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Burden of paediatric pyoderma and scabies in North West Queensland.
[acute rheumatic fever]
The
study
aims
to
assess
the
health
burden
of
children
admitted
with
'
scabies
'
to
Mt
Isa
Hospital
,
the
referral
centre
for
North
West
Queensland
,
from
2006
to
2010
.
This
is
a
retrospective
chart
audit
of
admissions
of
children
with
'
scabies
'
including
age
,
sex
,
date
,
residence
,
Indigenous
status
,
result
of
skin
swabs
and
length
of
stay
,
and
the
number
of
admissions
with
acute
rheumatic
fever
(
ARF
)
and
acute
post-streptococcal
glomerulo-
nephritis
(
APSGN
)
in
that
period
.
Financial
burden
was
estimated
from
daily
bed
costs
and
transportation
.
There
were
113
admissions
with
mean
age
of
23
/
12
:
11
%
were
<
2
/
12
and
mean
stay
was
4
.
5
days
.
19
were
admitted
twice
,
5
thrice
and
2
four
times
.
7
individuals
accounted
for
25
%
of
admissions
.
'
Scabies
'
accounted
for
10
.
1
%
of
medical
admissions
<
5
years
of
age
.
Admissions
increased
from
10
in
2005
to
39
in
2010
.
The
minimum
cost
per
admission
was
$
9584
.
07
.
Seventy
-
one
per
cent
of
swabs
grew
Group
A
streptococcus
,
all
sensitive
to
penicillin
.
Sixty
-
three
per
cent
of
these
were
accompanied
by
Staphylococcus
aureus
,
which
was
the
sole
organism
in
18
%
.
Sixty
-
four
per
cent
of
S
.
aureus
were
methicillin
resistant
.
There
were
29
admissions
for
ARF
and
23
with
APSGN
.
All
children
with
'
scabies
'
and
ARF
and
all
but
three
with
APSGN
were
Indigenous
.
Pyoderma
and
scabies
are
major
health
burdens
in
North
West
Queensland
,
requiring
organised
community-based
prevention
.
The
number
of
repeat
admissions
emphasises
the
futility
of
individual
treatment
.
Diseases
Validation
Diseases presenting
"acute rheumatic fever"
symptom
acute rheumatic fever
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