{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T02:39:50Z","timestamp":1792723190559,"version":"4.5.0"},"reference-count":41,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2018,6,4]],"date-time":"2018-06-04T00:00:00Z","timestamp":1528070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Epidemiology and clinical features of scabies remain largely unknown in Nigeria\u2019s rural communities. To fill this gap, we performed a cross-sectional study in three rural communities in north central Nigeria. A total of 500 individuals were included and examined for scabies infestation; a questionnaire was applied to collect socio-demographic and behavioral data. Scabies was diagnosed in 325 (65.0%) participants. Excoriations (68.6%), vesicles (61.8%), and papules (58.8%) were common skin lesions. Itching was the most common symptom (77.5%); 64% complained of sleep disturbances. Lymphadenopathy was identified in 48.3%. Lesions were most commonly encountered on the abdomen (35.5%), inguinal area (19.1%), and interdigital spaces (14.2%). Poverty-related variables, such as illiteracy (OR: 7.15; 95% CI: 3.71\u201313.95), low household income (7.25; 1.19\u201388.59), absence of a solid floor inside house (12.17; 2.83\u201352.34), and overcrowding (1.98; 1.08\u20132.81) were significantly associated with infestation. Individual behavior, such as sharing of beds\/pillows (2.11; 1.42\u20133.14) and sharing of clothes (2.51; 1.57\u20133.99), was also highly significantly associated with scabies. Regular bathing habits (0.37; 0.24\u20130.56) and regular use of bathing soap (0.36; 0.21\u20130.53) were protective factors. Scabies is extremely common in the communities under study and is associated with considerable morbidity. The disease is intrinsically linked with extreme poverty.<\/jats:p>","DOI":"10.3390\/tropicalmed3020059","type":"journal-article","created":{"date-parts":[[2018,6,4]],"date-time":"2018-06-04T12:14:30Z","timestamp":1528114470000},"page":"59","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Scabies in Resource-Poor Communities in Nasarawa State, Nigeria: Epidemiology, Clinical Features and Factors Associated with Infestation"],"prefix":"10.3390","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9027-9209","authenticated-orcid":false,"given":"Uade Samuel","family":"Ugbomoiko","sequence":"first","affiliation":[{"name":"Parasitology Unit, Department of Zoology, University of Ilorin, PMB 1515 Ilorin, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel Adeola","family":"Oyedeji","sequence":"additional","affiliation":[{"name":"Parasitology Unit, Department of Zoology, University of Ilorin, PMB 1515 Ilorin, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olarewaju Abdulkareem","family":"Babamale","sequence":"additional","affiliation":[{"name":"Parasitology Unit, Department of Zoology, University of Ilorin, PMB 1515 Ilorin, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorg","family":"Heukelbach","sequence":"additional","affiliation":[{"name":"Department of Community Health, School of Medicine, Federal University of Cear\u00e1, Fortaleza CE 60430-140, Brazil"},{"name":"College of Public Health, Medical and Veterinary Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville 4811, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,6,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/j.1469-0691.2012.03798.x","article-title":"Scabies in the developing world\u2014Its prevalence, complications, and management","volume":"18","author":"Hay","year":"2012","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Romani, L., Koroivueta, J., Steer, A.C., Kama, M., Kaldor, J.M., Wand, H., Hamid, M., and Whitfeld, M.J. (2015). Scabies and impetigo prevalence and risk factors in Fiji: A national survey. PLoS Negl. Trop. Dis., 9.","DOI":"10.1371\/journal.pntd.0003452"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.1056\/NEJMcp052784","article-title":"Scabies","volume":"354","author":"Chosidow","year":"2006","journal-title":"N. Engl. J. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1016\/S0140-6736(12)61689-4","article-title":"Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990\u20132010: A systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Murray","year":"2012","journal-title":"Lancet"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1016\/S1473-3099(17)30483-8","article-title":"The global burden of scabies: A cross-sectional analysis from the Global Burden of Disease Study 2015","volume":"17","author":"Karimkhani","year":"2017","journal-title":"Lancet Infect. Dis."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1111\/j.1365-3156.2006.01809.x","article-title":"Clinical features and associated morbidity of scabies in a rural community in Alagoas, Brazil","volume":"12","author":"Jackson","year":"2007","journal-title":"Trop. Med. Int. Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1053\/jhin.1999.0716","article-title":"Outbreak of scabies in Norwegian nursing homes and home care patients: Control and prevention","volume":"45","author":"Andersen","year":"2000","journal-title":"J. Hosp. Infect."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/QCO.0b013e32835e847b","article-title":"Impact of scabies in resource-poor communities","volume":"26","author":"Heukelbach","year":"2013","journal-title":"Curr. Opin. Infect. Dis."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1111\/j.1365-2133.2005.06591.x","article-title":"Epidemiology and morbidity of scabies and pediculosis capitis in resource-poor communities in Brazil","volume":"153","author":"Heukelbach","year":"2005","journal-title":"Br. J. Dermatol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.jaad.2008.11.005","article-title":"The epidemiology of scabies in an impoverished community in rural Brazil: Presence and severity of disease are associated with poor living conditions and illiteracy","volume":"60","author":"Feldmeier","year":"2009","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.jmii.2011.12.003","article-title":"Risk factors for scabies in Taiwan","volume":"45","author":"Wang","year":"2012","journal-title":"J. Microbiol. Immunol. Infect."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/QCO.0b013e32835eb851","article-title":"Epidemiology of scabies","volume":"26","author":"Fuller","year":"2013","journal-title":"Curr. Opin. Infect. Dis."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1016\/S0140-6736(06)68772-2","article-title":"Scabies","volume":"367","author":"Heukelbach","year":"2006","journal-title":"Lancet"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Engelman, D., Kiang, K., Chosidow, O., McCarthy, J., Fuller, C., Lammie, P., Hay, R., Steer, A., and on behalf of the members of the International Alliance for the Control of Scabies (IACS) (2013). Toward the global control of human scabies: Introducing the International Alliance for the Control of Scabies. PLoS Negl. Trop. Dis., 7.","DOI":"10.1371\/journal.pntd.0002167"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/S1473-3099(06)70654-5","article-title":"Scabies: A ubiquitous neglected skin disease","volume":"6","author":"Hengge","year":"2006","journal-title":"Lancet Infect. Dis."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Yeoh, D.K., Anderson, A., Cleland, G., and Bowen, A.C. (2017). Are scabies and impetigo \u2018normalised\u2019? A cross-sectional comparative study of hospitalised children in northern Australia assessing clinical recognition and treatment of skin infections. PLoS Negl. Trop. Dis., 11.","DOI":"10.1371\/journal.pntd.0005726"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1111\/j.1365-4632.2007.03245.x","article-title":"Tungiasis: High prevalence, parasite load, and morbidity in a rural community in Lagos State, Nigeria","volume":"46","author":"Ugbomoiko","year":"2007","journal-title":"Int. J. Dermatol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1111\/ijd.12101","article-title":"The elimination of scabies: A task for our generation","volume":"52","author":"McLean","year":"2013","journal-title":"Int. J. Dermatol."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Feldmeier, H., Heukelbach, J., Ugbomoiko, U.S., Sentongo, E., Mbabazi, P., von Samson-Himmelstjerna, G., and Krantz, I. (2014). Tungiasis\u2014A neglected disease with many challenges for global public health. PLoS Negl. Trop. Dis., 8.","DOI":"10.1371\/journal.pntd.0003133"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.1365-4632.2004.02485.x","article-title":"Skin diseases in south-east Nigeria: A current perspective","volume":"44","author":"Nnoruka","year":"2005","journal-title":"Int. J. Dermatol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/j.1365-4632.2004.02298.x","article-title":"Prevalence of different skin conditions in an outpatients\u2019 setting in north-western Nigeria","volume":"44","author":"Onayemi","year":"2005","journal-title":"Int. J. Dermatol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1111\/j.1365-4632.2007.03218.x","article-title":"Change in pattern of skin disease in Kaduna, north-central Nigeria","volume":"46","author":"Yahya","year":"2007","journal-title":"Int. J. Dermatol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"287","DOI":"10.4103\/1119-3077.86769","article-title":"Prevalence of dermatological lesions in hospitalized children at the University College Hospital, Ibadan, Nigeria","volume":"14","author":"Okafor","year":"2011","journal-title":"Niger. J. Clin. Pract."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"148","DOI":"10.5539\/gjhs.v4n3p148","article-title":"Pattern of skin diseases at university of Benin teaching hospital, Benin city, Edo State, South-South Nigeria: A 12 month prospective study","volume":"4","author":"Ukonu","year":"2012","journal-title":"Glob. J. Health Sci."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1136\/pgmj.2003.014563","article-title":"Scabies: More than just an irritation","volume":"80","author":"McCarthy","year":"2004","journal-title":"Postgrad. Med. J."},{"key":"ref_26","first-page":"210","article-title":"Spread of scabies and pediculus humanus among the children at Sivas orphanage","volume":"31","author":"Oztiirkcan","year":"1994","journal-title":"Indian Pediatr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/S0033-3506(01)00445-0","article-title":"Sarcoptes scabiei infestation among children in a displacement camp in Sierra Leone","volume":"115","author":"Terry","year":"2001","journal-title":"Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1111\/j.1442-200X.2003.01811.x","article-title":"Scabies in Thai orphanages","volume":"45","author":"Pruksachatkunakorn","year":"2003","journal-title":"Pediatr. Int."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4269\/ajtmh.16-0031","article-title":"Scabies among elderly Korean patients with histories of leprosy","volume":"95","author":"Park","year":"2016","journal-title":"Am. J. Trop. Med. Hyg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/S0001-706X(99)00087-X","article-title":"Treatment with ivermectin reduces the high prevalence of scabies in a village in Papua New Guinea","volume":"75","author":"Bockarie","year":"2000","journal-title":"Acta Trop."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1186\/s13071-016-1690-3","article-title":"Prevalence and drivers of human scabies among children and adolescents living and studying in Cameroonian boarding schools","volume":"9","author":"Kouotou","year":"2016","journal-title":"Parasites Vectors"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1111\/j.1365-4362.1991.tb02612.x","article-title":"Scabies and pyoderma in Lilongwe, Malawi","volume":"30","author":"Kristensen","year":"1991","journal-title":"Int. J. Dermatol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1046\/j.1365-4362.1998.00367.x","article-title":"Epidemiologic aspects of scabies in Mali, Malawi, and Cambodia","volume":"37","author":"Landwehr","year":"1998","journal-title":"Int. J. Dermatol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1590\/S1413-86702007000400001","article-title":"Transmission of scabies in a rural community","volume":"11","author":"Jackson","year":"2007","journal-title":"Braz. J. Infect. Dis."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2471\/BLT.07.047308","article-title":"Epidermal parasitic skin diseases: A neglected category of poverty-associated plagues","volume":"87","author":"Feldmeier","year":"2009","journal-title":"Bull. World Health Organ."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"105","DOI":"10.2147\/CCID.S78287","article-title":"Scabies among primary schoolchildren in Egypt: Sociomedical environmental study in Kafr El-Sheikh administrative area","volume":"8","author":"Hegab","year":"2015","journal-title":"Clin. Cosmet. Investig. Dermatol."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Steer, A.C., Jenney, A.W., Kado, J., Batzloff, M.R., La Vincente, S., Waqatakirewa, L., Mulholland, E.K., and Carapetis, J.R. (2009). High burden of impetigo and scabies in a tropical country. PLoS Negl. Trop. Dis., 3.","DOI":"10.1371\/journal.pntd.0000467"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1111\/j.1525-1470.2011.01680.x","article-title":"Acute morbidity associated with scabies and other ectoparasitoses rapidly improves after treatment with ivermectin","volume":"29","author":"Worth","year":"2012","journal-title":"Pediatr. Dermatol."},{"key":"ref_39","unstructured":"World Health Organization, Department of Child, Adolescent Health, WHO, and UNICEF (2005). Handbook IMCI: Integrated Management of Childhood Illness, WHO."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1111\/j.1365-3156.2005.01457.x","article-title":"Pyoderma, group A streptococci and parasitic skin diseases\u2014A dangerous relationship","volume":"10","author":"Feldmeier","year":"2005","journal-title":"Trop. Med. Int. Health"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.tmaid.2003.10.003","article-title":"A longitudinal study on cutaneous larva migrans in an impoverished Brazilian township","volume":"1","author":"Heukelbach","year":"2003","journal-title":"Travel Med. Infect. Dis."}],"container-title":["Tropical Medicine and Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2414-6366\/3\/2\/59\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T15:07:12Z","timestamp":1760195232000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2414-6366\/3\/2\/59"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,4]]},"references-count":41,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,6]]}},"alternative-id":["tropicalmed3020059"],"URL":"https:\/\/doi.org\/10.3390\/tropicalmed3020059","relation":{},"ISSN":["2414-6366"],"issn-type":[{"value":"2414-6366","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,4]]}}}