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Wilbur C Hadden - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Head Lice and hygiene practices among women over twelve years of age in Sindh, Balochistan, and North West Frontier Province: National Health Survey of Pakistan, 1990-1994
Parasites & Vectors, 2011Co-Authors: Sadia Mahmud, Gregory Pappas, Wilbur C HaddenAbstract:Background Head Lice Infestation is an infection of the scalp and skin which causes blood loss, discomfort, and social and psychological distress with the possibility of secondary bacterial infections occurring at scratch sites. In Pakistan, although some small scale studies have been conducted to investigate prevalence of Head Lice in school children and the general population, no population based estimates have been reported. The National Health Survey of Pakistan (NHSP 1990 - 94) was a nationally representative health examination survey of the Pakistani population. The NHSP is the first population based household survey to collect data on the prevalence of Head Lice in adult women in Pakistan. In this paper we use data from the NHSP to present an epidemiological profile of personal hygiene practices and Head Lice Infestation among women aged 12 years or older in three provinces of Pakistan; Balochistan, Sindh and North West Frontier Province (NWFP). Results Overall about 7% women aged 12 years and older suffered from Head Lice Infestation. Multivariable logistic regression analysis identified factors independently associated with presence of Head Lice. Age less than 16 years and crowding at home were associated with higher Infestation-rates. The impact of household socio-economic status on Infestation rates among women was different in urban and rural settings; urban women with low socio-economic status were more vulnerable than similar women in rural settings. Bathing infrequently in summer was associated with higher prevalence rates only in Sindh, possibly due to the fact that among the three provinces Sindh has a hotter and more humid summer. Conclusions The results of our analysis of NHSP indicate high levels of Head Lice Infestation among girls and women in the three Provinces. The epidemiological profile of hygienic practices of women indicated that NWFP and Balochistan as compared to Sindh, and rural as compared to urban areas were less developed with respect to access to water supply and soap for maintaining personal hygiene. Simple and cost-effective measures such as provision of water and soap, and improving awareness regarding maintaining personal hygiene can contribute significantly towards improving public health status of the women in Pakistan.
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Prevalence of Head Lice and hygiene practices among women over twelve years of age in Sindh, Balochistan, and North West Frontier Province: National Health Survey of Pakistan, 1990-1994
Parasites & vectors, 2011Co-Authors: Sadia Mahmud, Gregory Pappas, Wilbur C HaddenAbstract:Head Lice Infestation is an infection of the scalp and skin which causes blood loss, discomfort, and social and psychological distress with the possibility of secondary bacterial infections occurring at scratch sites. In Pakistan, although some small scale studies have been conducted to investigate prevalence of Head Lice in school children and the general population, no population based estimates have been reported. The National Health Survey of Pakistan (NHSP 1990 - 94) was a nationally representative health examination survey of the Pakistani population. The NHSP is the first population based household survey to collect data on the prevalence of Head Lice in adult women in Pakistan. In this paper we use data from the NHSP to present an epidemiological profile of personal hygiene practices and Head Lice Infestation among women aged 12 years or older in three provinces of Pakistan; Balochistan, Sindh and North West Frontier Province (NWFP). Overall about 7% women aged 12 years and older suffered from Head Lice Infestation. Multivariable logistic regression analysis identified factors independently associated with presence of Head Lice. Age less than 16 years and crowding at home were associated with higher Infestation-rates. The impact of household socio-economic status on Infestation rates among women was different in urban and rural settings; urban women with low socio-economic status were more vulnerable than similar women in rural settings. Bathing infrequently in summer was associated with higher prevalence rates only in Sindh, possibly due to the fact that among the three provinces Sindh has a hotter and more humid summer. The results of our analysis of NHSP indicate high levels of Head Lice Infestation among girls and women in the three Provinces. The epidemiological profile of hygienic practices of women indicated that NWFP and Balochistan as compared to Sindh, and rural as compared to urban areas were less developed with respect to access to water supply and soap for maintaining personal hygiene. Simple and cost-effective measures such as provision of water and soap, and improving awareness regarding maintaining personal hygiene can contribute significantly towards improving public health status of the women in Pakistan.
Sadia Mahmud - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Head Lice and hygiene practices among women over twelve years of age in Sindh, Balochistan, and North West Frontier Province: National Health Survey of Pakistan, 1990-1994
Parasites & Vectors, 2011Co-Authors: Sadia Mahmud, Gregory Pappas, Wilbur C HaddenAbstract:Background Head Lice Infestation is an infection of the scalp and skin which causes blood loss, discomfort, and social and psychological distress with the possibility of secondary bacterial infections occurring at scratch sites. In Pakistan, although some small scale studies have been conducted to investigate prevalence of Head Lice in school children and the general population, no population based estimates have been reported. The National Health Survey of Pakistan (NHSP 1990 - 94) was a nationally representative health examination survey of the Pakistani population. The NHSP is the first population based household survey to collect data on the prevalence of Head Lice in adult women in Pakistan. In this paper we use data from the NHSP to present an epidemiological profile of personal hygiene practices and Head Lice Infestation among women aged 12 years or older in three provinces of Pakistan; Balochistan, Sindh and North West Frontier Province (NWFP). Results Overall about 7% women aged 12 years and older suffered from Head Lice Infestation. Multivariable logistic regression analysis identified factors independently associated with presence of Head Lice. Age less than 16 years and crowding at home were associated with higher Infestation-rates. The impact of household socio-economic status on Infestation rates among women was different in urban and rural settings; urban women with low socio-economic status were more vulnerable than similar women in rural settings. Bathing infrequently in summer was associated with higher prevalence rates only in Sindh, possibly due to the fact that among the three provinces Sindh has a hotter and more humid summer. Conclusions The results of our analysis of NHSP indicate high levels of Head Lice Infestation among girls and women in the three Provinces. The epidemiological profile of hygienic practices of women indicated that NWFP and Balochistan as compared to Sindh, and rural as compared to urban areas were less developed with respect to access to water supply and soap for maintaining personal hygiene. Simple and cost-effective measures such as provision of water and soap, and improving awareness regarding maintaining personal hygiene can contribute significantly towards improving public health status of the women in Pakistan.
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Prevalence of Head Lice and hygiene practices among women over twelve years of age in Sindh, Balochistan, and North West Frontier Province: National Health Survey of Pakistan, 1990-1994
Parasites & vectors, 2011Co-Authors: Sadia Mahmud, Gregory Pappas, Wilbur C HaddenAbstract:Head Lice Infestation is an infection of the scalp and skin which causes blood loss, discomfort, and social and psychological distress with the possibility of secondary bacterial infections occurring at scratch sites. In Pakistan, although some small scale studies have been conducted to investigate prevalence of Head Lice in school children and the general population, no population based estimates have been reported. The National Health Survey of Pakistan (NHSP 1990 - 94) was a nationally representative health examination survey of the Pakistani population. The NHSP is the first population based household survey to collect data on the prevalence of Head Lice in adult women in Pakistan. In this paper we use data from the NHSP to present an epidemiological profile of personal hygiene practices and Head Lice Infestation among women aged 12 years or older in three provinces of Pakistan; Balochistan, Sindh and North West Frontier Province (NWFP). Overall about 7% women aged 12 years and older suffered from Head Lice Infestation. Multivariable logistic regression analysis identified factors independently associated with presence of Head Lice. Age less than 16 years and crowding at home were associated with higher Infestation-rates. The impact of household socio-economic status on Infestation rates among women was different in urban and rural settings; urban women with low socio-economic status were more vulnerable than similar women in rural settings. Bathing infrequently in summer was associated with higher prevalence rates only in Sindh, possibly due to the fact that among the three provinces Sindh has a hotter and more humid summer. The results of our analysis of NHSP indicate high levels of Head Lice Infestation among girls and women in the three Provinces. The epidemiological profile of hygienic practices of women indicated that NWFP and Balochistan as compared to Sindh, and rural as compared to urban areas were less developed with respect to access to water supply and soap for maintaining personal hygiene. Simple and cost-effective measures such as provision of water and soap, and improving awareness regarding maintaining personal hygiene can contribute significantly towards improving public health status of the women in Pakistan.
Ronaldo B Hipolito - One of the best experts on this subject based on the ideXlab platform.
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Head Lice Infestation single drug versus combination therapy with one percent permethrin and trimethoprim sulfamethoxazole
Pediatrics, 2001Co-Authors: Ronaldo B Hipolito, Florinda G Mallorca, Zoraya O Zunigamacaraig, Patricia C Apolinario, Jan WheelershermanAbstract:Background. Head Lice Infestation (HLI) is a vexing problem for pediatricians and families because Lice are becoming resistant to approved antipediculosis agents. Objective. This study compared the efficacy of 3 different treatments for HLI and determined whether combination therapy reduced treatment failures. Design and Setting. A randomized, clinical trial performed in 3 private practices. Participants. The population was children ranging in age from 2 to 13 years. Methods. HLI was diagnosed by direct inspection of the hair and scalp. Children were assigned to 1 of 3 groups: 1) 1% permethrin creme rinse (1% PER; n = 39); 2) oral administration of trimethoprim/sulfamethoxazole (TMP/SMX; n = 36); and 3) a combination of 1% PER and TMP/SMX ( n = 40). Follow-up visits were done 2 and 4 weeks later, and parents or caregivers of those who did not return were interviewed by telephone. If HLI was present at the 2-week follow-up, the child was retreated per their protocol. We defined successful treatment as the absence of adult Lice and nymphal stage or eggs (nits). The presence of nits alone was not considered a treatment failure. Results. At the 2-week follow-up visit, successful treatment for groups 1, 2, and 3 was 79.5%, 83%, and 95%, respectively. At the 4-week follow-up, successful treatment was 72%, 78%, and 92.5% for groups 1, 2, and 3, respectively. The absolute risk reduction for recurrence comparing group 1 versus group 2 was 6%, group 2 versus group 3 was 14%, and group 1 versus group 3 was 20%. No major adverse complications were seen in any treatment group. Conclusion. Our findings indicate that a combination of 1% PER and TMP/SMX is an effective alternative therapy for HLI. We recommend that the dual therapy with 1% PER and oral TMP/SMX be used and reserved in cases of multiple treatment failures or suspected cases of Lice-related resistance to therapy.
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Head Lice Infestation: Single Drug Versus Combination Therapy With One Percent Permethrin and Trimethoprim/Sulfamethoxazole
Pediatrics, 2001Co-Authors: Ronaldo B Hipolito, Florinda G Mallorca, Patricia C Apolinario, Zoraya O. Zuniga-macaraig, Jan Wheeler-shermanAbstract:Background. Head Lice Infestation (HLI) is a vexing problem for pediatricians and families because Lice are becoming resistant to approved antipediculosis agents. Objective. This study compared the efficacy of 3 different treatments for HLI and determined whether combination therapy reduced treatment failures. Design and Setting. A randomized, clinical trial performed in 3 private practices. Participants. The population was children ranging in age from 2 to 13 years. Methods. HLI was diagnosed by direct inspection of the hair and scalp. Children were assigned to 1 of 3 groups: 1) 1% permethrin creme rinse (1% PER; n = 39); 2) oral administration of trimethoprim/sulfamethoxazole (TMP/SMX; n = 36); and 3) a combination of 1% PER and TMP/SMX ( n = 40). Follow-up visits were done 2 and 4 weeks later, and parents or caregivers of those who did not return were interviewed by telephone. If HLI was present at the 2-week follow-up, the child was retreated per their protocol. We defined successful treatment as the absence of adult Lice and nymphal stage or eggs (nits). The presence of nits alone was not considered a treatment failure. Results. At the 2-week follow-up visit, successful treatment for groups 1, 2, and 3 was 79.5%, 83%, and 95%, respectively. At the 4-week follow-up, successful treatment was 72%, 78%, and 92.5% for groups 1, 2, and 3, respectively. The absolute risk reduction for recurrence comparing group 1 versus group 2 was 6%, group 2 versus group 3 was 14%, and group 1 versus group 3 was 20%. No major adverse complications were seen in any treatment group. Conclusion. Our findings indicate that a combination of 1% PER and TMP/SMX is an effective alternative therapy for HLI. We recommend that the dual therapy with 1% PER and oral TMP/SMX be used and reserved in cases of multiple treatment failures or suspected cases of Lice-related resistance to therapy.
Hadi Kalari - One of the best experts on this subject based on the ideXlab platform.
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Comparative efficacy of three pediculicides to treat Head Lice Infestation in primary school girls: a randomised controlled assessor blind trial in rural Iran
BMC Dermatology, 2019Co-Authors: Hadi Kalari, Aboozar Soltani, Kourosh Azizi, Hossein Faramarzi, Mohammad Djaefar Moemenbellah-fardAbstract:Head Lice Infestation (Pediculosis) is one of the most important health challenges particularly in primary school-aged children. It is often present among 6–11-year-old students in various tropical and temperate regions of the world. The aim of this study was to examine epidemiologic indices and comparative analysis of two pyrethroid-based and one non-chemical pediculicide products on Head Lice treatment of primary school girls in a rural setting of Fars province, south Iran, as part of a randomized controlled assessor blind trial. Before treatment, infested students were screened using plastic detection combs to find live Head Lice. Three independent parallel groups, each with about 25 participants (#77) were eventually twice with a week apart treated with either 1% permethrin, 0.2% parasidose (d-phenothrin) or 4% dimeticone lotion preparations. In each case, a questionnaire form was completed on epidemiologic factors. Data were registered after a fortnight from primary scalp treatment and re-inspection on days 2, 6, 9 and 14. Data analyses were performed using Chi-square test with a P-value
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Comparative efficacy of three pediculicides to treat Head Lice Infestation in primary school girls: a randomised controlled assessor blind trial in rural Iran
BMC Dermatology, 2019Co-Authors: Hadi Kalari, Aboozar Soltani, Kourosh Azizi, Hossein Faramarzi, Mohammad Djaefar Moemenbellah-fardAbstract:Background Head Lice Infestation (Pediculosis) is one of the most important health challenges particularly in primary school-aged children. It is often present among 6–11-year-old students in various tropical and temperate regions of the world. The aim of this study was to examine epidemiologic indices and comparative analysis of two pyrethroid-based and one non-chemical pediculicide products on Head Lice treatment of primary school girls in a rural setting of Fars province, south Iran, as part of a randomized controlled assessor blind trial. Methods Before treatment, infested students were screened using plastic detection combs to find live Head Lice. Three independent parallel groups, each with about 25 participants (#77) were eventually twice with a week apart treated with either 1% permethrin, 0.2% parasidose (d-phenothrin) or 4% dimeticone lotion preparations. In each case, a questionnaire form was completed on epidemiologic factors. Data were registered after a fortnight from primary scalp treatment and re-inspection on days 2, 6, 9 and 14. Data analyses were performed using Chi-square test with a P -value
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comparative efficacy of three pediculicides to treat Head Lice Infestation in primary school girls a randomised controlled assessor blind trial in rural iran
BMC Dermatology, 2019Co-Authors: Hadi Kalari, Aboozar Soltani, Kourosh Azizi, Hossein Faramarzi, Mohammad Djaefar MoemenbellahfardAbstract:Head Lice Infestation (Pediculosis) is one of the most important health challenges particularly in primary school-aged children. It is often present among 6–11-year-old students in various tropical and temperate regions of the world. The aim of this study was to examine epidemiologic indices and comparative analysis of two pyrethroid-based and one non-chemical pediculicide products on Head Lice treatment of primary school girls in a rural setting of Fars province, south Iran, as part of a randomized controlled assessor blind trial. Before treatment, infested students were screened using plastic detection combs to find live Head Lice. Three independent parallel groups, each with about 25 participants (#77) were eventually twice with a week apart treated with either 1% permethrin, 0.2% parasidose (d-phenothrin) or 4% dimeticone lotion preparations. In each case, a questionnaire form was completed on epidemiologic factors. Data were registered after a fortnight from primary scalp treatment and re-inspection on days 2, 6, 9 and 14. Data analyses were performed using Chi-square test with a P-value < 0.05 being taken as statistically significant. From 3728 inspected students, 87 (2.33%) girls were infested with Head Lice, Pediculus humanus capitis De Geer, 1778. Ten students dropped out pertaining to exclusion criteria. No significant correlation was found between Head Lice Infestation level and hair length, hair style, itching, nationality, age, settlement site and baths; but there was a significant relationship between age and hair style (P = 0.027). The efficacy values on each of the above re-inspection days from each of the three treatments were 81, 74, 70 and 63% for permethrin; 83, 92, 100 and 100% for dimeticone; and 96, 88, 96 and 92% for d-phenothrin; respectively. A quartile difference in efficacy of permethrin relative to dimeticone on day 14 represented the scale of Head Lice resistance to permethrin treatment. There were significant statistical differences in case re-inspection days 9 (P = 0.008) and 14 (P = 0.003) post treatment. Only two dropout cases, one non-compliant and the other lost before the second-week treatment, from permethrin trial were observed following two applications a week apart. Dimeticone lotion had the fullest efficacy (100%) among all treatments. This high cure rate was attributed to the low level of Infestation and the extent of patients’ involvement. Parasidose swiftly ameliorated the infested cases by the second day since initial treatment. Female third grade students were the most infested cohort. Current Controlled Trials- IRCT2016041627408N1 , Dated: 21-08-2017.
Mohammad Djaefar Moemenbellah-fard - One of the best experts on this subject based on the ideXlab platform.
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Comparative efficacy of three pediculicides to treat Head Lice Infestation in primary school girls: a randomised controlled assessor blind trial in rural Iran
BMC Dermatology, 2019Co-Authors: Hadi Kalari, Aboozar Soltani, Kourosh Azizi, Hossein Faramarzi, Mohammad Djaefar Moemenbellah-fardAbstract:Head Lice Infestation (Pediculosis) is one of the most important health challenges particularly in primary school-aged children. It is often present among 6–11-year-old students in various tropical and temperate regions of the world. The aim of this study was to examine epidemiologic indices and comparative analysis of two pyrethroid-based and one non-chemical pediculicide products on Head Lice treatment of primary school girls in a rural setting of Fars province, south Iran, as part of a randomized controlled assessor blind trial. Before treatment, infested students were screened using plastic detection combs to find live Head Lice. Three independent parallel groups, each with about 25 participants (#77) were eventually twice with a week apart treated with either 1% permethrin, 0.2% parasidose (d-phenothrin) or 4% dimeticone lotion preparations. In each case, a questionnaire form was completed on epidemiologic factors. Data were registered after a fortnight from primary scalp treatment and re-inspection on days 2, 6, 9 and 14. Data analyses were performed using Chi-square test with a P-value
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Comparative efficacy of three pediculicides to treat Head Lice Infestation in primary school girls: a randomised controlled assessor blind trial in rural Iran
BMC Dermatology, 2019Co-Authors: Hadi Kalari, Aboozar Soltani, Kourosh Azizi, Hossein Faramarzi, Mohammad Djaefar Moemenbellah-fardAbstract:Background Head Lice Infestation (Pediculosis) is one of the most important health challenges particularly in primary school-aged children. It is often present among 6–11-year-old students in various tropical and temperate regions of the world. The aim of this study was to examine epidemiologic indices and comparative analysis of two pyrethroid-based and one non-chemical pediculicide products on Head Lice treatment of primary school girls in a rural setting of Fars province, south Iran, as part of a randomized controlled assessor blind trial. Methods Before treatment, infested students were screened using plastic detection combs to find live Head Lice. Three independent parallel groups, each with about 25 participants (#77) were eventually twice with a week apart treated with either 1% permethrin, 0.2% parasidose (d-phenothrin) or 4% dimeticone lotion preparations. In each case, a questionnaire form was completed on epidemiologic factors. Data were registered after a fortnight from primary scalp treatment and re-inspection on days 2, 6, 9 and 14. Data analyses were performed using Chi-square test with a P -value
