Comparison of Clinical Assessment and Adhesive-Tape Laboratory Microscopic of Sarcoptes scabiei for Scabies Diagnostic
DOI:
https://doi.org/10.31964/mltj.v7i1.379Keywords:
Scabies, clinical assessment, adhesive-tape, Sarcoptes scabieiAbstract
Scabies infestation caused by Sarcoptes scabiei mite that infected the skin by making the tunnel burrow. Diagnosis of scabies infestation commonly relies on clinical assessment (CA). However, some scabies symptoms are similar to other diseases. Diagnosis of confirmed scabies can be made by identifying egg or Sarcoptes scabiei mite or scybala through skin scraping laboratory microscopic examination, which was the adhesive tape microscopic (AT) a noninvasive alternative. We aimed to compare the scabies diagnostic accuracy of CA and AT in Islamic Boarding School. This study was an analytical observational cross-sectional study. The population was 94 students of Islamic Boarding School, determining the sample base on purposive sampling technique. There were 34 samples with presumptive scabies analyzed with CA by two clinicians and AT by two trained laboratory technicians. The result showed that the number of patients who positive scabies by CA was 14 (41.18 percent) and 31 (91.18 percent) by AT. Sensitivity was 41.93 percent for CA and 92.85 percent for AT, and the difference was significantly based on Cohen's kappa (ⱪ=0.024). The number of positive cases with both techniques was 13 (38.24 percent). The number of patients positive with only CA was 1 (2.93 percent), and only AT was 18 (22.9 percent). The accuracy of CA was only 44,11 percent. The study concluded that CA is low accuracy than AT. The adhesive tape test is easy, needs no expensive equipment. It is recommended that adhesive tape test for screening purposes. The appropriate comprehensive of both methods for scabies diagnostic is highly recommended.References
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Engelman, D., Yoshizumi, J., Hay, R. J., Osti, M., Micali, G., Norton, S., Walton, S., Boralevi, F., Bernigaud, C., Bowen, A. C., Chang, A. Y., Chosidow, O., Estrada-Chavez, G., Feldmeier, H., Ishii, N., Lacarrubba, F., Mahé, A., Maurer, T., Mahdi, M. M. A., … Fuller, L. C. (2020). The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. British Journal of Dermatology, 183(5), 808–820. https://doi.org/10.1111/bjd.18943
Estrada-Chávez, G., Estrada, R., Engelman, D., Molina, J., & Chávez-López, G. (2018). Cushing syndrome due to inappropriate corticosteroid topical treatment of undiagnosed scabies. Tropical Medicine and Infectious Disease, 3(3). https://doi.org/10.3390/tropicalmed3030082
Katsumata, K., & Katsumata, K. (2006). A simple method of detecting Sarcoptes scabiei var hominis mites among bedridden elderly patients suffering from severe scabies infestation using an adhesive tape. Internal Medicine, 45(14), 857–859. https://doi.org/10.2169/internalmedicine.45.1707
Leung, V., & Miller, M. (2011). The 2010 CJIDMM Trainee Review Award Detection of scabies : A systematic review of diagnostic methods. Can J Infect Dis Med Microbiol, 22(4), 143–146.
M. J. Thompson, D. Engelman, K. Gholam, L. C. Fuller, A. C. S. (2017). Systematic review of the diagnosis of scabies in therapeutic trials. Clinical and Experimental Dermatology, 42(5), 481–487. https://doi.org/https://doi.org/10.1111/ced.13152
Muafidah, N., Santoso, I., & Darmiah. (2017). Hubungan Personal Higiene dengan Kejadian Skabies pada Santri Pondok Pesantren Al Falah Putera Kecamatan Liang Anggang Tahun 2016. Journal of Health Science and Prevention, 1(1), 7–10.
Osti, M. H., Sokana, O., Gorae, C., Whitfeld, M. J., Steer, A. C., & Engelman, D. (2019). The diagnosis of scabies by non-expert examiners: A study of diagnostic accuracy. PLoS neglected tropical diseases, 13(8), e0007635.
Ständer, S., & Ständer, S. (2021). Itch in Scabies—What Do We Know? Frontiers in Medicine, 8(February), 1–6. https://doi.org/10.3389/fmed.2021.628392
Trasia, R. F. (2021). Scabies in Indonesia: Epidemiology and Prevention. Insights in Public Health Journal, 1(2), 30. https://doi.org/10.20884/1.iphj.2020.1.2.3071
Walker, S. L., Collinson, S., Timothy, J., Zayay, S., Kollie, K. K., Lebas, E., Halliday, K., Pullan, R., Fallah, M., & Marks, M. (2020). A community-based validation of the international alliance for the control of scabies consensus criteria by expert and non-expert examiners in Liberia. PLoS Neglected Tropical Diseases, 14(10), 1–11. https://doi.org/10.1371/journal.pntd.0008717
Walter, B., Heukelbach, J., Fengler, G., Worth, C., Hengge, U., & Feldmeier, H. (2011). Comparison of dermoscopy, skin scraping, and the adhesive tape test for the diagnosis of scabies in a resource-poor setting. Archives of Dermatology, 147(4), 468–473. https://doi.org/10.1001/archdermatol.2011.51
WHO. (2019). WHO Informal Consultation on a Framework for Scabies Control Meeting report (Issue February).
Zhang, W., Zhang, Y., Luo, L., Huang, W., Shen, X., Dong, X., Zeng, W., & Lu, H. (2020). Trends in prevalence and incidence of scabies from 1990 to 2017: findings from the Global Burden of Disease study 2017. Emerging Microbes and Infections, 9(1), 813–816. https://doi.org/10.1080/22221751.2020.1754136
Zorbozan, O., Gerçeker Türk, B., Acar, A., Oraloğlu, G., Ünver, A., Töz, S., Ünal, İ., & Turgay, N. (2020). Comparison of Skin Scraping and Standard Superficial Skin Biopsy in the Laboratory Diagnosis of Scabies. Turkiye Parazitolojii Dergisi, 44(3), 164–167. https://doi.org/10.4274/tpd.galenos.2020.6828
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Published
2021-06-30
How to Cite
Rifqoh, R., Norsiah, W., & Oktiyani, N. (2021). Comparison of Clinical Assessment and Adhesive-Tape Laboratory Microscopic of Sarcoptes scabiei for Scabies Diagnostic. Medical Laboratory Technology Journal, 7(1), 73–82. https://doi.org/10.31964/mltj.v7i1.379
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