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• W2071946174 abstract "La gale est une parasitose contagieuse le plus souvent bénigne, pour laquelle des retards au diagnostic et au traitement peuvent engendrer de nombreuses difficultés pour les patients et leur entourage, ainsi qu’un risque de diffusion secondaire. À la suite de nombreux signaux suggérant une recrudescence de la gale en France, nous avons analysé différents indicateurs disponibles. Les signalements spontanés ou obligatoires aux structures de santé publique et les chiffres de vente des traitements de gale ont été examinés pour la période allant de 1999 à 2010 en France. Les signalements aux structures de santé publique suggèrent une augmentation du nombre de cas de gale en communauté et dans les établissements de santé. Les ventes régionales et nationales de scabicides ont augmenté. À l’échelle nationale, entre 2005 et 2009, ces ventes sont passées de 283 à 402 flacons pour 100 000 personnes par an (+10 % par an) pour le benzoate de benzyle et de 216 à 495 traitements pour 100 000 personnes par an (+22 %) pour l’ivermectine. Ces données permettent d’estimer l’incidence en France à un minimum de 328 cas de gale pour 100 000 personnes par an. L’interprétation des données est discutée, notamment les biais liés aux pratiques de signalement et aux modalités de traitement des cas et de leur entourage. Néanmoins, l’ensemble des informations recueillies indique une réelle augmentation de l’incidence de la gale en France. Ce constat nous conduit à recommander une sensibilisation renforcée du public, des cliniciens et partenaires de santé publique, afin d’assurer un diagnostic et un traitement précoces. Scabies is a contagious parasitic infestation that is benign in most cases; however, delay in diagnosis and treatment can cause numerous problems for patients and people in their vicinity, as well as a risk of secondary spread. Following numerous reports suggesting increased incidence of scabies in France, we analysed various available indicators. We analysed spontaneous and mandatory reports submitted to public health bodies as well as sales figures for scabies treatments in France over the period between 1999 and 2010. Reports submitted to public health structures suggest an increase in the number of cases of scabies both within the community and in healthcare establishments. An increase was seen in regional and national sales of scabies treatments. At the national level, between 2005 and 2009, sales rose from 283 to 402 bottles per 100,000 persons per year (+10% per year) for benzyl benzoate and from 216 to 495 treatments per 100,000 persons per year (+22%) for ivermectin. Based on these data, the minimum estimated annual incidence of scabies in France is 328 cases per 100,000 persons. There is some discussion surrounding the interpretation of these data, particularly the bias associated with reporting practice and with the protocols used to treat affected subjects and those in their vicinity. However, all of the information gathered indicates a real increase in the incidence of scabies in France, as a result of which we recommend increased information for the general public, clinical practitioners and public health partners in order to ensure early diagnosis and treatment." @default.
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• W2071946174 date "2012-06-01" @default.
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• W2071946174 title "La gale en France entre 1999 et 2010 : augmentation de l’incidence et implications en santé publique" @default.
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• W2071946174 doi "https://doi.org/10.1016/j.annder.2012.01.023" @default.
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