New perspectives on active pediculosis detection in schoolchildren from Southern Brazil
DOI:
https://doi.org/10.33448/rsd-v10i6.15793Keywords:
Pediculus capitis; Lice infestation; Public health; Diagnosis; Child health.Abstract
The present study aims to analyze the prevalence and risk factors of active pediculosis and to compare the efficacy and sensitivity of the vacuum method with the comb method and the visual inspection with a magnifying glass in order to determine the best methodology to detect active pediculosis among schoolchildren from Paraná state. Each child was examined by the three methods in sequence and a playful activity was introduced to increase the children likelihood to participate in the study. Additionally, hair characteristics and other risk factors as sex, age, and area of living were take into consideration to measure epidemiological aspects. From a total of 358 schoolchildren from southern Brazil, overall pediculosis prevalence was 45.5%, while active pediculosis prevalence was 13.1%. Regarding active pediculosis, there was no statistical difference among sex. However, nine-year-old girls were most likely to have active pediculosis. The vacuum method was 5.96 and 11.29 times more efficacious than the magnifying glass method and the comb method, respectively, and also had higher sensitivity (74.5%) in detecting active pediculosis. When analyzing hair characteristics, children with long and wavy/curly hair were more often diagnosed by the vacuum method than children with short and wavy/curly hair. The vacuum method was the most effective method and proved to be an optimal option to detect active pediculosis among schoolchildren, mostly in children with wavy/curly hair.
References
Birkemoe, T., Lindstedt, H. H., Ottesen, P., Soleng, A., Næss, Ø., & Rukke, B. A. (2016). Head lice predictors and infestation dynamics among primary school children in Norway. Family Practice, 33(1), 23–29. https://doi.org/10.1093/fampra/cmv081.
Borges, R., & Mendes, J. (2002). Epidemiological aspects of head lice in children attending day care centres, urban and rural schools in Uberlandia, central Brazil. Memórias Do Instituto Oswaldo Cruz, 97(2), 189–192. https://doi.org/10.1590/S0074-02762002000200007.
Chongsuvivatwong, V. (2018). EpiDisplay: epidemiological data display package (R package version 3.5. 0.1.). https://CRAN.R-project.org/package=epiDisplay
Cummings, C., Finlay, J. C., & MacDonald, N. E. (2018). Head lice infestations: A clinical update. Paediatrics & Child Health, 23(1), e18–e24. https://doi.org/10.1093/pch/pxx165.
Cunha, P. V. da S., Pinto, Z. T., Liberal, E. F., & Barbosa, J. V. (2008). O discurso dos professores sobre a transmissão de pediculose antes de uma atividade educativa. Journal of Human Growth and Development, 18(3), 298–307.
De Geer, C. (1778). Mémoires pour Servir à l’Histoire des Insectes, vol. 7. Stockholm.
De Maeseneer, J., Blokland, I., Willems, S., Vander Stichele, R., & Meersschaut, F. (2000). Wet combing versus traditional scalp inspection to detect head lice in schoolchildren: observational study. Bmj, 321(7270), 1187–1188. https://doi.org/10.1136/bmj.321.7270.1187
Devera, R. (2012). Epidemiología de la pediculosis capitis en América Latina. SABER. Revista Multidisciplinaria Del Consejo de Investigación de La Universidad de Oriente, 24(1), 25–36.
El-Sayed, M. M., Toama, M. A., Abdelshafy, A. S., Esawy, A. M., & El-Naggar, S. A. (2017). Prevalence of pediculosis capitis among primary school students at Sharkia Governorate by using dermoscopy. Egyptian Journal of Dermatology and Venerology, 37(2), 33. http://doi.org/10.4103/ejdv.ejdv_47_16
Gordon, S. C. (2007). Shared vulnerability: a theory of caring for children with persistent head lice. The Journal of School Nursing, 23(5), 283–292. https://doi.org/10.1177/10598405070230050701
Heukelbach, J., Wilcke, T., Winter, B., & Feldmeier, H. (2005). Epidemiology and morbidity of scabies and pediculosis capitis in resource‐poor communities in Brazil. British Journal of Dermatology, 153(1), 150–156. https://doi.org/10.1111/j.1365-2133.2005.06591.x
Jahnke, C., Bauer, E., Hengge, U. R., & Feldmeier, H. (2009). Accuracy of diagnosis of pediculosis capitis: visual inspection vs wet combing. Archives of Dermatology, 145(3), 309–313. https://doi.org/10.1001/archdermatol.2008.587
Jamani, S., Rodríguez, C., Rueda, M. M., Matamoros, G., Canales, M., Bearman, G., Stevens, M., & Sanchez, A. (2019). Head lice infestations in rural Honduras: the need for an integrated approach to control neglected tropical diseases. International Journal of Dermatology, 58(5), 548–556. https://doi.org/10.1111/ijd.14331
Karim, T., Musa, S., Khanum, H., & Mondal, D. (2015). Occurrence of Pediculus humanus capitis in relation to their personal hygiene and social behaviour among the children in Dhaka City. Bangladesh Journal of Zoology, 43(2), 327–332. https://doi.org/10.3329/bjz.v43i2.27403
Kurt, O., Tabak, T., Kavur, H., Muslu, H., Limoncu, E., Bilaç, C., Balcioğlu, I. C., Kaya, Y., Ozbel, Y., & Larsen, K. (2009). Comparison of two combs in the detection of head lice in school children. Acta Parasitologica Turcica / Turkish Society for Parasitology, 33(1), 50–53.
Lustosa, B. P. R., Haidamak, J., Oishi, C. Y., Souza, A. B. de, Lima, B. J. F. de S., Reifur, L., Shimada, M. K., Vicente, V. A., Aleixandre, M. A. V., & Klisiowicz, D. do R. (2020). Vaccuuming method as a successful strategy in the diagnosis of active infestation by Pediculus humanus capitis. Revista Do Instituto de Medicina Tropical de Sao Paulo, 62. https://doi.org/10.1590/s1678-9946202062007
Mendes, G. G., Borges-Moroni, R., Moroni, F. T., & Mendes, J. (2017). Head lice in school children in Uberlândia, Minas Gerais State, Brazil. Journal of Tropical Pathology, 46(2), 200–208. https://doi.org/10.5216/rpt.v46i2.47572
Moosazadeh, M.., Afshari, M.., Keianian, H., Nezammahalleh, A., & Enayati, A. A. (2015). Prevalence of Head Lice Infestation and Its Associated Factors among Primary School Students in Iran: A Systematic Review and Meta-analysis. Osong Public Health and Research Perspectives, 6(6), 346–356. https://doi.org/10.1016/j.phrp.2015.10.011
Mumcuoglu, K. Y., Friger, M., Ioffe‐Uspensky, I., Ben‐Ishai, F., & Miller, J. (2001). Louse comb versus direct visual examination for the diagnosis of head louse infestations. Pediatric Dermatology, 18(1), 9–12. https://doi.org/10.1046/j.1525-1470.2001.018001009.x
Mumcuoglu, K.Y., Pollack, R.J., Reed, D.L., Barker, S.C., Gordon, S., Toloza, A.C., Picollo, M.I., Taylan‐Ozkan, A., Chosidow, O., Habedank, B., Ibarra, J., Meinking, T.L. and Vander Stichele, R.H. (2020), International recommendations for an effective control of head louse infestations. International Journal of Dermatology, 60, 272-280. https://doi.org/10.1111/ijd.15096
Neira, P. E., Molina, L. R., Correa, A. X., Américo Muñoz, N. R., & Oschilewski, D. E. (2009). Utilidade do pente metálico com dentes microcanaliculados no diagnóstico da pediculose. Anais Brasileiros de Dermatologia, 84(6), 615–621. https://doi.org/10.1590/S0365-05962009000600007
Pilger, D., Khakban, A., Heukelbach, J., & Feldmeier, H. (2008). Self-diagnosis of active head lice infestation by individuals from an impoverished community: High sensitivity and specificity. Revista Do Instituto de Medicina Tropical de Sao Paulo, 50(2), 121–122. https://doi.org/10.1590/S0036-46652008000200011
Programa das Nações Unidas para o Desenvolvimento (2013). Atlas do desenvolvimento humano no Brasil: árvore do IDHM., Organização das Nações Unidas, Programa das Nações Unidas para o Desenvolvimento. http://www.atlasbrasil.org.br/2013/pt/arvore/municipio/anicuns_go_2010/municipio/penaforte_ce_2010/
Silva, L., Alencar, R. de A., & Madeira, N. G. (2008). Survey assessment of parental perceptions regarding head lice. International Journal of Dermatology, 47(3), 249–255. https://doi.org/10.1111/j.1365-4632.2008.03570.x
Stevenson, M., Nunes, T., Heuer, C., Marshall, J., Sanchez, J., Thornton, R., Reiczigel, J., Robison-Cox, J., Sebastiani, P., Solymos, P., & Yoshida, K. (2019) epiR: Tools for the Analysis of Epidemiological Data. R package version 1.0-4. Available from: https://CRAN.R-project.org/package=epiR
Toloza, A. C., Laguna, M. F., Ortega-Insaurralde, I., Vassena, C., & Risau-Gusman, S. (2018). Insights about head lice transmission from field data and mathematical modeling. Journal of Medical Entomology, 55(4), 929–937. https://doi.org/10.1093/jme/tjy026
Willems, S., Lapeere, H., Haedens, N., Pasteels, I., Naeyaert, J. M., & De Maeseneer, J. (2005). The importance of socio-economic status and individual characteristics on the prevalence of head lice in schoolchildren. European Journal of Dermatology, 15(5), 387-392.
World Health Organization. (2020). Ending the neglect to attain the Sustainable Development Goals: a road map for neglected tropical diseases 2021–2030. Geneva: World Health Organization. https://apps.who.int/iris/handle/10665/332094
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Copyright (c) 2021 Bruno Paulo Rodrigues Lustosa; Larissa Reifur; Juciliane Haidamak ; Marielly Ospedal Batista; Adelino Tchilanda Tchivango; Bruna Jacomel Favoreto de Souza Lima; Camila Yumi Oishi Kampmann; Vania Aparecida Vicente; Maria Adela Valero; Márcia Kyoie Shimada; Debora do Rocio Klisiowicz
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