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Skin infections are an under-appreciated and dominant reason for presentation to primary healthcare centres in these indigenous communities
Improved public health measures targeting bacterial skin infections are needed to reduce this high burden of skin infections in Western Australia
The association between scabies and skin sores is highly significant and indicates a causal relationship
Scabies and impetigo are common in Timor-Leste, with very high prevalence of scabies in the rural district of Ermera
Prevalence of skin sores and scabies in remote Australian Aboriginal communities remains unacceptably high, with Group A Streptococcus (GAS) the dominant pathogen. We aim to better understand the drivers of GAS transmission using mathematical models.
Scabies and impetigo infections are under-recognised and hence under-treated by clinicians
The evidence derived from the review will be used to inform the development of guidelines for the management of skin infections in resource-limited settings
Household fabrics, such as clothes, bedding, and towels, are in close contact with the skin and are assumed to play a role in the transmission of skin pathogens/ectoparasites. International public health advice for managing skin conditions therefore usually includes recommendations to wash clothes and bedding. However, such advice is often general and inconsistent between sources.
Asymptomatic carriage of Streptococcus pyogenes (Strep A) may contribute to transmission, yet its role remains poorly understood and evidence on optimal detection methods is limited. While self-collected throat swabs are used in infectious disease surveillance, their value for identifying asymptomatic Strep A carriage in adults is uncertain. This pilot prospective cohort study, conducted at a Perth medical research institute between August and October 2024, assessed feasibility and acceptability of self-collection, with sensitivity as a secondary objective.
Recruitment in research can be challenging in Australian Aboriginal contexts. We aimed to evaluate the SToP (See, Treat, Prevent skin infections) trial recruitment approach for Aboriginal families to identify barriers and facilitators and understand the utility of the visual resource used.