Discover and read the best of Twitter Threads about #scabies

Most recents (9)

1/3 If we're testing #ivermectin for #COVID19, it exposes the scandal that #ivermectin is not licensed for routine use for #scabies outbreaks in the #UK. We know it works for #scabies (unlikely in #COVID19). It's on the @WHO #EssentialDrugs list! @UniofOxford @CMO_England
2/3 .. our #scabies research explores why this local and global #NeglectedTropicalDisease gets missed in #UK #carehomes. Take a look here at our research. Why aren't we using #ivermectin routinely? @UniofOxford @NIHRresearch
3/3 so #ivermectin is being trialled in #COVID19 while remaining unlicensed and hard to obtain for #scabies? Hope those @OxfordMedSci scientists will join us #scabies folk to get this changed #Principles Image
Read 5 tweets
Pleased to have contributed to this letter led by @rwjdingwall. And it really does come from a wide range of perspectives - some co-authors blocked me ages ago! #covid19 express.co.uk/life-style/hea…
Here's a bit more on where I am coming from. Blog at jackiecassell.com mostly on #covid19 but with a soupçon of #scabies
Read 3 tweets
1/3 Once you get the #scabies itch, it's hard to get rid of it! @michaelghead and @MedVetAcarology doing fantastic international work #NTD
2/3 Which builds on our #NTD work in the UK, would you believe. Here's why we're looking forward to seeing #scabies again in #carehomes as #COVID19 ebbs jackiecassell.com/scabies-in-car…
3/3 With #scabies - like #COVID19 - we must ask "Can rates of infection be too low?" Same for #syphilis - took early #AIDS epidemic in #UK, and Maoism in #China. Something I ask students when teaching on #STI #HIV. Serious question.
Read 4 tweets
1/ However we would just *love* to see orphan #ivermectin licensed as first line for #scabies. #Carehome outbreaks are a nightmare jackiecassell.com/scabies-in-car… @merck @michaelghead @MedVetAcarology
2/ And you'll be amazed how many people have had #scabies if you start the conversation. Here's more about our work on #scabies and the need for #ivermectin. (Don't miss out the #ScabiesOpera) @Merck
Read 3 tweets
Pleased to announce new #beatNTDs paper published, covering our 2019 study on #scabies and skin infections in #Ghana.
Published in Transactions @RSTMH, with equity in authorship - academic.oup.com/trstmh/advance…

#globalhealth (/1)
We trained healthcare staff on recognising scabies & other skin infections. Over 6-month period, study clinics recorded and reviewed 385 cases of skin infections. There were 45 diagnosed scabies cases (3rd most common skin infection, behind bacterial #dermatitis and #tinea) (/2)
We also assessed how far the patient travelled from home to clinic. There was a lot of ‘bypassing’ (i.e. they did not attend their nearest health centre, they travelled further than in theory they needed to) (/3)
Read 11 tweets
5 areas you should wash thoroughly before you leave the bathroom

1. Around your ears
2. Armpits
3. Groin & anal region
4. In-between your fingers
5. In-between your toes

A thread 🧵

{Retweet for awareness!} Image
When some people go to have a bath, they just pour water on their bodies, with or without soap, & pay little attention to cleaning the dirtiest & most vulnerable parts of their skin.

You need to do this to keep your skin clean & prevent lots of skin diseases.
The back of ears & ridge in front of the ears are often ignored when most people bath.

Some people come out of the bathroom but you still see dirt around these areas.

They are exposed to the outside & can harbor germs, dust & dirt.

Take time to clean these areas when bathing.
Read 9 tweets
When I started working on #scabies outbreaks in #carehomes some of my colleagues thought it was a weird, marginal interest. Now with #COVID19 it's changing. Everyone's realising that infection is a big deal in these #EndOfLife settings. Image
#Carehomes for older people are hard to study. Residents often have #dementia, staff are run off their feet, #consent to research is difficult - brilliant colleagues including @MedVetAcarology sorted this academic.oup.com/phe/article-ab…
Life expectancy on entry to a #carehome for older people is typically 8 months - these settings are largely #LastHomes. Everyone needs a plan for what will and won't happen for the common things likely to make them ill or deteriorate. #CPR probably not part of it
Read 13 tweets
#TRIBECON begins #Pravara; felicitations to #AbhayBang @SearchGad & #sudarshan #VGKK for their inspiring work on #TribalHealth; @DrLahariya @whoindia among others felicitated
#abhayBang #healthsystem design for tribal communities need to be relooked for #UHC; strategies & schemes must adapt with local social & cultural context; recollects #Brainstorming with @DesirajuKeshav at @SearchGad leading to #ExpertCommittee #tribalhealth @TribalHealthIND
#TRIBECON #AbhayBang notes with happiness increasing interest in #tribalhealth research, yet this continues to be “off the beaten path”; congratulations to #pravara medical college in bringing this together; the proposed #Bandardhara declaration to improve #tribalhealth research
Read 81 tweets
All right #medtwitter, ready to feel itchy? Get your Sarna ready and read on for a #tweetorial/#medthread on....

SCABIES!!!

#dermtwitter #dermatology #MedEd #FOAMEd pc: @dermnetnz #derm #itch #pruritus
1/
What exactly is scabies? Sarcoptes scabiei var. hominis is the technical name of this parasitic mite that burrows into the skin (itchy yet?😆). It is notoriously difficult to diagnose, and has humbled many a #dermatologist.

It has a very characteristic look under the scope!
2/ Image
On exam, most know the classic distribution: interdigital spaces (pic1). However, other places to look include the areola, axilla, and umbilicus. In kids, the lesions tend to be all over the place (perhaps because they aren't as good at scratching them off! - pic2).
3/ ImageImage
Read 17 tweets

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