Characteristics of patients diagnosed with scabies. A descriptive study

e202609045

Authors

  • Nuria Villafáñez-Roldán Enfermera especialista en Enfermería Familiar y Comunitaria. Osakidetza-Servicio Vasco de Salud. Centro de Salud de Deusto, Organización Sanitaria Integrada Bilbao-Basurto. Bilbao. España.
  • Olga Corral-Rodríguez Enfermera especialista en Enfermería Familiar y Comunitaria. Osakidetza-Servicio Vasco de Salud. Centro de Salud de Deusto, Organización Sanitaria Integrada Bilbao-Basurto. Bilbao. España.
  • Elena Fernández-Sánchez Enfermera especialista en Enfermería Familiar y Comunitaria. Osakidetza-Servicio Vasco de Salud. Centro de Salud de Deusto, Organización Sanitaria Integrada Bilbao-Basurto. Bilbao. España.
  • Cristina Muñoz-Santos Enfermera especialista en Enfermería Familiar y Comunitaria. Osakidetza-Servicio Vasco de Salud. Centro de Salud de Deusto, Organización Sanitaria Integrada Bilbao-Basurto. Bilbao. España.
  • Sonia González-Martínez Enfermera especialista en Enfermería Familiar y Comunitaria. Osakidetza-Servicio Vasco de Salud. Centro de Salud de Deusto, Organización Sanitaria Integrada Bilbao-Basurto. Bilbao. España.
  • María José Fernández-Landa Enfermera Doctora en Salud Pública (UPV/EHU). Osakidetza-Servicio Vasco de Salud. Centro de Salud de Zorroza, Organización Sanitaria Integrada Bilbao-Basurto. Bilbao. España.

DOI:

https://doi.org/10.67113/resp.v100i1.441

Keywords:

Scabies, Permethrin, Drug Therapy, Control, Population Characteristics

Abstract

BACKGROUND // Scabies is a disease whose incidence has increased in Spain in recent years. Furthermore, experts have pointed to the potential emergence of resistance to the medications used to treat the disease. The aim of this paper was to describe the characteristics of people diagnosed with scabies and their influence on healing.

METHODS // A descriptive cross-sectional study of 867 people diagnosed with scabies, who were followed up by the STNE, was carried out. Sociodemographic data, related to the disease and its treatment, and related to the work of the STNE were included. Descriptive and inferential analysis was performed. Chi-Square, Fisher’s exact test, Kruskal-Wallis and Wilcoxon Scores tests were used, considering p<0.05 as significant.

RESULTS // 48.2% were women. The mean (SD) age was 29.9 (19.1) years. 65.3% were Spanish. 81% lived with someone in a private home and 9% had a relationship with a social-healthcare resource. 89.4% were diagnosed in Primary Care. 79.4% of people had not had previous episodes of scabies. 69% of cases were cured after receiving only one treatment regime. The first choice treatment was permethrin (61.2%). Sulfur Vaseline was the choice (25%) from the third treatment regimen onwards. They facilitated an average of 2.8 (2.9) close contacts. The reported area of exposure was unknown in 53.2%. People with greater difficulty to be healed were younger than twenty years (p=0.0130) and had more close contacts (3.2 vs 2.5), especially users of social-healthcare resources (5.5).

CONCLUSIONS // Scabies affects any type of person, although there may be a greater impact due to certain characteristics. Healing is difficult, especially in populations associated with the use of socio-health resources.

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References

1. Salavastru CM, Chosidow O, Boffa MJ, Janier M, Tiplica GS. European guideline for the management of scabies. J Eur Acad Dermatol Venereol. 2017;31(8):1248-1253. DOI: https://doi.org/10.1111/jdv.14351 DOI: https://doi.org/10.1111/jdv.14351

2. Villalobos S, Romero J, Liébana M, Durán E, Vergara MA. Alerta por Escabiosis en Andalucía. Periodo 2017-2022. BES 4222. 2022; 27 (42)

3. Morgado D, Piquero J, Podlipnik S. Tratamiento de la escabiosis [Treatment of scabies]. Atención Primaria. 2022;54 (3). DOI: https://doi.org/10.1016/j.aprim.2021.102231 DOI: https://doi.org/10.1016/j.aprim.2021.102231

4. Protocolo de Vigilancia Epidemiológica. Escabiosis. Departamento de Salud. Gobierno Vasco. 8 abril de 2022. Disponible en: https://www.euskadi.eus/contenidos/informacion/vigilancia_protocolos/es_def/adjuntos/Escabiosis_08042022_cast.pdf. [Consultado el 15 enero de 2023].

5. Organización Mundial de la Salud. Sarna. Datos y cifras. [internet]. 16 agosto 2020. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/scabies. [Consultado el 15 enero de 2023].

6. Engelman D, Yoshizumi J, Hay RJ, Osti M, Micali G, Norton S, et al. The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Br J Dermatol. 2020 Nov;183(5):808-820. doi: https://doi.org/10.1111/bjd.18943 DOI: https://doi.org/10.1111/bjd.18943

7. Sashidharan P, Basavaraj S, Bates CM. UK national guideline on the management of scabies. Macclesfield (GB): British Association for Sexual Health and HIV. 2016.

8. Plasencia A, Proy H, Eljure N, Atoche C, Calderón C. Escabiosis: una revisión. DCMQ. 2013; 11 (3): 217-223.

9. Lluch JJ, Carrascosa JM, Boada A. Epidemia de escabiosis: los nuevos retos de una enfermedad ancestral. ACTAS Dermo-Sifiliográficas. 2022; 20 (114): 132-140. DOI: https://doi.org/10.1016/j.ad.2022.07.017 DOI: https://doi.org/10.1016/j.ad.2022.07.017

10. Galván-Casas C, Ortiz-Álvarez J, Martínez-García E, Corbacho-Monné M. Recomendaciones de expertos de la Academia Española de Dermatología (AEDV) para el manejo de las ectoparasitosis de transmisión sexual. Escabiosis y pediculosis púbica. Actas Dermo-Sifiliográficas. 2024;115(5):475-492. doi: https://doi.org/10.1016/j.ad.2023.11.007 DOI: https://doi.org/10.1016/j.ad.2023.11.007

11. Bernigaud C, Fernando DD, Lu H, Taylor S, Hartel G, Chosidow O et al. How to eliminate scabies parasites from fomites: A high-throughput ex vivo experimental study. J Am Acad Dermatol. 2020;83:241-245. http://dx.doi.org/10.1016/j.jaad.2019.11.069 DOI: https://doi.org/10.1016/j.jaad.2019.11.069

12. Organización Mundial de la Salud. Enfermedades tropicales desatendidas. Organización Mundial de la Salud [consultado 30 de julio de 2025]. Disponible en: https://www.who.int/health-topics/neglected-tropical-diseases#tab=tab_1

13. Redondo L, Fernández B, Gómez D, Gherasim A, García M, Benito A et al. Scabeis in Spain? A comprehensive epidemiological picture. PLoS ONE. 2021; 16 (11): DOI: https://doi.org/10.1371/journal.pone.0258780 DOI: https://doi.org/10.1371/journal.pone.0258780

14. 49º Congreso de la Academia Española de Dermatología y Venereología (AEDV). [Nota de prensa] Los dermatólogos constatan el “importante aumento” de los casos de sarna y la pérdida de efectividad del tratamiento. 2 junio 2022. Disponible en: https://aedv.es/wpcontent/uploads/2022/06/NdP_Sarna-Congreso-AEDV_2jun-2022.pdf. [Consultado el 15 enero de 2023].

15. Ortiz-Álvarez J, Corbacho-Monné M, Garcés-Gil S, Peñas-Espinar J, Martínez-García E, Galván-Casas C et al. Características clínicas y epidemiológicas de pacientes diagnosticados de escabiosis en España: oportunidades de mejora. Estudio transversal multicéntrico CLINI-AEDV. Actas Dermo-Sifiliogr. 2024;115(6):556-563. DOI: https://doi.org/10.1016/j.ad.2023.08.006 DOI: https://doi.org/10.1016/j.ad.2023.08.006

16. Korycinska J, Dzika E, Kloch M. Epidemiology of scabies in relation to socio-economic and selected climatic factors in north-east Poland. Ann Agric Environ Med. 2020; 27 (3): 374-378. DOI: https://doi.org/10.26444/aaem/109319 DOI: https://doi.org/10.26444/aaem/109319

17. Anderson KL, Strowd LC. Epidemiology, Diagnosis, and Treatment of Scabies in a Dermatology Office. JABFM. 2017; 30 (1): 78-84. DOI: https://doi.org/10.3122/jabfm.2017.01.160190 DOI: https://doi.org/10.3122/jabfm.2017.01.160190

18. Schneider S, Wu J, Tizek L, Ziehfreund S, Zink A. Prevalence of scabies worldwide-An updated systematic literature review in 2022. Eur Acad Dermatol Venereol. 2023; 37 (9): 1749-1757. DOI: https://doi.org/10.1111/jdv.19167 DOI: https://doi.org/10.1111/jdv.19167

19. Kouotou EA, Nansseu JR, Sieleunou I, Defo D, Bissek AC, Ndam EC. Features of human scabies in resource-limited settings: the Cameroon case. BMC Dermatol. 2015; 15: 12. DOI: https://doi.org/10.1186/s12895-015-0031-0 DOI: https://doi.org/10.1186/s12895-015-0031-0

20. Thomas C, Coates SJ, Engelman D, Chosidow O, Chang AY. Ectoparasites: Scabies. J Am Acad Dermatol. 2020;82(3):533-548. DOI: https://doi.org/10.1016/j.jaad.2019.05.109 DOI: https://doi.org/10.1016/j.jaad.2019.05.109

21. Mulligan KM, Cullison CR, Zheng DX, Tripathi R, Beveridge MG, Ray AJ, Scott JF. Sociodemographic factors associated with scabies in the inpatient setting. Am J Infect Control. 2021;49(12):1558-1560. DOI: https://doi.org/10.1016/j.ajic.2021.05.010 DOI: https://doi.org/10.1016/j.ajic.2021.05.010

22. Campbell JJ, Paulson CP, Nashelsky J. Clinical Inquiry: What is the most effective treatment for scabies? J Fam Pract. 2017; 66 (8): 11-12.

23. Dhana A, Yen H, Okhovat JP, Cho E, Keum N, Khumalo NP. Ivermectin versus permethrin in the treatment of scabies: a systematic review and meta-analysis of randomized controlled trials. J Am Acad Dermatol. 2018;78(1):194-198. DOI: https://doi.org/10.1016/j.jaad.2017.09.006 DOI: https://doi.org/10.1016/j.jaad.2017.09.006

24. Colilles PE, Sastre MºM, Grimalt R. Tratamiento actual de la sarna ¿Ivermectina o permetrina? Piel: Formación continua en dermatología. 2020; 35 (7): 437-440. DOI: https://doi.org/10.1016/j.piel.2019.10.003 DOI: https://doi.org/10.1016/j.piel.2019.10.003

25. Velasco JP, Prados A, Ruiz R. Resistance to Permethrin in Scabies Treatment: Does It Really Exist? Actas Dermosifiliografias. 2023; (114): 433-434. DOI: https://doi.org/10.1016/j.ad.2022.05.036 DOI: https://doi.org/10.1016/j.ad.2022.05.046

26. Pooja A, Rudnicka L, Sar-Pomian M, Wollina U, Jafferany M, Torello L et al. Scabies: A comprehensive review and current perspectives. Dermatologic Therapy. 2020; 33: e13746. DOI: https://doi.org/10.1111/dth.13746 DOI: https://doi.org/10.1111/dth.13746

27. Monferrer JC, Serrano JM. Evidencia actual sobre la refractariedad del tratamiento con permetrina en los pacientes con escabiosis. Piel: Formación continua en dermatología. 2202; 38 (3): 219-220. DOI: https://doi.org/10.1016/j.piel.2022.05.002 DOI: https://doi.org/10.1016/j.piel.2022.05.002

28. Rosumeck S, Nast A, Dressler C. Evaluation of ivermectin vs permethrin for treating scabies-summary of a Cochrane review. JAMA Dermatol. 2019;155(6):730-732. DOI: https://doi.org/10.1001/jamadermatol.2019.0279 DOI: https://doi.org/10.1001/jamadermatol.2019.0279

29. Morgado D, Piquero J, Podlipnik S. Indicaciones de la ivermectina oral en dermatología [Indications of oral ivermectin in dermatology]. Piel: Formación continua en dermatología. 2022; 37 (2): 113-117. DOI: https://doi.org/10.1016/j.piel.2021.07.005 DOI: https://doi.org/10.1016/j.piel.2021.07.005

30. Heukelbach J, Mazigo HD, Ugbomoiko US. Impact of scabies in resource-poor communities. Curr Opin Infect Dis. 2013; 26 (2):127-132. DOI: https://doi.org/10.1097/QCO.0b013e32835e847b DOI: https://doi.org/10.1097/QCO.0b013e32835e847b

31. Sanei A, Soleimani M, Zare M, Jaberhashemi SA. Risk factors associated with scabies infestation among primary schoolchildren in a low socio-economic area in southeast of Iran. BMC Pediatric. 2021; 21 (1): 249. DOI: https://doi.org/10.1186/s12887-021-02721-0 DOI: https://doi.org/10.1186/s12887-021-02721-0

32. Azene AG, Aragaw AM, Wassie GT. Prevalence and associated factors of scabies in Ethiopia: systematic review and Meta-analysis. BMC Infectious Diseases. 2020; 20 (1): 380. DOI: https://doi.org/10.1186/s12879-020-05106-3 DOI: https://doi.org/10.1186/s12879-020-05106-3

33. Chang AY. On the importance of social determinants of health: A second look at scabies and failure to thrive in an immigrant female infant. Int J Womens Dermatol. 2021; 7 (5Part B): 853-855. DOI: https://doi.org/10.1016/j.ijwd.2021.07.004 DOI: https://doi.org/10.1016/j.ijwd.2021.07.004

Published

2026-09-29

How to Cite

1.
Villafáñez-Roldán N, Corral-Rodríguez O, Fernández-Sánchez E, Muñoz-Santos C, González-Martínez S, Fernández-Landa MJ. Characteristics of patients diagnosed with scabies. A descriptive study: e202609045. Rev Esp Salud Pública [Internet]. 2026 Sep. 29 [cited 2026 Sep. 30];100(1):17 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/441