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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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2
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Mallick PK, Sindhania A, Gupta T, Singh DP, Saini S, Singh OP. First report of classical knockdown resistance (kdr) mutation, L1014F, in human head louse Pediculus humanus capitis (Phthiraptera: Anoplura). MEDICAL AND VETERINARY ENTOMOLOGY 2023; 37:209-212. [PMID: 35822871 DOI: 10.1111/mve.12596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 07/01/2022] [Indexed: 05/18/2023]
Abstract
There are at least three known knockdown resistance (kdr) mutations reported globally in the human head louse Pediculus humanus capitis De Geer (Phthiraptera: Anoplura) that are associated with reduced sensitivity to pyrethroids. However, the prevalence of kdr mutation in head lice is not known in the Indian subcontinent. To identify kdr mutations in the Indian head lice population, the genomic region of the voltage-gated sodium channel gene encompassing IIS1-2 linker to IIS6 segments was PCR-amplified and sequenced from P. humanus capitis samples collected from different geographic localities of India. DNA sequencing revealed the presence of four kdr mutations: M827I, T929I, L932F and L1014F. The presence of a classical kdr mutation L1014F, the most widely reported mutation across insect-taxa associated with the kdr-trait, is being reported for the first time in P. humanus capitis.
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Affiliation(s)
| | | | - Toshi Gupta
- Centre for Genomics, Jiwaji University, Gwalior, India
| | - Dhirendra P Singh
- School of Veterinary Medicine, Louisiana State University, Baton Rouge, Louisiana, USA
| | - Seema Saini
- State Forensic Science Laboratory, Jaipur, India
| | - Om P Singh
- National Institute of Malaria Research, New Delhi, India
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Embryonic Development of Pediculus humanus capitis: Morphological Update and Proposal of New External Markers for the Differentiation Between Early, Medium, and Late Eggs. Acta Parasitol 2023:10.1007/s11686-023-00667-0. [PMID: 36920591 DOI: 10.1007/s11686-023-00667-0] [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: 11/09/2022] [Accepted: 02/04/2023] [Indexed: 03/16/2023]
Abstract
BACKGROUND AND OBJECTIVES The head louse Pediculus humanus capitis is a cosmopolitan ectoparasite that causes pediculosis. In the study of human lice, little research focuses on embryonic development. Currently, external markers of embryonic development represent a new approach in the evaluation of ovicidal drugs. The objective of this work was to update the morphology of embryonic development and propose novel external markers to differentiate between early, medium, or late P. h. capitis eggs. METHODS Using stereoscopic light microscopy, we describe the morphological characteristics of P. h. capitis eggs with a special focus on embryonic development. RESULTS The morphological analysis of the eggs revealed the presence of an operculum with ten aeropyles, although no micropyles were observed. For the first time, the presence of defective eggs that were non-viable due to the apparent absence of yolk granules was documented. The early eggs presented yolk granules and developing germ bands, while the medium eggs presented an embryonic rudiment and the outlines of the eyes and limbs. In late eggs, the head with eyes and antennae, the thorax with three pairs of legs, and the abdomen with six pairs of spiracles were observed as formed structures. At the end of this stage, the embryos acquired the morphology of the nymph I stage. CONCLUSION We propose novel biomarkers (e.g., the presence of spiracles and antennae, the proportion of the egg occupied by the embryo) to facilitate the differentiation between the developmental stages. The updated morphological characteristics of P. h. capitis eggs facilitate the standardization of toxicological tests in the quest for ovicidal drugs.
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Perez M, Vinod B, Gandham S. More Than an Itch: An Unusual Cause of Severe Anemia in a 5-Year-Old. Clin Pediatr (Phila) 2022; 61:879-882. [PMID: 35746871 DOI: 10.1177/00099228221106630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Michelle Perez
- Pediatric Resident Valley Children's Healthcare Pediatric Residency, Madera, CA, USA
| | - Balasa Vinod
- Hematology Valley Children's Healthcare, Madera, CA, USA
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Bultas MW, Smith S. Staying Ahead of Head Lice: Pediculosis Treatment Updates. NASN Sch Nurse 2022; 37:339-344. [PMID: 35549543 DOI: 10.1177/1942602x221099282] [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] [Indexed: 06/15/2023]
Abstract
Pediculosis (head lice) infections are one of the more sensitive issues that may involve the school nurse. In the 3- to 11-year-old age group in the United States, head lice infections are common and can elicit anxiety in students, parents, and school personnel. Head lice do not transmit any communicable diseases and therefore exclusion from school and "no nit" policies are not warranted. Treatment and management for head lice include a range of over-the-counter products and prescription topical and oral medications. Nonpharmacologic and alternative treatments do exist; however, many do not have established efficacy studies, and some can be costly. The school nurse plays an integral role in providing education related to treatment and environmental recommendations for families affected by head lice. Through this education, the nurse can also reduce the stigma and anxiety many feel around the subject of head lice infections.
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Affiliation(s)
- Margaret W Bultas
- Trudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, MO
| | - Sidney Smith
- MedStar Georgetown University Hospital, Washington, DC
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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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Fraccaroli L, Ruiz MD, Perdomo VG, Clausi AN, Balcazar DE, Larocca L, Carrillo C. Broadening the spectrum of ivermectin: Its effect on Trypanosoma cruzi and related trypanosomatids. Front Cell Infect Microbiol 2022; 12:885268. [PMID: 35967842 PMCID: PMC9366347 DOI: 10.3389/fcimb.2022.885268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 07/05/2022] [Indexed: 11/22/2022] Open
Abstract
Chagas disease is an endemic American parasitosis, caused by Trypanosoma cruzi. The current therapies, benznidazole (BZN) and nifurtimox (NFX), show limited efficacy and multiple side effects. Thus, there is a need to develop new trypanocidal strategies. Ivermectin (IVM) is a broad-spectrum antiparasitic drug with low human and veterinary toxicity with effects against T. brucei and Leishmania spp. Considering this and its relatively low cost, we evaluate IVM as a potential repurposed trypanocidal drug on T. cruzi and other trypanosomatids. We found that IVM affected, in a dose-dependent manner, the proliferation of T. cruzi epimastigotes as well as the amastigotes and trypomastigotes survival. The Selectivity Index for the amastigote stage with respect to Vero cells was 12. The IVM effect was also observed in Phytomonas jma 066 and Leishmania mexicana proliferation but not in Crithidia fasciculata. On the epimastigote stage, the IVM effect was trypanostatic at 50 μM but trypanocidal at 100 μM. The assays of the drug combinations of IVM with BNZ or NFX showed mainly additive effects among combinations. In silico studies showed that classical structures belonging to glutamate-gated Cl channels, the most common IVM target, are absent in kinetoplastids. However, we found in the studied trypanosomatid genomes one copy for putative IMPα and IMPβ, potential targets for IVM. The putative IMPα genes (with 76% similarity) showed conserved Armadillo domains but lacked the canonical IMPβ binding sequence. These results allowed us to propose a novel molecular target in T. cruzi and suggest IVM as a good candidate for drug repurposing in the Chagas disease context.
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Affiliation(s)
- Laura Fraccaroli
- Laboratorio de Biología Molecular y Bioquímica en Trypanosoma cruzi y otros agentes infecciosos, CONICET for Instituto de Ciencia y Tecnología (ICT) Milstein - Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Buenos Aires, Argentina
- *Correspondence: Laura Fraccaroli, ; Carolina Carrillo,
| | - María Daniela Ruiz
- Laboratorio de Biología Molecular y Bioquímica en Trypanosoma cruzi y otros agentes infecciosos, CONICET for Instituto de Ciencia y Tecnología (ICT) Milstein - Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Buenos Aires, Argentina
| | - Virginia Gabriela Perdomo
- Área Parasitología, Microbiología, Facultad de Ciencias Bioquímicas y Farmacéuticas, Universidad Nacional de Rosario (UNR), Rosario, Argentina
| | - Agustina Nicole Clausi
- Laboratorio de Biología Molecular y Bioquímica en Trypanosoma cruzi y otros agentes infecciosos, CONICET for Instituto de Ciencia y Tecnología (ICT) Milstein - Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Buenos Aires, Argentina
| | - Darío Emmanuel Balcazar
- Área Parasitología, Microbiología, Facultad de Ciencias Bioquímicas y Farmacéuticas, Universidad Nacional de Rosario (UNR), Rosario, Argentina
| | - Luciana Larocca
- Laboratorio de Biología Molecular y Bioquímica en Trypanosoma cruzi y otros agentes infecciosos, CONICET for Instituto de Ciencia y Tecnología (ICT) Milstein - Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Buenos Aires, Argentina
| | - Carolina Carrillo
- Laboratorio de Biología Molecular y Bioquímica en Trypanosoma cruzi y otros agentes infecciosos, CONICET for Instituto de Ciencia y Tecnología (ICT) Milstein - Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Buenos Aires, Argentina
- *Correspondence: Laura Fraccaroli, ; Carolina Carrillo,
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8
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Goyal L, Pandit R, Pandit T, Ajmera K, Lusins JO, Islam S. Ivermectin-Induced Acute Psychosis in Patients Infected With COVID-19 Pneumonia. Cureus 2022; 14:e26141. [PMID: 35747110 PMCID: PMC9210147 DOI: 10.7759/cureus.26141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/21/2022] [Indexed: 01/19/2023] Open
Abstract
Coronavirus disease 2019 (COVID-19) pneumonia is an infection of the lungs that causes severe inflammation in the lungs' alveoli. It causes alveoli to fill with fluid, blood clots, and sometimes even pus. Patients who are infected with COVID-19 pneumonia experience severe cough, shortness of breath, fever, fatigue, chest pain, night sweats, chills, loss of appetite, etc. During the initial phase of the COVID-19 pneumonia pandemic, it was thought that ivermectin might be helpful in patients infected with COVID-19 pneumonia, but this was later proven to be false due to its severe risks/side effects. Infectious Disease Society of America (IDSA) suggests against the use of ivermectin for COVID-19 pneumonia. However, some providers continue to use ivermectin as one of the treatments for patients infected with COVID-19 infection. In this case report, we will discuss ivermectin causing acute psychosis in healthy 45- and 51-year-old patients with no known history of any mental health illness.
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Moghimi M, Nekoukar Z, Sharifpour A, Zakariaei Z, Fakhar M, Soleymani M. Heavy head lice infestation in an adolescent girl following benzodiazepine poisoning. Clin Case Rep 2022; 10:e05324. [PMID: 35140946 PMCID: PMC8810944 DOI: 10.1002/ccr3.5324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 12/18/2021] [Accepted: 01/07/2022] [Indexed: 11/08/2022] Open
Abstract
Loss of consciousness (LOC) is one of the most common causes of emergency department (ED) visits. It may be due to intoxication or hypoglycemia. We present a 15‐year‐old girl who was referred with heavy head lice and LOC to the ED in the north of Iran. Heavy head lice were detected on a 15‐year‐old girl who was admitted to the emergency ward with loss of consciousness and hypoglycemia following benzodiazepine poisoning.
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Affiliation(s)
- Minoo Moghimi
- Faculty of Pharmacy Department of Clinical Pharmacy Mazandaran University of Medical Sciences Sari Iran
| | - Zahra Nekoukar
- Faculty of Pharmacy Department of Clinical Pharmacy Mazandaran University of Medical Sciences Sari Iran
| | - Ali Sharifpour
- Pulmonary and Critical Care Division Imam Khomeini Hospital Mazandaran University of Medical Sciences Sari Iran
- Toxoplasmosis Research Center Communicable Diseases Institute Iranian National Registry Center for Lophomoniasis and Toxoplasmosis Mazandaran University of Medical Sciences Sari Iran
| | - Zakaria Zakariaei
- Toxoplasmosis Research Center Communicable Diseases Institute Iranian National Registry Center for Lophomoniasis and Toxoplasmosis Mazandaran University of Medical Sciences Sari Iran
- Toxicology and Forensic Medicine Division Toxoplasmosis Research Center Imam Khomeini Hospital Mazandaran University of Medical Sciences Sari Iran
| | - Mahdi Fakhar
- Toxoplasmosis Research Center Communicable Diseases Institute Iranian National Registry Center for Lophomoniasis and Toxoplasmosis Mazandaran University of Medical Sciences Sari Iran
| | - Mostafa Soleymani
- Toxoplasmosis Research Center Communicable Diseases Institute Iranian National Registry Center for Lophomoniasis and Toxoplasmosis Mazandaran University of Medical Sciences Sari Iran
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10
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Clark JM. New chemistries for the control of human head lice, Pediculus humanus capitis: A mini-review. PESTICIDE BIOCHEMISTRY AND PHYSIOLOGY 2022; 181:105013. [PMID: 35082036 PMCID: PMC8795694 DOI: 10.1016/j.pestbp.2021.105013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 12/13/2021] [Accepted: 12/13/2021] [Indexed: 06/14/2023]
Abstract
Pediculus lice represent one of the longest and most prevalent parasitic infestations of humans. Head lice are an economic and social concern whereas body lice pose a more serious public health threat. Significant progress has been made in the study of human lice over the last 10 years, allowing for new approaches in their control. An in vitro rearing system has made it possible to maintain insecticide-susceptible and -resistant reference strains, which allowed an in depth study of pediculicide resistance, including its underlying molecular mechanisms and the detection and monitoring of resistance. The generation of inbreed strains facilitated the efficient sequencing, assembly and annotation of the genomes and transcriptomes of both lice. The use of functional genomics and reverse genetics elucidated the genetics involved in the evolution of resistance and the discovery of novel target sites for the development of new pediculicides. In this review, four new effective pediculicide products, each with different mode of action and unique chemistries, will be presented. They have been found to be safe and selective, and control resistant lice. As such, they meet the criteria necessary to be used in rotations as a sustainable resistance management strategy.
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Affiliation(s)
- John M Clark
- Department of Veterinary and Animal Sciences, University of Massachusetts, Amherst, MA 01002, USA.
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11
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Karthikeyan K, Aishwarya M, Elayaperumal S. Effectiveness of topical 0.5% ivermectin shampoo in the treatment of pediculosis capitis among school-going female children. Int J Trichology 2022; 14:55-59. [PMID: 35531485 PMCID: PMC9069911 DOI: 10.4103/ijt.ijt_157_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Accepted: 10/14/2021] [Indexed: 11/08/2022] Open
Abstract
Background: Pediculosis is a common ectoparasitic infestation in children. There are different treatment modalities that have been used in the treatment of pediculosis capitis from time immemorial, each with their own shortcomings. Increasing emergence of resistance to permethrin has led to the lookout for newer alternatives. Aims and Objectives: The role of topical ivermectin in the management of pediculosis in people with culturally different hair grooming practices is analyzed in this study. Materials and Methods: This observational open-label clinical study was conducted in September–November 2019 in the schools that were under the rural health center at South India among school-going female children aged between 13 and 16 years of age and diagnosed with pediculosis. Results: This study demonstrated that a single application of ivermectin shampoo was able to kill head lice in 86.2% of the participants. In participants with persistent infection (13.8%), a repeat application killed the entire louse and 100% efficacy was demonstrated. Topical ivermectin is devoid of systemic side effects of oral ivermectin. Topical ivermectin has found to be more effective than contemporary recommended agents such as malathion and permethrin.
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Ghahvechi Khaligh F, Djadid ND, Farmani M, Asadi Saatlou Z, Frooziyan S, Abedi Astaneh F, Farnoosh F, Sofizadeh A, Naseri F, Adib D, Taheri M, Lalehzari E, Pashaei S, Soltanbeiglou S, Soltani A, Khooban H, Abbasi E, Aivazi AA, Saeedi S, Taghilou B, Jafari A, Dashti Khavidak K, Toloza AC, Gholizadeh S. Molecular Monitoring of Knockdown Resistance in Head Louse (Phthiraptera: Pediculidae) Populations in Iran. JOURNAL OF MEDICAL ENTOMOLOGY 2021; 58:2321-2329. [PMID: 34106252 DOI: 10.1093/jme/tjab101] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Indexed: 06/12/2023]
Abstract
Knockdown resistance (kdr) is a common mechanism of insecticide resistance in head lice to the conventionally used pyrethroid pediculosis and can be the result of various amino acid substitutions within the voltage-sensitive sodium channel (VSSC). In this study, 54 sequences from varied specimens were investigated to monitor well-known resistance mutations and probable new mutations. The Pediculus humanus capitis de Geer specimens were collected from 13 provinces in Iran. The specimens were stored in 70% ethanol until DNA extraction and PCR amplification of ~900-bp fragment of VSSC. The sequences were analyzed using different bioinformatics software for the detection of well-known kdr substitutions and additional mutations potentially associated with kdr resistance in head lice. There were six new and an old (haplotype I) kdr haplotypes within the Iranian head louse population. K794E, F815I, and N818D amino acid substitutions were reported for the first time. The P813H mutation was the most prevalent amino acid substitution in eight provinces. Among 53 sequences, 26 (49%) were homozygous susceptible, and 27 (51%) were heterozygotes. Thus, 51% of the head lice collected in Iran harbored only the P813H allele. The exact test for the Hardy-Weinberg (H-W) equilibrium showed that genotype frequencies differed significantly from the expectation in East-Azerbaijan and Tehran provinces. Moreover, these populations had an inbreeding coefficient (Fis) <0, indicating the excess of heterozygotes. This observation suggests that the populations of head lice from Iran are currently under active selective pressure. For the rest of the populations, H-W equilibrium and the expectations were significantly in harmony. The results of the current study highlight molecular techniques in the accurate detection of resistance genotypes before their establishment within the head louse population. Accurate detection of resistant genotypes seems to be helpful in decision-making on lice control programs and resistance monitoring and management.
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Affiliation(s)
- Fereshteh Ghahvechi Khaligh
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Navid Dinparast Djadid
- Malaria and Vector Research Group, National Insectarium, Biotechnology Research Center, Pasteur Institute of Iran, Tehran, Iran
| | - Mostafa Farmani
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Zahra Asadi Saatlou
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Samira Frooziyan
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Fatemeh Abedi Astaneh
- Department of Communicable Disease, Deputy of Health, Qom University of Medical Sciences, Qom, Iran
| | - Fariba Farnoosh
- Deputy of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Aioub Sofizadeh
- Infectious Disease Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | - Firoozeh Naseri
- Medical Parasitology Department, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
| | - Delnia Adib
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Mohammad Taheri
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Emran Lalehzari
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Shabnam Pashaei
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Shadiyeh Soltanbeiglou
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Aboozar Soltani
- Research Center for Health Sciences, Institute of Health, Department of Medical Entomology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hassan Khooban
- Department of Communicable Disease, Deputy of Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Ebrahim Abbasi
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Ali-Ashraf Aivazi
- Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran
| | - Samrand Saeedi
- Department of Communicable Disease, Deputy of Health, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Behrooz Taghilou
- Medical Entomology Department, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Abbas Jafari
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Department of Clinical Toxicology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
| | - Kamal Dashti Khavidak
- Medical Entomology Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ariel C Toloza
- Centro de Investigaciones de Plagas e Insecticidas (CIPEIN-UNIDEF-WHO). Juan Bautista de La Salle 4397. Villa Martelli. Buenos Aires, Argentina
| | - Saber Gholizadeh
- Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
- Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
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Huppertz HI, Iseke A, Heininger U, Grundhewer H, Knuf M, Korenke C, Müller A, von Both U. Evidenzbasierte Kontrolle der Pediculosis capitis und deren Sekundärprävention. Monatsschr Kinderheilkd 2021. [DOI: 10.1007/s00112-020-00987-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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14
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Paradise SL, Hu YWE. Infectious Dermatoses in Sport: A Review of Diagnosis, Management, and Return-to-Play Recommendations. Curr Sports Med Rep 2021; 20:92-103. [PMID: 33560033 DOI: 10.1249/jsr.0000000000000808] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
ABSTRACT Infectious dermatoses represent a significant source of morbidity and missed athletic participation among athletes. Close quarters and skin trauma from contact sports can lead to outbreaks among teams and athletic staff. The National Collegiate Athletic Association and National Federation of State High School Associations have published guidance with recommended management and return-to-play criteria for common fungal, bacterial, viral, and parasitic rashes. In addition to rapidly diagnosing and treating infectious dermatoses, team physicians should counsel athletes and athletic staff on proper equipment care and personal hygiene to reduce infection transmission. Clinicians should always consult sport and athlete governing bodies for sport-specific recommendations.
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Affiliation(s)
- Scott L Paradise
- Navy Medicine Readiness and Training Command, Naval Hospital Guam, Agana Heights, GU
| | - Yao-Wen Eliot Hu
- Primary Care Sports Medicine Fellowship, Naval Hospital Camp Pendleton, Oceanside, CA
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Sato E, Umezawa M, Miyajima A, Koishi N, Kanaya A, Yamanaka A, Fujimoto M, Ishii Y, Saito A, Inoue S, Mano Y, Suzuki T, Ozeki R, Ishii N, Komoda M. Efficacy and safety of a modified combination regimen of phenothrin and ivermectin lotion in patients with head lice in Tsukuba, Japan. JOURNAL OF CUTANEOUS IMMUNOLOGY AND ALLERGY 2021. [DOI: 10.1002/cia2.12149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Affiliation(s)
- Eiji Sato
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
| | - Masakazu Umezawa
- Department of Materials Science and Technology Faculty of Industrial Science and Technology Tokyo University of Science Katsushika‐ku Japan
| | - Atsushi Miyajima
- Department of Biopharmaceutics Meiji Pharmaceutical University Kiyose Japan
| | - Noriko Koishi
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
| | - Arisa Kanaya
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
| | - Ayumi Yamanaka
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
| | - Manabu Fujimoto
- Department of Dermatology Faculty of Medicine University of Tsukuba Tsukuba‐shi Japan
| | - Yoshiyuki Ishii
- Department of Dermatology Faculty of Medicine University of Tsukuba Tsukuba‐shi Japan
| | - Aki Saito
- Department of Dermatology Faculty of Medicine University of Tsukuba Tsukuba‐shi Japan
| | - Sae Inoue
- Department of Dermatology Faculty of Medicine University of Tsukuba Tsukuba‐shi Japan
| | - Yasunari Mano
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
| | - Tatsunori Suzuki
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
| | - Rie Ozeki
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
| | | | - Masayo Komoda
- Faculty of Pharmaceutical Sciences Tokyo University of Science Noda‐shi Japan
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Brownell N, Sunantaraporn S, Phadungsaksawasdi K, Seatamanoch N, Kongdachalert S, Phumee A, Siriyasatien P. Presence of the knockdown resistance (kdr) mutations in the head lice (Pediculus humanus capitis) collected from primary school children of Thailand. PLoS Negl Trop Dis 2020; 14:e0008955. [PMID: 33326440 PMCID: PMC7743942 DOI: 10.1371/journal.pntd.0008955] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 11/05/2020] [Indexed: 01/16/2023] Open
Abstract
Human head lice are blood-sucking insects causing an infestation in humans called pediculosis capitis. The infestation is more prevalent in the school-aged population. Scalp itching, a common presenting symptom, results in scratching and sleep disturbance. The condition can lead to social stigmatization which can lead to loss of self-esteem. Currently, the mainstay of treatment for pediculosis is chemical insecticides such as permethrin. The extended use of permethrin worldwide leads to growing pediculicide resistance. The aim of this study is to demonstrate the presence of the knockdown resistance (kdr) mutation in head lice populations from six different localities of Thailand. A total of 260 head lice samples in this study were collected from 15 provinces in the 6 regions of Thailand. Polymerase chain reaction (PCR) was used to amplify the α subunit of voltage-sensitive sodium channel (VSSC) gene, kdr mutation (C→T substitution). Restriction fragment length polymorphism (RFLP) patterns and sequencing were used to identify the kdr T917I mutation and demonstrated three genotypic forms including homozygous susceptible (SS), heterozygous genotype (RS), and homozygous resistant (RR). Of 260 samples from this study, 156 (60.00%) were SS, 58 (22.31%) were RS, and 46 (17.69%) were RR. The overall frequency of the kdr T917I mutation was 0.31. Genotypes frequencies determination using the exact test of Hardy-Weinberg equilibrium found that northern, central, northeastern, southern, and western region of Thailand differed from expectation. The five aforementioned localities had positive inbreeding coefficient value (Fis > 0) which indicated an excess of homozygotes. The nucleotide and amino acid sequences of RS and RR showed T917I and L920F point mutations. In conclusion, this is the first study detecting permethrin resistance among human head lice from Thailand. PCR-RFLP is an easy technique to demonstrate the kdr mutation in head louse. The data obtained from this study would increase awareness of increasing of the kdr mutation in head louse in Thailand. Head louse infestation is still a common health problem worldwide. Permethrin is the first line treatment of choice for pediculosis. However, the increase of recurrent cases and treatment failure of pediculosis raises public health concerns about the growing resistance of permethrin among head lice populations. Early determination of the permethrin resistance status is crucial in order to choose the pediculicide of choice appropriately. Our study demonstrated that the PCR-RFLP is a beneficial technique for knockdown resistance detection of T917I point mutation in head lice because it was inexpensive, accurate, and reproducible. Ultimately, our study emphasized that prompt investigation for permethrin resistance should be taken into account in the context of recurrent or treatment failure cases of pediculosis and the alternative chemical pediculicides based on different mechanism of action should be considered under those particular circumstances.
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Affiliation(s)
- Narisa Brownell
- Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
- Vector Biology and Vector borne Disease Research Unit, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Sakone Sunantaraporn
- Vector Biology and Vector borne Disease Research Unit, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Kobpat Phadungsaksawasdi
- Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
- Vector Biology and Vector borne Disease Research Unit, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Nirin Seatamanoch
- Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
- Vector Biology and Vector borne Disease Research Unit, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Switt Kongdachalert
- Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
- Vector Biology and Vector borne Disease Research Unit, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Atchara Phumee
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand
| | - Padet Siriyasatien
- Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
- Vector Biology and Vector borne Disease Research Unit, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
- * E-mail:
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Abstract
Removing head louse eggshells and nits after a successful pediculicide treatment is often made more difficult because it is not easy to see them all amongst the hairs. Therefore, a treatment that makes louse eggs more visible potentially makes the task of removal easier and reduces the risk that children would be sent home from school or over-treated. This project involved the development of a hair treatment gel concept that was easy to apply, wash out, and that stained louse eggs and nits but without staining the hair and skin. A series of food-grade dyes were evaluated for their ability to stain the eggshells, and various copolymer-based rheology modifiers were tested for dye compatibility and stability. Several dyes were rejected because either they failed to stain louse eggshells or else stained skin too easily. Two dyes, Patent Blue and Ponceau 4R, were eventually selected for different product developments, one specifically for post-treatment nit removal and the other for pre-treatment diagnosis. In clinical field studies, both were found to make the treated eggshells contrast sufficiently with the hair to enable identification of persistent nits. Use of a nit stain product can enable easier detection of louse eggs and nits, thus facilitating the removal process and reducing the risk that persistent eggshells could be mistaken for signs of a continuing infestation.
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Ectoparasites. J Am Acad Dermatol 2020; 82:551-569. [DOI: 10.1016/j.jaad.2019.05.110] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 05/16/2019] [Accepted: 05/31/2019] [Indexed: 12/18/2022]
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Abstract
Infestations and arthropod bite reactions in children are common reasons for presentation to pediatric health care providers. Infestations in children include head lice, scabies, and other mites. Fleas and bed bugs are common causes of bite reactions in children, and papular urticaria is a chronic, recurrent eruption resulting from delayed hypersensitivity to a variety of insect bites. Both infestations and bite reactions may result in severe pruritus with associated sleep disturbance and can be a source of significant distress for patients and families. In this review, we discuss infestations and bite reactions affecting pediatric patients, along with the approach to treatment and prevention of these conditions. [Pediatr Ann. 2020;49(3):e124-e131.].
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Hurst SK, Dotson JAW, Butterfield P, Corbett CF, Oneal G. Stigma resulting from head lice infestation: A concept analysis and implications for public health. Nurs Forum 2020; 55:252-258. [PMID: 31919854 DOI: 10.1111/nuf.12423] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM The aim of this concept analysis was to examine stigma in the context of head lice, illuminating its components and providing insights for the development of appropriate nursing interventions. BACKGROUND Stigma associated with the phenomenon of head lice management is pervasive, promulgating fear and influencing policy and treatment practices. Few studies have examined stigma in this context. METHOD The method followed was the Rodgers's evolutionary method. DATA SOURCES Health, education, and social sciences databases were searched and yielded 20 articles spanning 1996-2018 used to create a relevant literature review. RESULTS Stigma arising from head lice infestation is preceded by an actual or perceived case of head lice, negative perceptions of lice, negative perception of groups or persons with head lice, or being associated with a group or person of lesser status believed to be a carrier of head lice. Defining attributes include marks of infestation, negative and unfair beliefs, and shame. Consequences of stigma are economic costs, social costs, mistreatment, and overtreatment with pediculicides. CONCLUSION The concept of stigma in the context of head lice management is multifaceted. Further research is required to understand the magnitude of stigma as well as other factors associated with optimal treatment of children with head lice.
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Affiliation(s)
- Sheila K Hurst
- College of Nursing, Washington State University, Spokane, Washington
| | | | | | - Cynthia F Corbett
- College of Nursing, University of South Carolina, Columbia, South Carolina
| | - Gail Oneal
- College of Nursing, Washington State University, Spokane, Washington
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Abstract
Lice infestation is a common health issue affecting 6 to 12 million school-age children in the United States each year, impacting all members of the household. The home care nurse can be a valuable resource in the management of lice in the home and can assist the family in understanding the various myths and misconceptions about lice. This article provides an overview of lice management, including identification and treatment of a lice infestation as well as recommendations for environmental control strategies in the home. It includes an overview of the various over-the-counter and prescription treatment options and highlights the social stigma that is often associated with a lice infestation.
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22
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Abstract
Despite the common association of human lice with abandoned or neglected people, no procedure to assess pediculosis, aimed to detect signs of neglect, exists. Investigating the two most common forms of head louse infestation, regular and severe, we define lice-markers of neglect and develop a protocol and survey form to record and assess pediculosis. The study of head lice from a deceased victim of neglect helped unravel time-length since death, frequency of exposure to neglect and the cause and circumstances related to the death. Nit-clusters are markers of neglect, indicating length and frequency of neglect episodes. In the case study used here that culminated in the death of the victim, sustained abandonment started circa 2 years before discovery. The lice suggested that death was caused by overconsumption of a powerful calcium channel blocker, an antihypertensive, an excess of which in lice food supply (blood) stops oogenesis. Despite hosting thousands of adult females on the hair, lice reproduction stopped and nits were no longer developed or deposited on the hairs at the root end. This short distance of the shaft with no nits provided a time estimation of overdosing of almost 2 months before death.
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23
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Dietrich A, Joshi K, Sayed C. Infestations in the Geriatric Patient. CURRENT GERIATRICS REPORTS 2018. [DOI: 10.1007/s13670-018-0255-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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24
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Bowles VM, VanLuvanee LJ, Alsop H, Hazan L, Shepherd K, Sidgiddi S, Allenby K, Ahveninen T, Hanegraaf S. Clinical studies evaluating abametapir lotion, 0.74%, for the treatment of head louse infestation. Pediatr Dermatol 2018; 35:616-621. [PMID: 29999197 PMCID: PMC6175393 DOI: 10.1111/pde.13612] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND There is a need for better control of head louse infestations. Abametapir is an inhibitor of metalloproteinases critical for louse survival and egg development. The efficacy of abametapir lotion, 0.74%, was assessed for its ability to clear head louse infestations after a single application. METHODS Two randomized, double-blind, multicenter, vehicle-controlled studies were conducted in subjects aged 6 months and older to compare the effectiveness of abametapir lotion versus vehicle control for eliminating head louse infestations without nit combing. Abametapir lotion was applied to dry hair for 10 minutes on day 0 and then rinsed with water. The primary endpoint was the proportion of index subjects (youngest household member with ≥ 3 live lice at screening) in the intent-to-treat population who were louse free at all follow-up visits through day 14. Older household members with one or more live lice at screening were designated as nonindex subjects and treated as per the index subject within their household. RESULTS In the intent-to-treat population (index subjects, N = 216), 81.5% of subjects treated with abametapir lotion were louse free through day 14 after a single treatment, versus 49.1% with vehicle (P < 0.001). For the combined index and nonindex population (N = 704), 85.9% were louse free through day 14 in the abametapir group, versus 61.3% in the vehicle group (P < 0.001). The most frequently reported adverse events were erythema (4.0%), rash (3.2%), and skin burning sensation (2.6%). CONCLUSION Abametapir lotion, 0.74%, was effective at clearing active head louse infestations through day 14 in subjects aged 6 months and older. All adverse events (including one serious but unrelated to study drug) resolved uneventfully.
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Affiliation(s)
- Vernon M Bowles
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Melbourne, Vic., Australia.,Hatchtech Pty Ltd, Melbourne, Vic., Australia
| | | | - Hugh Alsop
- Hatchtech Pty Ltd, Melbourne, Vic., Australia
| | - Lydie Hazan
- Axis Clinical Trials, Los Angeles, California
| | - Katie Shepherd
- LSRN Research/The Shepherd Institute for Lice Solutions, West Palm Beach, Florida
| | - Srinivas Sidgiddi
- Promius Pharma, a subsidiary of Dr. Reddy's Laboratories, Princeton, New Jersey
| | - Kent Allenby
- Promius Pharma, a subsidiary of Dr. Reddy's Laboratories, Princeton, New Jersey
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Verzì AE, Lacarrubba F, Dinotta F, Micali G. Dermatoscopy of Parasitic and Infectious Disorders. Dermatol Clin 2018; 36:349-358. [PMID: 30201144 DOI: 10.1016/j.det.2018.05.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The use of dermatoscopy in the diagnosis and management of parasitic and infectious skin disorders has been defined as entodermoscopy, and several studies have confirmed its advantages in dermatology. Dermatoscopic patterns of several parasitic, viral, and fungal skin infections have been identified and herein described. A noninvasive, fast, and accurate diagnosis plays an important role in containing the spread of contagious skin disorders.
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Affiliation(s)
- Anna Elisa Verzì
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
| | - Francesco Lacarrubba
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
| | - Franco Dinotta
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
| | - Giuseppe Micali
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy.
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Vázquez-Herrera NE, Sharma D, Aleid NM, Tosti A. Scalp Itch: A Systematic Review. Skin Appendage Disord 2018; 4:187-199. [PMID: 30197900 PMCID: PMC6120392 DOI: 10.1159/000484354] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 10/18/2017] [Indexed: 12/19/2022] Open
Abstract
Scalp itch is a frequent complaint in the dermatological setting. It is common for the dermatologist to encounter patients with no evident cause of scalp pruritus, making it a distressing situation for both the clinician and the patient. The aim of this paper is to propose a systematic approach to scalp itch, which classifies scalp pruritus into two types: (1) with or (2) without dermatological lesions, and presence or absence of hair loss. Also, it is important to think first about the most common causes and then rule out other, less common etiologies. The acronym SCALLP and the five steps for scalp evaluation (listen, look, touch, magnify, and sample) are useful tools to keep in mind for an assertive approach in these patients.
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Affiliation(s)
| | - Divya Sharma
- Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Nouf Mohammed Aleid
- Department of Dermatology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Antonella Tosti
- Fredric Brandt Endowed Professor of Dermatology, University of Miami, Miami, FL, USA
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Soonwera M, Wongnet O, Sittichok S. Ovicidal effect of essential oils from Zingiberaceae plants and Eucalytus globulus on eggs of head lice, Pediculus humanus capitis De Geer. PHYTOMEDICINE : INTERNATIONAL JOURNAL OF PHYTOTHERAPY AND PHYTOPHARMACOLOGY 2018; 47:93-104. [PMID: 30166112 DOI: 10.1016/j.phymed.2018.04.050] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Revised: 02/16/2018] [Accepted: 04/22/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Head lice infestation is an important public health problem worldwide. Chemical pediculicides have lost their efficacy because lice have developed resistance to them. Therefore, alternative pediculicides such as essential oils and herbal products have been proposed for treating head lice infestation. STUDY DESIGN To determine the efficacy of essential oils from three Zingiberaceae plants (Curcuma xanthorrhiza, Curcuma zedoaria and Zingiber zerumbet) against head lice eggs and to investigate an augmenting substance (Eucalyptus globulus EO) for improving the efficacy of these essential oils in killing head lice eggs, especially on the inhibition of their hatching process. Permethrin pediculicide, soyabean oil, and drinking water were used as positive, negative, and neutral controls, respectively. METHODS An immersion test was used to evaluate the ovicidal activity of 12 essential oil formulations. Head lice eggs were immersed for 1, 5 and 10 min in the treatments. Mortality rate was observed on day 7 and day 14; mortality was checked under a stereomicroscope. RESULTS All head lice eggs that were immersed in a combination of 10% C. zedoaria EO and 10% E. globulus EO for 5 min did not hatch at all for 7-14 days of incubation. All head lice eggs that were immersed in soyabean oil and drinking water for 1, 5, and 10 min showed 100% hatching rate in 7-14 days of incubation. All head lice eggs that were immersed in permethrin pediculicide for 1, 5 min, showed 100% hatching rate, but when they were immersed for 10 min, permethrin provided 4.0-6.0% inhibition rate with 94.0-96.0% hatching rate for 7-14 days of incubation. All combinations of Zingiberaceae EOs and E. globulus EO at low and high concentrations (5 and 10%) exhibited high ovicidal activities against head lice eggs, and the combinations showed a synergistic effect with an increase in the inhibition rate of more than 50%. CONCLUSION These results demonstrated that Zingiberaceae EOs augmented with E. globulus EO are promising ovicidal agents for head lice control.
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Affiliation(s)
- Mayura Soonwera
- Department of Plant Production Technology, Faculty of Agricultural Technology, King Mongkut's Institute of Technology Ladkrabang, Bangkok 10520, Thailand.
| | - Orawan Wongnet
- Department of Plant Production Technology, Faculty of Agricultural Technology, King Mongkut's Institute of Technology Ladkrabang, Bangkok 10520, Thailand
| | - Sirawut Sittichok
- Department of Plant Production Technology, Faculty of Agricultural Technology, King Mongkut's Institute of Technology Ladkrabang, Bangkok 10520, Thailand
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28
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Sanchezruiz WL, Nuzum DS, Kouzi SA. Oral ivermectin for the treatment of head lice infestation. Am J Health Syst Pharm 2018; 75:937-943. [PMID: 29789316 DOI: 10.2146/ajhp170464] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
PURPOSE Published literature describing the use of oral ivermectin for the treatment of head lice infestation is reviewed. SUMMARY In the United States and globally, head lice infestation, or pediculosis capitis, remains a public health issue with both social and medical implications. Treatment with oral or topical medications is typically required for head lice eradication. Resistance to traditional topical therapies for head lice infestation is increasing, creating a need for consideration of additional treatment options. A growing body of data describing the potential role of oral ivermectin for the treatment or prevention of head lice infestation is available. A literature search identified 5 clinical trials that evaluated safety and/or effectiveness outcomes of oral ivermectin use as an alternative to malathion, other topical prescription medications, and traditional, nonprescription remedies; those studies were conducted in various parts of the world (e.g., Australia, Brazil, Mexico, Egypt) and likely involved varying types and degrees of lice resistance. Clinical research findings to date, while not consistently robust, suggest that oral ivermectin is comparable or superior in effectiveness to other topical treatment options for head lice infestation while being well tolerated and favorably perceived by patients and caretakers. CONCLUSION Oral ivermectin is an option for the treatment of head lice infestation, especially in individuals who have experienced a treatment failure. Published evidence from clinical trials indicates that oral ivermectin is as effective as currently available topical treatments.
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Durand R, Andriantsoanirina V, Brun S, Laroche L, Izri A. A case of severe pediculosis capitis. Int J Dermatol 2017; 57:e14-e15. [PMID: 29265348 DOI: 10.1111/ijd.13881] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 09/14/2017] [Accepted: 11/21/2017] [Indexed: 12/28/2022]
Affiliation(s)
- Rémy Durand
- Department of Parasitology and Mycology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, Bobigny, France
| | - Valérie Andriantsoanirina
- Department of Parasitology and Mycology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, Bobigny, France
| | - Sophie Brun
- Department of Parasitology and Mycology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, Bobigny, France
| | - Liliane Laroche
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, Bobigny, France
| | - Arezki Izri
- Department of Parasitology and Mycology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, Bobigny, France
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Koch E, Clark JM, Cohen B, Meinking TL, Ryan WG, Stevenson A, Yetman R, Yoon KS. Management of Head Louse Infestations in the United States-A Literature Review. Pediatr Dermatol 2016; 33:466-72. [PMID: 27595869 DOI: 10.1111/pde.12982] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
UNLABELLED Head lice are a source of scalp irritation, social disruption, and loss of school time. Health care providers need authoritative information to help avoid the costs and risks of ineffective treatment. A review was completed to provide relevant information on infestation treatments available in the United States. Three major biomedical databases were searched from 1985, when current products were first available, to 2014, focusing on U.S. REPORTS A total of 579 references remained after duplicates were removed. A search of the U.S. Food and Drug Administration website and labels of approved products were reviewed. A marked decline in the effectiveness of permethrin and synergized pyrethrins was found, probably because of resistance arising from widespread and indiscriminate use, and the emergence of knockdown resistance mutations. The potential toxicity of lindane in the setting of readily available, safer, and more effective alternatives, should limit its use. Prescription products shown to be safe and effective with a single application, without nit combing, are topical ivermectin, malathion, and spinosad, whereas benzyl alcohol requires two applications. Home remedies such as mayonnaise, and essential oils, have not been demonstrated to be safe or effective, and may carry potential for severe adverse events. The high risk of failure of over-the-counter treatments in eliminating head louse infestations drives a need for health care provider recognition of the limitations of current treatments and for judicious use of treatments that remain effective.
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Affiliation(s)
- Ellen Koch
- Division of Pediatric Dermatology, Johns Hopkins Medicine, Baltimore, Maryland
| | - John Marshall Clark
- Department of Veterinary and Animal Sciences, University of Massachusetts, Amherst, Massachusetts
| | - Bernard Cohen
- Division of Pediatric Dermatology, Johns Hopkins Medicine, Baltimore, Maryland
| | | | | | | | - Robert Yetman
- University of Texas-Houston Medical School, Houston, Texas
| | - Kyong Sup Yoon
- Department of Biological Sciences and Environmental Sciences Program, Southern Illinois University-Edwardsville, Edwardsville, Illinois
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Tagka A, Lambrou GI, Braoudaki M, Panagiotopoulos T, Papanikolaou E, Laggas D. Socioeconomical Factors Associated With Pediculosis (Phthiraptera: Pediculidae) in Athens, Greece. JOURNAL OF MEDICAL ENTOMOLOGY 2016; 53:919-922. [PMID: 27134208 DOI: 10.1093/jme/tjw055] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Revised: 03/30/2016] [Accepted: 03/30/2016] [Indexed: 06/05/2023]
Abstract
Pediculosis in humans and especially in children is a very common dermatological disorder caused by the ectoparasite Pediculus humanus capitis De Geer. We investigated the socioeconomic factors affecting the prevalence of pediculosis in the Greek urban area of Athens during 2004-2006. The target population consisted of children from kindergartens. In total, 434 children from single- or two-parent families were investigated with respect to socioeconomic factors such as education, income and family composition, and the prevalence of pediculosis. The overall pediculosis rate was 5.30%. Head louse infestations were significantly higher in female children and in two-parent families. Lice infestations peaked in low- and medium-income families. Head louse infestation rates were influenced by income, parents' education, and nationality.
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Affiliation(s)
- Anna Tagka
- Department of Dermatology, University of Athens Medical School, Andreas Syggros Hospital, Athens, Greece ,
| | - George I Lambrou
- First Department of Pediatrics, Choremeio Research Laboratory, University of Athens, Athens-Goudi 11527, Greece (; ),
| | - Maria Braoudaki
- First Department of Pediatrics, Choremeio Research Laboratory, University of Athens, Athens-Goudi 11527, Greece (; )
| | - Takis Panagiotopoulos
- Department of Child Health, National School of Public Health, 196 Alexandras Av., 11521 Athens, Greece (; )
| | - Eleni Papanikolaou
- Division of Endocrinology, Metabolism and Diabetes, University of Athens Medical School, "Eugenideion" Hospital, Athens, Greece
| | - Dimitris Laggas
- Department of Child Health, National School of Public Health, 196 Alexandras Av., 11521 Athens, Greece (; )
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Eroglu F, Basaran Ü, Kürklü CG, Yüceer M, Yalcıntürk RG, Tanrıverdi M, Daglı EI, Koltas IS. Pediculosis capitis is a growing neglected infestation due to migration in southeast Turkey. Parasitol Res 2016; 115:2397-401. [PMID: 27038249 DOI: 10.1007/s00436-016-4990-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Accepted: 03/09/2016] [Indexed: 11/29/2022]
Abstract
Demographic, socio-economical, and environmental changes affecting prevalence of Pediculosis capitis. The aim of this study was to investigate the prevalence of P. capitis and external factors affecting the distribution of P. capitis. A total of 6004 primary-school students between 5 and 11 years were screened for P. capitis at 28 different primary-schools in Gaziantep, located in southeastern of Turkey, during different two education terms (First education term is in September 2013 to May 2014, second education term is in September 2014 and May 2015). The prevalence of P. capitis was found to be positive 1.5 % (90/6004) and 6.9 % (415/6004) in first education term and in second education term, respectively. In this study shown that the rate of P. capitis's prevalence was increased 5.4 % in Gaziantep. P. capitis is a neglected infestation and it has re-emerged in Gaziantep, located in the southeastern of Turkey. Health staff member must improve health education programs in primary-school students especially girl students.
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Affiliation(s)
- Fadime Eroglu
- Department of Medical Microbiology, Faculty of Emine-Bahaeddin Nakıboglu Medicine, University of Zirve, Gaziantep, Turkey.
| | - Ümit Basaran
- School of Emine-Bahaeddin Nakıboglu Medicine, University of Zirve, Gaziantep, Turkey
| | - Cennet Gizem Kürklü
- School of Emine-Bahaeddin Nakıboglu Medicine, University of Zirve, Gaziantep, Turkey
| | - Mervenur Yüceer
- School of Emine-Bahaeddin Nakıboglu Medicine, University of Zirve, Gaziantep, Turkey
| | - Rabia Gül Yalcıntürk
- School of Emine-Bahaeddin Nakıboglu Medicine, University of Zirve, Gaziantep, Turkey
| | | | | | - Ismail Soner Koltas
- Department of Medical Parasitology, Faculty of Medicine, University of Cukurova, Adana, Turkey
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Chosidow A, Gendrel D. [Safety of oral ivermectin in children]. Arch Pediatr 2015; 23:204-9. [PMID: 26697814 DOI: 10.1016/j.arcped.2015.11.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Revised: 09/17/2015] [Accepted: 11/08/2015] [Indexed: 11/18/2022]
Abstract
Ivermectin is an antiparasitic drug, a derivate of avermectins, and a product of fermentation of an actinomycete, Streptomyces avermitilis. Its structure associates two avermectins. Ivermectin acts on the chloride-dependent channels of both glutamate and γ-aminobutyric acid, interrupting neurotransmission in invertebrates. In humans, several mechanisms of brain protection exist, including P-glycoprotein, present on the apical face of endothelial cells of the blood-brain barrier and coded by the MDR1 gene. Ivermectin is presently used in mass treatment of onchocerciasis, other filariasis, some intestinal nematode infections, but also in scabies, and more rarely in resistant head lice. The side effects described are related to the release of antigen and cause an inflammatory reaction. Studies conducted in children or infants have shown good tolerance of ivermectin. However, its use in infants who weigh less than 15kg is a problem because of the absence of marketing authorization for this age group. However, the risk of excessive and uncontrolled use in head lice requires close surveillance.
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Affiliation(s)
- A Chosidow
- Service de pédiatrie générale, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
| | - D Gendrel
- Service de pédiatrie générale, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
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Ihde ES, Boscamp JR, Loh JM, Rosen L. Safety and efficacy of a 100% dimethicone pediculocide in school-age children. BMC Pediatr 2015; 15:70. [PMID: 26092045 PMCID: PMC4475297 DOI: 10.1186/s12887-015-0381-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2014] [Accepted: 05/18/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Head lice most commonly affect children, ages 3 to 11. Concerns exist about the safety and efficacy of pesticide-based treatments. Published studies suggest dimethicone is a potentially safe and effective non-toxic treatment, but have not evaluated 100% dimethicone in a pediatric population. The objectives were to evaluate the efficacy and safety of 100% dimethicone for the treatment of head lice in children, monitored by school nurses. METHODS This was a multi-site, open-label study of a 100% dimethicone gel for the treatment of head lice in a pediatric population. Children (ages 3-12) suspected of infestation with head lice were evaluated by school nurses at six schools and daycare programs in New York and New Jersey. Inclusion criteria were presence of at least three live lice, or one live louse and 10 viable eggs (eggs found within 1.27 cm of the scalp) and no use of any head lice treatment within four weeks of enrollment. Counts of live lice and viable eggs found in 58 subjects were tracked at baseline (Day 0) and on Day 1, Day 7, and Day 14 after treatment. RESULTS After 1 day of treatment with 100% dimethicone, 98.30% of subjects were free of live lice and 55.20% were free of viable eggs. On day 14, 96.50% were still free of live lice, and 80.70% were free of viable eggs. All subjects were monitored by the school nurse at baseline and throughout the study period for adverse effects, including scalp erythema, excoriation, flaking and edema. There was one adverse event of skin irritation lasting 10 min, and no serious adverse events reported. Overall, scalp conditions improved from the baseline: 10 subjects (17.5%) reported mild to moderate scalp erythema on day 1, compared with only one subject (1.7%) on day 14; 8 subjects (14.3%) reported mild scalp excoriation on day 1, with none reporting on day 14. CONCLUSIONS 100% dimethicone was found to be a safe and highly effective treatment for pediatric head lice. Because dimethicone avoids pesticide exposure and resistance issues, dimethicone should be considered as a first-line treatment for head lice. TRIAL REGISTRATION NCT02213055 Date of registration: August 8, 2014. STANDARDS OF REPORTING: The CONSORT 2010 Checklist was consulted during the review of this manuscript. Please note that sections pertaining specifically to randomized controlled trials (RCT's) were not applicable.
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Affiliation(s)
- Erin Speiser Ihde
- The Deirdre Imus Environmental Health Center®, Hackensack University Medical Center, 30 Prospect Ave, Hackensack, NJ, 07601, USA.
| | - Jeffrey R Boscamp
- Hackensack University Medical Center, The Joseph M. Sanzari Children's Hospital, 30 Prospect Avenue, Hackensack, NJ, 07601, USA.
| | - Ji Meng Loh
- Dept. of Mathematical Sciences, NJ Institute of Technology - University Heights, Newark, NJ, 07102, USA.
| | - Lawrence Rosen
- The Deirdre Imus Environmental Health Center®, Hackensack University Medical Center, 30 Prospect Ave, Hackensack, NJ, 07601, USA.
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