The Incidence of Skin Infections and Infestations between children in Palestine

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2008-11-16
Authors
Dr. Hisham Arda
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<p>Skin diseases are common in general practice in Palestine but there is no data available about that. In a study by Dr.Adnan Kamal and H.Arda on 23583 Dermatology patients seen 1972 – 1979 the infective group formed 36 % , Dermatophytes 12 % and Tinea capitis ( T.C. ) 4.2 % .In a study by H.Arda 1978 at primary schools in some villages , Refugee camps and the city of Nablus for the diagnosis and treatment of T.C. which showed an incidence of 15 % , 3 % and 2 %respectively . All patients were treated and the same schools were seen on two occasions 1979 and 1996to see that T.C. was dramatically reduced .A mass campaign treatment program was carried out 1983 – 85 , in which a total of 101852 schoolchildren below the age of 14 were examined all over the West Bank for T.C. , of them 3347 children were found to have T.C. ( 3.3 % ) . In Jenin Governorate the highest rate of infection was found 7.2 %and in Jericho the lowest 0.6 % .Recently we looked for skin infections and infestations between all Dermatology patients seen during2000 – 2007 with results showing high frequency of all these conditions in children .In the treatment of T.C. we are using griseofulvin F.P. in a dose of 10 – 15 mg / Kg weight for 6 – 8weeks with very good response and rare complications. In scabies we use lindaine and permethrin as one application for 8 hours and all members of household should be treated at the same time. In Impetigo we insist always at the use of systemic and local antibiotics for rapid relief of symptoms. In warts we use treatment according to the site of lesion and age of the patient.</p>
<p>Skin diseases are common in general practice in Palestine but there is no data available about that. In a study by Dr.Adnan Kamal and H.Arda on 23583 Dermatology patients seen 1972 – 1979 the infective group formed 36 % , Dermatophytes 12 % and Tinea capitis ( T.C. ) 4.2 % .In a study by H.Arda 1978 at primary schools in some villages , Refugee camps and the city of Nablus for the diagnosis and treatment of T.C. which showed an incidence of 15 % , 3 % and 2 %respectively . All patients were treated and the same schools were seen on two occasions 1979 and 1996to see that T.C. was dramatically reduced .A mass campaign treatment program was carried out 1983 – 85 , in which a total of 101852 schoolchildren below the age of 14 were examined all over the West Bank for T.C. , of them 3347 children were found to have T.C. ( 3.3 % ) . In Jenin Governorate the highest rate of infection was found 7.2 %and in Jericho the lowest 0.6 % .Recently we looked for skin infections and infestations between all Dermatology patients seen during2000 – 2007 with results showing high frequency of all these conditions in children .In the treatment of T.C. we are using griseofulvin F.P. in a dose of 10 – 15 mg / Kg weight for 6 – 8weeks with very good response and rare complications. In scabies we use lindaine and permethrin as one application for 8 hours and all members of household should be treated at the same time. In Impetigo we insist always at the use of systemic and local antibiotics for rapid relief of symptoms. In warts we use treatment according to the site of lesion and age of the patient.</p>
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