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The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma

Identifieur interne : 000C83 ( Pmc/Checkpoint ); précédent : 000C82; suivant : 000C84

The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma

Auteurs : Asha C. Bowen [Australie] ; Antoine Mahé [France] ; Roderick J. Hay [Royaume-Uni] ; Ross M. Andrews [Australie] ; Andrew C. Steer [Australie] ; Steven Y. C. Tong [Australie] ; Jonathan R. Carapetis [Australie]

Source :

RBID : PMC:4552802

Abstract

Objective

We conducted a comprehensive, systematic review of the global childhood population prevalence of impetigo and the broader condition pyoderma.

Methods

PubMed was systematically searched for impetigo or pyoderma studies published between January 1 1970 and September 30 2014. Two independent reviewers extracted data from each relevant article on the prevalence of impetigo.

Findings

Sixty-six articles relating to 89 studies met our inclusion criteria. Based on population surveillance, 82 studies included data on 145,028 children assessed for pyoderma or impetigo. Median childhood prevalence was 12·3% (IQR 4·2–19·4%). Fifty-eight (65%) studies were from low or low-middle income countries, where median childhood prevalences were 8·4% (IQR 4·2–16·1%) and 14·5% (IQR 8·3–20·9%), respectively. However, the highest burden was seen in underprivileged children from marginalised communities of high-income countries; median prevalence 19·4%, (IQR 3·9–43·3%).

Conclusion

Based on data from studies published since 2000 from low and low-middle income countries, we estimate the global population of children suffering from impetigo at any one time to be in excess of 162 million, predominantly in tropical, resource-poor contexts. Impetigo is an under-recognised disease and in conjunction with scabies, comprises a major childhood dermatological condition with potential lifelong consequences if untreated.


Url:
DOI: 10.1371/journal.pone.0136789
PubMed: 26317533
PubMed Central: 4552802


Affiliations:


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PMC:4552802

Le document en format XML

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<title>Objective</title>
<p>We conducted a comprehensive, systematic review of the global childhood population prevalence of impetigo and the broader condition pyoderma.</p>
</sec>
<sec id="sec002">
<title>Methods</title>
<p>PubMed was systematically searched for impetigo or pyoderma studies published between January 1 1970 and September 30 2014. Two independent reviewers extracted data from each relevant article on the prevalence of impetigo.</p>
</sec>
<sec id="sec003">
<title>Findings</title>
<p>Sixty-six articles relating to 89 studies met our inclusion criteria. Based on population surveillance, 82 studies included data on 145,028 children assessed for pyoderma or impetigo. Median childhood prevalence was 12·3% (IQR 4·2–19·4%). Fifty-eight (65%) studies were from low or low-middle income countries, where median childhood prevalences were 8·4% (IQR 4·2–16·1%) and 14·5% (IQR 8·3–20·9%), respectively. However, the highest burden was seen in underprivileged children from marginalised communities of high-income countries; median prevalence 19·4%, (IQR 3·9–43·3%).</p>
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<sec id="sec004">
<title>Conclusion</title>
<p>Based on data from studies published since 2000 from low and low-middle income countries, we estimate the global population of children suffering from impetigo at any one time to be in excess of 162 million, predominantly in tropical, resource-poor contexts. Impetigo is an under-recognised disease and in conjunction with scabies, comprises a major childhood dermatological condition with potential lifelong consequences if untreated.</p>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">PLoS One</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosone</journal-id>
<journal-title-group>
<journal-title>PLoS ONE</journal-title>
</journal-title-group>
<issn pub-type="epub">1932-6203</issn>
<publisher>
<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, CA USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26317533</article-id>
<article-id pub-id-type="pmc">4552802</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0136789</article-id>
<article-id pub-id-type="publisher-id">PONE-D-15-22052</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma</article-title>
<alt-title alt-title-type="running-head">The Global Epidemiology of Impetigo</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Bowen</surname>
<given-names>Asha C.</given-names>
</name>
<xref ref-type="aff" rid="aff001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff003">
<sup>3</sup>
</xref>
<xref rid="cor001" ref-type="corresp">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mahé</surname>
<given-names>Antoine</given-names>
</name>
<xref ref-type="aff" rid="aff004">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hay</surname>
<given-names>Roderick J.</given-names>
</name>
<xref ref-type="aff" rid="aff005">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff006">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Andrews</surname>
<given-names>Ross M.</given-names>
</name>
<xref ref-type="aff" rid="aff001">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Steer</surname>
<given-names>Andrew C.</given-names>
</name>
<xref ref-type="aff" rid="aff007">
<sup>7</sup>
</xref>
<xref ref-type="aff" rid="aff008">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tong</surname>
<given-names>Steven Y. C.</given-names>
</name>
<xref ref-type="aff" rid="aff001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff009">
<sup>9</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Carapetis</surname>
<given-names>Jonathan R.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff003">
<sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff001">
<label>1</label>
<addr-line>Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia</addr-line>
</aff>
<aff id="aff002">
<label>2</label>
<addr-line>Department of Infectious Diseases, Princess Margaret Hospital for Children, Perth, Western Australia, Australia</addr-line>
</aff>
<aff id="aff003">
<label>3</label>
<addr-line>Telethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia</addr-line>
</aff>
<aff id="aff004">
<label>4</label>
<addr-line>Department of Dermatology, Hôpital Pasteur, Colmar, France</addr-line>
</aff>
<aff id="aff005">
<label>5</label>
<addr-line>International Foundation for Dermatology, London, United Kingdom</addr-line>
</aff>
<aff id="aff006">
<label>6</label>
<addr-line>Skin Infection Clinic, Kings College Hospital NHS Trust, Denmark Hill, United Kingdom</addr-line>
</aff>
<aff id="aff007">
<label>7</label>
<addr-line>Royal Children’s Hospital, Melbourne, Victoria, Australia</addr-line>
</aff>
<aff id="aff008">
<label>8</label>
<addr-line>Institute for Child Health Research, University of Melbourne, Victoria, Australia</addr-line>
</aff>
<aff id="aff009">
<label>9</label>
<addr-line>Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Reid</surname>
<given-names>Sean D.</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">
<addr-line>Wake Forest University School of Medicine, UNITED STATES</addr-line>
</aff>
<author-notes>
<fn fn-type="conflict" id="coi001">
<p>
<bold>Competing Interests: </bold>
The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con" id="contrib001">
<p>Conceived and designed the experiments: ACB AM RJH ACS SYCT JRC. Performed the experiments: ACB AM RJH ACS SYCT RMA JRC. Analyzed the data: ACB. Wrote the paper: ACB AM RJH ACS SYCT RMA JRC.</p>
</fn>
<corresp id="cor001">* E-mail:
<email>Asha.bowen@menzies.edu.au</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>28</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection">
<year>2015</year>
</pub-date>
<volume>10</volume>
<issue>8</issue>
<elocation-id>e0136789</elocation-id>
<history>
<date date-type="received">
<day>27</day>
<month>5</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>6</day>
<month>8</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-year>2015</copyright-year>
<copyright-holder>Bowen et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the terms of the
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="pone.0136789.pdf"></self-uri>
<abstract>
<sec id="sec001">
<title>Objective</title>
<p>We conducted a comprehensive, systematic review of the global childhood population prevalence of impetigo and the broader condition pyoderma.</p>
</sec>
<sec id="sec002">
<title>Methods</title>
<p>PubMed was systematically searched for impetigo or pyoderma studies published between January 1 1970 and September 30 2014. Two independent reviewers extracted data from each relevant article on the prevalence of impetigo.</p>
</sec>
<sec id="sec003">
<title>Findings</title>
<p>Sixty-six articles relating to 89 studies met our inclusion criteria. Based on population surveillance, 82 studies included data on 145,028 children assessed for pyoderma or impetigo. Median childhood prevalence was 12·3% (IQR 4·2–19·4%). Fifty-eight (65%) studies were from low or low-middle income countries, where median childhood prevalences were 8·4% (IQR 4·2–16·1%) and 14·5% (IQR 8·3–20·9%), respectively. However, the highest burden was seen in underprivileged children from marginalised communities of high-income countries; median prevalence 19·4%, (IQR 3·9–43·3%).</p>
</sec>
<sec id="sec004">
<title>Conclusion</title>
<p>Based on data from studies published since 2000 from low and low-middle income countries, we estimate the global population of children suffering from impetigo at any one time to be in excess of 162 million, predominantly in tropical, resource-poor contexts. Impetigo is an under-recognised disease and in conjunction with scabies, comprises a major childhood dermatological condition with potential lifelong consequences if untreated.</p>
</sec>
</abstract>
<funding-group>
<funding-statement>AB was supported by a National Health and Medical Research Council (
<ext-link ext-link-type="uri" xlink:href="http://www.nhmrc.gov.au">www.nhmrc.gov.au</ext-link>
) scholarship 605845. ST was supported by a National Health and Medical Research Council (
<ext-link ext-link-type="uri" xlink:href="http://www.nhmrc.gov.au">www.nhmrc.gov.au</ext-link>
) fellowship 1065736. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts>
<fig-count count="1"></fig-count>
<table-count count="7"></table-count>
<page-count count="15"></page-count>
</counts>
<custom-meta-group>
<custom-meta id="data-availability">
<meta-name>Data Availability</meta-name>
<meta-value>ALl relevant data are within the paper and its Supporting Information files.</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
<notes>
<title>Data Availability</title>
<p>ALl relevant data are within the paper and its Supporting Information files.</p>
</notes>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>France</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Alsace (région administrative)</li>
<li>Angleterre</li>
<li>Grand Est</li>
<li>Grand Londres</li>
<li>Victoria (État)</li>
</region>
<settlement>
<li>Colmar</li>
<li>Londres</li>
<li>Melbourne</li>
</settlement>
<orgName>
<li>Université de Melbourne</li>
</orgName>
</list>
<tree>
<country name="Australie">
<noRegion>
<name sortKey="Bowen, Asha C" sort="Bowen, Asha C" uniqKey="Bowen A" first="Asha C." last="Bowen">Asha C. Bowen</name>
</noRegion>
<name sortKey="Andrews, Ross M" sort="Andrews, Ross M" uniqKey="Andrews R" first="Ross M." last="Andrews">Ross M. Andrews</name>
<name sortKey="Bowen, Asha C" sort="Bowen, Asha C" uniqKey="Bowen A" first="Asha C." last="Bowen">Asha C. Bowen</name>
<name sortKey="Bowen, Asha C" sort="Bowen, Asha C" uniqKey="Bowen A" first="Asha C." last="Bowen">Asha C. Bowen</name>
<name sortKey="Carapetis, Jonathan R" sort="Carapetis, Jonathan R" uniqKey="Carapetis J" first="Jonathan R." last="Carapetis">Jonathan R. Carapetis</name>
<name sortKey="Carapetis, Jonathan R" sort="Carapetis, Jonathan R" uniqKey="Carapetis J" first="Jonathan R." last="Carapetis">Jonathan R. Carapetis</name>
<name sortKey="Steer, Andrew C" sort="Steer, Andrew C" uniqKey="Steer A" first="Andrew C." last="Steer">Andrew C. Steer</name>
<name sortKey="Steer, Andrew C" sort="Steer, Andrew C" uniqKey="Steer A" first="Andrew C." last="Steer">Andrew C. Steer</name>
<name sortKey="Tong, Steven Y C" sort="Tong, Steven Y C" uniqKey="Tong S" first="Steven Y. C." last="Tong">Steven Y. C. Tong</name>
<name sortKey="Tong, Steven Y C" sort="Tong, Steven Y C" uniqKey="Tong S" first="Steven Y. C." last="Tong">Steven Y. C. Tong</name>
</country>
<country name="France">
<region name="Grand Est">
<name sortKey="Mahe, Antoine" sort="Mahe, Antoine" uniqKey="Mahe A" first="Antoine" last="Mahé">Antoine Mahé</name>
</region>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Hay, Roderick J" sort="Hay, Roderick J" uniqKey="Hay R" first="Roderick J." last="Hay">Roderick J. Hay</name>
</region>
<name sortKey="Hay, Roderick J" sort="Hay, Roderick J" uniqKey="Hay R" first="Roderick J." last="Hay">Roderick J. Hay</name>
</country>
</tree>
</affiliations>
</record>

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