Burden of paediatric pyoderma and scabies in North West Queensland.
OBJECTIVE
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.


METHODS
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.


RESULTS
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.


CONCLUSIONS
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.
Department of Paediatrics and Child Health, University of Western Sydney, Sydney, New South Wales, Australia. john.whitehall@uws.edu.au
John
J
Whitehall
Deniz
D
Kuzulugil
Kyle
K
Sheldrick
Angela
A
Wood
D017281:Cost of Illness; D005102:Health Expenditures / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008485:Medical Audit; D010343:Patient Admission / Q000191:economics; D011711:Pyoderma / Q000188:drug therapy / Q000191:economics*; D011793:Queensland / Q000453:epidemiology; D012189:Retrospective Studies; D012532:Scabies / Q000188:drug therapy / Q000191:economics*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013290:Streptococcal Infections / Q000453:epidemiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification