Scabies increased the risk of chronic kidney disease: A 5-year follow-up study

S. D. Chung, K. H. Wang, C. C. Huang, H. C. Lin

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18 Citations (Scopus)

Abstract

Background The most documented complication of scabies has been reported to be infection by group A streptococci, which has in turn been suggested to contribute to the development of glomerulonephritis. Objective This study aimed to investigate the risk of chronic kidney disease (CKD) subsequent to scabies utilizing a population-based dataset in Taiwan. Methods This retrospective matched-cohort study included 5071 subjects with scabies and 25 355 randomly selected comparison subjects. We individually tracked each subject for a 5-year period to identify those who subsequently received a diagnosis of CKD during the follow-up period. Stratified Cox proportional hazards regressions were performed to compute the hazard ratio (HR) of CKD during the 5-year follow-up period. Results The incidence rate of CKD during the 5-year follow-up period was 9.66 (8.51-10.93) per 1,000 person-years and 6.24 (5.82-6.69) per 1000 person-years for subjects with and without scabies respectively. The HR for CKD during the 5-year follow-up period for subjects with scabies was 1.34 (95% CI = 1.15-1.56) that of comparison subjects after adjusting for monthly income, hypertension, diabetes, obesity, stroke, coronary heart disease, chronic obstructive pulmonary disease, tobacco use disorder, hyperlipidemia and alcohol abuse during the 5-year follow-up period. Male subjects with scabies were 1.40 (95% CI = 1.14-1.71) times more likely than comparison subjects to suffer from subsequent CKD, and female study subjects were 1.27 (95% CI = 1.05-1.61) times more likely. Conclusions We concluded that there was an increased risk for CKD among patients suffering from scabies.

Original languageEnglish
Pages (from-to)286-292
Number of pages7
JournalJournal of the European Academy of Dermatology and Venereology
Volume28
Issue number3
DOIs
Publication statusPublished - Mar 2014

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Scabies
Chronic Renal Insufficiency
Tobacco Use Disorder
Glomerulonephritis
Hyperlipidemias
Streptococcus
Taiwan
Chronic Obstructive Pulmonary Disease
Alcoholism
Coronary Disease
Cohort Studies
Obesity
Stroke
Hypertension
Incidence
Infection
Population

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

Cite this

Scabies increased the risk of chronic kidney disease : A 5-year follow-up study. / Chung, S. D.; Wang, K. H.; Huang, C. C.; Lin, H. C.

In: Journal of the European Academy of Dermatology and Venereology, Vol. 28, No. 3, 03.2014, p. 286-292.

Research output: Contribution to journalArticle

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abstract = "Background The most documented complication of scabies has been reported to be infection by group A streptococci, which has in turn been suggested to contribute to the development of glomerulonephritis. Objective This study aimed to investigate the risk of chronic kidney disease (CKD) subsequent to scabies utilizing a population-based dataset in Taiwan. Methods This retrospective matched-cohort study included 5071 subjects with scabies and 25 355 randomly selected comparison subjects. We individually tracked each subject for a 5-year period to identify those who subsequently received a diagnosis of CKD during the follow-up period. Stratified Cox proportional hazards regressions were performed to compute the hazard ratio (HR) of CKD during the 5-year follow-up period. Results The incidence rate of CKD during the 5-year follow-up period was 9.66 (8.51-10.93) per 1,000 person-years and 6.24 (5.82-6.69) per 1000 person-years for subjects with and without scabies respectively. The HR for CKD during the 5-year follow-up period for subjects with scabies was 1.34 (95{\%} CI = 1.15-1.56) that of comparison subjects after adjusting for monthly income, hypertension, diabetes, obesity, stroke, coronary heart disease, chronic obstructive pulmonary disease, tobacco use disorder, hyperlipidemia and alcohol abuse during the 5-year follow-up period. Male subjects with scabies were 1.40 (95{\%} CI = 1.14-1.71) times more likely than comparison subjects to suffer from subsequent CKD, and female study subjects were 1.27 (95{\%} CI = 1.05-1.61) times more likely. Conclusions We concluded that there was an increased risk for CKD among patients suffering from scabies.",
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