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- W4381325382 abstract "<h3>Introduction</h3> Resistance to recommended treatments for scabies has emerged in recent years. In response to anecdotal UK reports of a recent increase in treatment failure with Permethrin, BASHH released a statement alerting members to this and encouraging local data collection. <h3>Aims</h3> To examine number of attendances and treatment pathways of scabies cases presenting to local sexual health clinics. <h3>Methods</h3> Case note review of all scabies attendances between 2017 and 2023. Data collected in excel for patient demographics, clinical information and treatment histories. Statistical analysis was performed using Stata version 16 <h3>Results</h3> There were 80 scabies attendances between 2017 and 2023. Median age was 24 years (IQR 21, 31), the majority were male (89%) and White British (65%). 53% were men having sex with men, 5% were living with HIV, 27.5% on HIV-PrEP, 44% had an STI in the past year and 40% had a concurrent STI at the time of scabies diagnosis. The number of scabies cases did not appear to increase significantly from 2017 to 2023 (p=0.09). There was a significant increase in median number of treatments per case over time (p=0.05). There appears to be a trend for more individuals needing Ivermectin over time (p-trend<0.01) <h3>Discussion</h3> Our results suggest that individuals presenting to our GUM clinic with scabies are requiring more treatments to clear infection. Use of Ivermectin has risen in the last year suggesting that second-line treatment is increasingly needed for eradication. Whilst treatment failure may be due to non-compliance with treatment and decontamination efforts for both index and contacts, the more recent change in findings could be attributed to a rise in Permethrin resistance." @default.
- W4381325382 created "2023-06-21" @default.
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- W4381325382 date "2023-06-01" @default.
- W4381325382 modified "2023-09-26" @default.
- W4381325382 title "N03 Scratching beneath the surface – a review of scabies attendances to the GUM clinic" @default.
- W4381325382 doi "https://doi.org/10.1136/sextrans-bashh-2023.34" @default.
- W4381325382 hasPublicationYear "2023" @default.
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