing resistance to some of the traditional treatments for scabies and head lice, and progress has been made in finding newer and potentially more effective treatments, such as oral moxidectin for scabies and abametapir for head lice. Recent studies have established the safety of traditional treatments, such as permethrin and oral ivermectin in infants and small children. SUMMARY Permethrin and ivermectin are both considered safe and effective for children and adolescents with scabies. Permethrin is generally considered safe in infants less than two months of age. Proper application of permethrin is critical, and providers should emphasize proper application technique. Treatment of head lice should only be initiated with active infestations. Resistance to permethrin continues to increase and other options are now available, including an over-the-counter topical ivermectin formulation. Identification and eradication of bed bug infestations are crucial in preventing bedbug bites.
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Affiliation(s)
| | - Brandi Kenner-Bell
- Division of Dermatology, Ann and Robert H. Lurie Children's Hospital of Chicago
- Department of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
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Stevenson B, Tesfaye W, Christenson J, Mathew C, Abrha S, Peterson G, Samarawickrema I, Thomas J. Comparative efficacy and safety of interventions for treating head lice: a protocol for systematic review and network meta-analysis. BMJ Paediatr Open 2021; 5:e001129. [PMID: 34041368 PMCID: PMC8112437 DOI: 10.1136/bmjpo-2021-001129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 04/22/2021] [Accepted: 04/24/2021] [Indexed: 11/07/2022] Open
Abstract
Background Head lice infestation is a major public health problem around the globe. Its treatment is challenging due to product failures resulting from rapidly emerging resistance to existing treatments, incorrect treatment applications and misdiagnosis. Various head lice treatments with different mechanism of action have been developed and explored over the years, with limited report on systematic assessments of their efficacy and safety. This work aims to present a robust evidence summarising the interventions used in head lice. Method This is a systematic review and network meta-analysis which will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement for network meta-analyses. Selected databases, including PubMed, Embase, MEDLINE, Web of Science, CINAHL and Cochrane Central Register of Controlled Trials will be systematically searched for randomised controlled trials exploring head lice treatments. Searches will be limited to trials published in English from database inception till 2021. Grey literature will be identified through Open Grey, AHRQ, Grey Literature Report, Grey Matters, ClinicalTrials.gov, WHO International Clinical Trials Registry and International Standard Randomised Controlled Trials Number registry. Additional studies will be sought from reference lists of included studies. Study screening, selection, data extraction and assessment of methodological quality will be undertaken by two independent reviewers, with disagreements resolved via a third reviewer. The primary outcome measure is the relative risk of cure at 7 and 14 days postinitial treatment. Secondary outcome measures may include adverse drug events, ovicidal activity, treatment compliance and acceptability, and reinfestation. Information from direct and indirect evidence will be used to generate the effect sizes (relative risk) to compare the efficacy and safety of individual head lice treatments against a common comparator (placebo and/or permethrin). Risk of bias assessment will be undertaken by two independent reviewers using the Cochrane Risk of Bias tool and the certainty of evidence assessed using the Grading of Recommendations, Assessment, Development and Evaluations guideline for network meta-analysis. All quantitative analyses will be conducted using STATA V.16. Discussion The evidence generated from this systematic review and meta-analysis is intended for use in evidence-driven treatment of head lice infestations and will be instrumental in informing health professionals, public health practitioners and policy-makers. PROSPERO registration number CRD42017073375.
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Affiliation(s)
- Bill Stevenson
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Wubshet Tesfaye
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Julia Christenson
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Cynthia Mathew
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Solomon Abrha
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Gregory Peterson
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
- Pharmacy, University of Tasmania, Hobart, Tasmania, Australia
| | - Indira Samarawickrema
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Jackson Thomas
- Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
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Yingklang M, Banjong D, Haonon O, Intuyod K, Dangtakot R, Thongpon P, Pinlaor P, Laha T, Siriyasatien P, Pinlaor S. Phylogeography and demographic history of Thai Pediculus humanus capitis (Phthiraptera: Pediculidae) revealed by mitochondrial DNA sequences. INFECTION GENETICS AND EVOLUTION 2021; 91:104825. [PMID: 33775906 DOI: 10.1016/j.meegid.2021.104825] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 03/22/2021] [Accepted: 03/23/2021] [Indexed: 10/21/2022]
Abstract
Pediculus humanus (human louse) is a hematophagous insect that feeds on human blood. It is distributed worldwide. Understanding phylogeography and population-genetic structure of the human louse will illuminate the evolution of this insect and the dynamics of how resistance alleles might spread in the landscape. In this work, we used mitochondrial (cox1 and cytb genes) sequences of the human louse to investigate genetic diversity, population-genetic structure and demographic history of the louse in Thailand. Human lice in Thailand belonged to mitochondrial clades A and C. Most genetic variation was attributed to intra-region 65.71% within provinces for clade A and 68.92% for clade C, while inter-region level was 34.40% among provinces within regions for clade A and 20.09% for clade C. Neutrality and other indices suggested that louse populations from clades A and C in Thailand have experienced a population expansion. But head lice from Khon Kaen Province in clade C demonstrated a significant recent population bottleneck or natural selective pressure with constant population size. Head lice in Thailand showed varying degrees of low to high genetic differentiation at the level of province with many populations being genetically distinct from each other among regions and within the same region. Knowledge of the clades present in Thailand and that gene flow occurs between regions will assist in developing appropriate strategies for management of head lice at the local level in the country.
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Affiliation(s)
- Manachai Yingklang
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Ditsayathan Banjong
- Biomedical Science Program, Graduate School, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Ornuma Haonon
- Faculty of Medical Technology, Nakhonratchasima College, Nakhon Ratchasima 30000, Thailand
| | - Kitti Intuyod
- Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Rungtiwa Dangtakot
- Biomedical Science Program, Graduate School, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Phonpilas Thongpon
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Porntip Pinlaor
- Centre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Thewarach Laha
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Padet Siriyasatien
- Vector Biology and Vector Borne Disease Research Unit, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Somchai Pinlaor
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
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22
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Galassi F, Ortega-Insaurralde I, Adjemian V, Gonzalez-Audino P, Picollo MI, Toloza AC. Head lice were also affected by COVID-19: a decrease on Pediculosis infestation during lockdown in Buenos Aires. Parasitol Res 2021; 120:443-450. [PMID: 33409635 PMCID: PMC7787699 DOI: 10.1007/s00436-020-07038-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 12/22/2020] [Indexed: 12/18/2022]
Abstract
Pediculosis is a worldwide disease affecting school-aged children produced by the presence of the head louse, Pediculus humanus capitis De Geer, an obligate ectoparasite on the human scalp feeding exclusively on blood. Transmission occurs primarily through direct physical head-to-head contact. In March 2020, the World Health Organization (WHO) declared the COVID-19 outbreak as a pandemic. COVID-19 is caused by SARS-CoV-2, a variant of the coronavirus. Therefore, on March 18, 2020, the Argentinean government established mandatory isolation for an indefinite period. This obligatory isolation interrupted regular classes avoiding direct contact between children, thus affecting the dispersal route of individuals and the evolution of head louse populations. In this study, we evaluated through an online survey how confinement affected the prevalence of lice during lockdown compared to the situation prior to confinement. The survey allowed to discriminate the different control strategies, the number of treatments, and the amount of insects recorded by parents. Data of 1118 children obtained from 627 surveys were analyzed. As the main result, it was observed that prevalence of lice decreased significantly from before (69.6%) to during (43.9%) COVID-19 lockdown. Moreover, head lice infestation was more effectively controlled in households with up to 2 children in comparison to households with 3 or more children. This is the first study that analyzed the prevalence of head lice during COVID-19 pandemic. In addition, this work demonstrated the impact of social distance in the population dynamics of head lice and how it could affect the control strategies in the future.
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Affiliation(s)
- Federico Galassi
- Centro de Investigaciones de Plagas e Insecticidas, Unidad de Investigación y Desarrollo para la Defensa, (UNIDEF-CONICET), Juan Bautista de La Salle 4397, B1603ALO, Villa Martelli, Buenos Aires, Argentina.
| | - Isabel Ortega-Insaurralde
- Grupo de Neuroetología de Insectos Vectores, Laboratorio Fisiología de Insectos, Instituto Biodiversidad y Biología Experimental y Aplicada (IBBEA, UBA-CONICET), Departamento Biodiversidad y Biología Experimental (DBBE), Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad Universitaria, Intendente Güiraldes 2160, C1428EGA, Buenos Aires, Argentina
| | - Victor Adjemian
- Centro de Investigaciones de Plagas e Insecticidas, Unidad de Investigación y Desarrollo para la Defensa, (UNIDEF-CONICET), Juan Bautista de La Salle 4397, B1603ALO, Villa Martelli, Buenos Aires, Argentina
| | - Paola Gonzalez-Audino
- Centro de Investigaciones de Plagas e Insecticidas, Unidad de Investigación y Desarrollo para la Defensa, (UNIDEF-CONICET), Juan Bautista de La Salle 4397, B1603ALO, Villa Martelli, Buenos Aires, Argentina
| | - Maria Inés Picollo
- Centro de Investigaciones de Plagas e Insecticidas, Unidad de Investigación y Desarrollo para la Defensa, (UNIDEF-CONICET), Juan Bautista de La Salle 4397, B1603ALO, Villa Martelli, Buenos Aires, Argentina
| | - Ariel Ceferino Toloza
- Centro de Investigaciones de Plagas e Insecticidas, Unidad de Investigación y Desarrollo para la Defensa, (UNIDEF-CONICET), Juan Bautista de La Salle 4397, B1603ALO, Villa Martelli, Buenos Aires, Argentina
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