Clinical Profile And Quality Of Life In Scabies Patients-A Study In Enam Medical College And Hospital, Savar, Dhaka, Bangladesh

Abstract

Author(s): Md. Abu Baker, Nelson Taposh Mondal, Md. Rezaul Islam, Md. Momenuzzaman Khan, Md. Mahbub Hossain, Md. Quamrul Hasa

Background: Scabies is a common skin disorder. It is caused by a mite called Sarcopetes scabiei. Hundreds of millions of people suffer from infestation in disadvantaged urban and rural communities worldwide. Scabies can lead to stigmatization, depression, insomnia, and may other significantly effects on the quality of life.

Objectives: The aim of the study was to find the demographic profile, clinical morphology and quality of life in patients suffering from scabies.

Methods: This was a prospective, non-interventional, hospital-based, cross-sectional study undertaken from January 2021 to December 2021 at the dermatology department of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh. We have 314 patients of scabies who were enrolled in the study. Diagnosis of scabies was made by the presence of typical lesions in the site of predilection, nocturnal itching, and occurrence of similar complaints in the contact person. Demographic details, clinical findings, past history and family history was recorded in a proforma. Questionnaire about quality of life was given to the patients and a detailed analysis was done.

Results: Out of 314 patients 81.85% were male and 18.15% were female; 29.30% of our patients were below 10 years and more than half (56%) of the patients were below 18 years of age. Among the patients age group between 5 to 20, the most reported problem was the loss of school days (40%), followed by difficulty in participating in play & recreational activities (29.76%); these are because of being unacceptance & feeling of embarrassment by their friends & buddies. Most of them reported no or minimal effect on their quality of life although itching was a problem that distracted concentration in day time and causing some sleep disturbance at night. None of these patients had severely impaired quality of life. Mothers of the children, particularly the children age below 5 years reported sleep disturbance for both child & with whom they are sleeping in the same bed. Among the adults, (92%) patients experienced difficulty in working at the work place, 78.79% had feeling of embarrassment, social relationship was affected in nearly 50% of patients, sexual relationship was also affected in 50% of patients. 36.96% of the patients had mild depression.

Conclusions: Scabies moderately affected the quality of life of the patients in the present study in the form of feeling of embarrassment and social isolation due to stigmata and shame associated with this disease. All these findings were more frequently observed among adult patients as compared to children. In our study scabies mildly affected the quality of life.