Spectrum of infectious dermatoses in pediatric population attending tertiary care centers in Central India: an observational study
Abstract
Background: Pediatric infectious dermatoses are distinct group of disorders, comprising of skin problems encountered during childhood and adolescence. There is variation in the pattern and presentation of dermatoses in childhood compared to adults.
Aims & Objectives: To determine the prevalence and clinical characteristics of different infectious pediatric dermatoses in rural tertiary care centers in central India.
Materials &Methods: This is a cross-sectional study of infectious dermatoses in pediatric patients attending DVL OPD of tertiary care centers, Index Medical College Hospital & Research Center, Indore (M.P.) & Amaltas Institute of Medical Sciences, Dewas (M.P.) between JULY 2018toNOV 2019.
Results: There were 106 boys and 94 girls in total 200 study populations. Over all most common infections in the present study were Molluscum contagiosum (14.5%), Pityriasis versicolor (14%) and Tinea corporis (14%). Majority of the infectious skin conditions were Fungal infections (48%) among which most common was dermatophytosis (58.33% of fungal infections) followed by Pityriasis versicolor (29.16% of fungal infections). Viral infections comprised of 37% of all infections among which the most common is Molluscum contagiosum (39.1%) followed by Viral warts (21.6%) and Pityriasis rosea (14.86%). Bacterial infections were 15% of all the infections. Most common bacterial infection was Furunculosis (30%) followed by Impetigo (23.33%) and Secondary pyoderma (20%).
Conclusion: The present study was aimed at studying the spectrum of infectious dermatoses in pediatric population in a rural health setup. The present study showed upward trend in fungal infections and downward trend in bacterial infections.
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2. Federman DG, Reid MC, Feldman SR, Greenhoe J, Kirsner RS. The primary care provider and the care of skin disease. Arch Dermatol. 2001;137(1):25-29. doi:10.1001/archderm.137.1.25.
3. Sharma NK, Garg BK, Goel M. Pattern of skin diseases in urban school children. Indian J Dermatol Venereol Leprol. 1986;52(6):330-331.
4. Wisuthsarewong W, Viravan S. Analysis of skin diseases in a referral pediatric dermatology clinic in Thailand. J Med Assoc Thai. 2000;83(9):999-1004.
5. Serarslan G, Savas N. Prevalence of skin diseases among children and adolescents living in an orphanage in Antakya, Turkey. Pediatr Dermatol. 2005;22(5):490-492. doi: https://doi.org/10.1111/j.1525-1470.2005.00125.x.
6. Laude TA. Approach to dermatologic disorders in black children. Semin Dermato.1995;14(1):15-20. doi: 10.1016/s1085-5629(05)80034-3.
7. Roger M, Barnetson RS. Diseases of skin. In: Campbell AGM, Mcintosh N, editors. Fortar and Arneil's Textbook of pediatrics. 5th ed. New York, NY: Churchil Levingstone; 1998. p. 1633-1635.
8. Bechelli LM, Haddad N, Pimenta WP, Pagnano PM, Melchior E Jr, Fregnan RC, et al. Epidemiological survey of skin diseases in schoolchildren living in the Purus Valley (Acr State, amzonia, brazil) Dermatologica 1981;163(1):78-93.
9. Williams H, Stewart A, Von Mutius E, Cookson W, Anderson HR. Is eczema really on the increase worldwide? J Allergy Clin Immunol. 2008;121(4):947-954. doi: https://doi.org/10.1016/j.jaci.2007.11.004.
10. Yoshio H, Lagercrantz H, Gumundsson GH Agerberth B. First line of defense in early human life; Semin Perinatol 2004;28(4);304-311. doi: https://doi.org/10.1053/j.semperi.2004.08.008.
11. Patel JK, Vyas AP, Berman B, Vierra M. Incidence of childhood dermatosis in India. Skinmed. 2010; 8(3):136‑142.
12. Bhatia V. Extent and pattern of paediatric dermatoses in rural areas of central India. Indian J Dermatol Venereol Leprol. 1997;63(1):22‑25.
13. Ghosh SK, Saha DK, Roy AK. A clinic aetiological study of dermatoses in pediatric age group. Indian J Dermatol. 1995;40:29‑31.
14. Sharma RC, Mendiratta V. Clinical profile of cutaneous infections and infestations in paediatric age group. Indian J Dermatol. 1999;44(4):174-178.
15. Ben Saif GA, Al Shehab SA. Pattern of Childhood Dermatoses at a Teaching Hospital of Saudi Arabia. Int J Health Sci (Qassim). 2008;2:63-74.
16. Sacchidanand S, Sahana MS, Asha GS, Shilpa K. Patternof pediatric dermatoses at a referral centre. Indian J Pediatr. 2014;81(4):375‑380. doi: 10.1007/s12098-012-0904-8. Epub 2012 Nov 6.
17. Karthikeyan K, Thappa DM, Jeevankumar B. Pattern ofpediatric dermatoses in a referral center in South India. Indian Pediatr. 2004;41(4):373‑377.
18. Saurabh S, Sahu SK, Sadishkumar A, Kakkanattu JC, Prapath I, Ralte IL, et al. Screening for skin diseases among primary school children in a rural area of Puducherry. Indian J Dermatol Venereol Leprol. 2013; 79(2):268. doi: 10.4103/0378-6323.107664.
19. Sterling JC, Kurtz JB. Viral infections. In: Champion RH, Burton JL, Burns DA, Breathnach SM, editors. Textbook of Dermatology. 6th ed., Vol. 4. New York: Blackwell Science; 1998. p. 995‑1095.
20. Chen GY, Cheng YW, Wang CY, Hsu TJ, Hsu MM, Yang PT, et al. Prevalence of skin diseases among schoolchildren in Magong, Penghu, Taiwan: A community-based clinical survey. J Formos Med Assos. 2008; 107(1):21-29. doi: 10.1016/S0929-6646(08)60004-2.
21. Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol. 2003;20(6):482-487.
22. Yahya H. Change in pattern of skin disease in Kaduna, north-central Nigeria. Int J Dermatol 2007;46(9):936-943. doi: https://doi.org/10.1111/j.1365-4632.2007.03218.x.
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