{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T07:01:19Z","timestamp":1789974079265,"version":"4.0.1"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001537","name":"University of Auckland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001537","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scabies remains an important public health issue in New Zealand, particularly amongst socioeconomically disadvantaged populations. This study evaluated scabies\u2010related referrals to a regional dermatology service, including treatment patterns, symptom persistence, and equity outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational study was conducted of scabies\u2010related referrals submitted to Waikato Dermatology between July 2024 and June 2025. Data was accessed through the Best Practice Advocacy Centre (BPAC) New Zealand database, with reference to clinical records and the New Zealand ePrescription Service (NZePS). Demographic characteristics, referral patterns, treatment before and after dermatology review, and persistent symptoms were reviewed. Diagnoses were categorised as dermatologist\u2010diagnosed or possible scabies, based on specialist clinical assessment with reference to the International Alliance for the Control of Scabies (IACS) diagnostic criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over the 13\u2010month period, 149 referrals were reviewed, of which 117 (78.5%) were dermatologist\u2010confirmed or possible scabies. The median age was 30\u2009years, and 35% identified as M\u0101ori. Referrers explicitly suspected scabies in 89 referrals (76.1%), while burrows were documented in only 18 referrals (15.4%). Following dermatology review, combined permethrin and ivermectin prescribing increased significantly, from 14 (12.0%) to 46 patients (39.3%) (McNemar\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Persistent symptoms were reported in 63 patients (53.8%) and were significantly more common in dermatologist\u2010diagnosed scabies than in possible scabies (odds ratio 6.0, 95% confidence interval (CI) 2.2\u201316.4;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Symptom persistence was significantly more common in M\u0101ori patients than New Zealand European patients (75.6% vs. 47.3%; odds ratio 3.5, 95% CI 1.4\u201384;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most scabies\u2010related referrals were clinically consistent with dermatologist\u2010diagnosed or possible scabies, and clinical recognition by referrers was generally high, although classical supporting features were inconsistently documented. Persistent symptoms were common and likely multifactorial, more in keeping with treatment complexity, reinfestation, and socioeconomic barriers than true antiparasitic resistance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajd.70208","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:11:36Z","timestamp":1789971096000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Scabies Referrals to a New Zealand Dermatology Service: Recognition, Treatment and Persistent Symptoms"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3645-1864","authenticated-orcid":false,"given":"Baraa","family":"Abuharbid","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4651-9927","authenticated-orcid":false,"given":"Karen","family":"Koch","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Waikato Campus University of Auckland  Auckland New Zealand"},{"name":"Department of Dermatology Waikato Hospital  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9461-2790","authenticated-orcid":false,"given":"Amanda","family":"Oakley","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences University of Auckland  Auckland New Zealand"},{"name":"New Zealand Graduate School of Medicine, Division of Health University of Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010024\u201000552\u20108"},{"issue":"9524","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1016\/S0140-6736(06)68772-2","article-title":"Scabies","volume":"367","author":"Heukelbach J.","year":"2006","journal-title":"Lancet"},{"issue":"7","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1111\/j.1365-4362.1979.tb01966.x","article-title":"SCABIES IN New Zealand","volume":"18","author":"Andrews J. R. H.","year":"1979","journal-title":"International Journal of Dermatology"},{"issue":"6","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1111\/jpc.13851","article-title":"Scabies Is Strongly Associated With Acute Rheumatic Fever in a Cohort Study of Auckland Children","volume":"54","author":"Thornley S.","year":"2018","journal-title":"Journal of Paediatrics and Child Health"},{"issue":"1","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1177\/1203475420960446","article-title":"Scabies: Diagnostic and Therapeutic Update","volume":"25","author":"Richards R. N.","year":"2020","journal-title":"Journal of Cutaneous Medicine and Surgery"},{"issue":"3","key":"e_1_2_11_7_1","article-title":"Is There a Really Resistance to Scabies Treatment With Permethrin? In\u00a0Vitro Killing Activity of Permethrin on Sarcoptes scabiei From Patients With Resistant Scabies","volume":"35","author":"Y\u00fcrekli A.","year":"2021","journal-title":"Dermatologic Therapy"},{"issue":"5","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1046\/j.1525-1470.2002.00115.x","article-title":"Scabies Incognito Presenting as Urticaria Pigmentosa in an Infant","volume":"19","author":"Kim K. J.","year":"2002","journal-title":"Pediatric Dermatology"},{"issue":"1","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"188","DOI":"10.3346\/jkms.2010.25.1.188","article-title":"Crusted (Norwegian) Scabies Following Systemic and Topical Corticosteroid Therapy","volume":"25","author":"Binic I.","year":"2010","journal-title":"Journal of Korean Medical Science"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010026\u201054332\u20103"}],"container-title":["Australasian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.70208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajd.70208","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.70208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:11:38Z","timestamp":1789971098000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajd.70208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,20]]},"references-count":9,"alternative-id":["10.1111\/ajd.70208"],"URL":"https:\/\/doi.org\/10.1111\/ajd.70208","archive":["Portico"],"relation":{},"ISSN":["0004-8380","1440-0960"],"issn-type":[{"value":"0004-8380","type":"print"},{"value":"1440-0960","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,20]]},"assertion":[{"value":"2026-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ajd.70208"}}