Place of Hygiene in Scabies's Treatment in Populations in Precarious Situations

Status: Not yet recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable

Scabies is a parasitic pathology contracted mainly through human contamination. It is caused by a parasite (Sarcoptes Scabiei var. hominis) which lodges into the top layer of the epidermis creating a burrow, which can measure 5 mm to 15 mm, where the female lays her eggs. After 4-6 weeks the patient develops an allergic reaction to the presence of mite proteins and feces in the scabies burrow, causing intense itch and rash. The usual adult form, called common scabies, is characterized by this nocturnal pruritus, and typical and/or atypical lesions. The typical lesions are the vesicle (translucent vesicle on an erythematous base), the scabious burrow (due to the tunnel dug by the female in the stratum), and the papulo- nodule -nodular scabious (red/brown infiltrated on palpation, predominantly on the male genital areas). They predominate in certain regions: the interdigital region of the hands, the anterior face of the wrists, the external face of the elbows, the axillary region, the areolas, the nipples, the umbilical region, the male external genitalia, the buttock region, the face inner thighs. Scabies occurs worldwide. However, studies have shown a greater prevalence among populations that do not have access to common hygiene measures: poor, young children and elderly in resource -poor communities, migrant, homeless populations, etc. The Baudelaire outpatient clinic (BOPC) at St Antoine hospital in Paris offers general medicine consultations. It has the particularity of offering a so called Permanent d'Accès Aux Soins service that allowed any person without health assurance to have access to a general practitioner and treatment, free of charge and help to recover its social rights. Consequently, more than 60% of the patients encountered at the consultation of the BOPC are in a precarious situation. Usually, poor patients with scabies may be offered a shower and clean clothes at the BOPC Therefore it seemed to us the ideal place to evaluate a treatment's scabies in this population including the hygiene treatment.

Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: No

• Patient seen in consultation at the outpatient clinic, diagnosed with non-hyperkeratotic scabies.

• Living on the streets or without access to body care.

• Having received information on the protocol and having signed consent

Other Locations
Hopital Saint Antoine - Polyclinique Beaudelaire
Contact Information
Bacha Kaoutar
Time Frame
Start Date: April 2022
Estimated Completion Date: June 2022
Target number of participants: 218
No Intervention: Control
Standard Care : The classic treatment recommended is the prescription of an oral drug, Ivermectin to be taken two times at one or 2 weeks interval. And recommendations on the need to change the clothes and the linen of the bedding the following day after taking the drug, washing them at more than 50° as well as all the clothes three days before are explained. The first course of oral treatment is swallowed at the BOPC, while the second course is given to be swallowed one week later.
Experimental: Intervention
Patients in this interventional arm will come back to BOPC the following day after intake the treatment (D1 and D8) to take a shower and to receive again new clothes
Bacha Kaoutar
Related Therapeutic Areas
Leads: Assistance Publique - Hôpitaux de Paris

This content was sourced from

Similar Clinical Trials