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Amoako, Yaw Ampem, Laryea, Dennis Odai, Agbanyo, Abigail, Agbavor, Bernadette, Oppong, Michael Ntiamoah, Kyem, Gloria, Abass, Kabiru Mohammed, van Bentum, Renee, Phillips, Richard Odame and Stienstra, Ymkje (2024) 'Prevalence and determinants of impetigo in Ghana: a cross-sectional study'. BMC Infectious Diseases, Vol 24, Issue 1, e349.
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Abstract
Introduction: Skin diseases such as impetigo pose a significant public health challenge in low resource settings. Despite this, there is a dearth of epidemiological data on the prevalence of this condition in Ghana.
Methods: We conducted a cross sectional study in three settings in Ghana: community members in East Mamprusi district in the North East region, a secondary school in Sekyere East district, and inmates of the Kumasi central prisons both in the Ashanti region. Following a period of training, we performed a standardised skin examination on each participant to assess for scabies and impetigo. We calculated the prevalence of each skin condition and investigated determinants of impetigo.
Results/ findings: Of the 1327 participants [males 64.1% and median age 22 (16–29) years], 746 (56.2%) had scabies and 186 (14%) had impetigo which was usually very mild or mild in severity. Most participants with impetigo also had scabies (161/186, 86.6%). Having an itch [RR 6.05 (95% CI 2.53–14.47)], presence of scabies burrows [RR 1.99 (95% CI 1.54–2.59)], clinical scabies [RR 3.15 (2.11–4.72)] or being in preschool [RR 4.56 (1.78–11.67)] increased the risk for impetigo. A combination of the presence of clinical scabies, age, sex and itch most accurately predicted the odds of having impetigo.
Conclusions: There is substantial burden of impetigo and scabies in Ghana. There is a need to institute measures to improve detection and control of these common dermatoses as part of Universal Health Coverage package to reduce the scourge of the diseases in this setting.
| Item Type: | Article |
|---|---|
| Subjects: | WR Dermatology > WR 20 Research (General) |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1186/s12879-024-09242-y |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 02 Apr 2024 11:27 |
| Last Modified: | 02 Apr 2024 11:27 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/24274 |
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