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

<h4>Objective</h4>We conducted a comprehensive, systematic review of the global childhood population prevalence of impetigo and the broader condition pyoderma.<h4>Methods</h4>PubMed was systematically searched for impetigo or pyoderma studies published between January 1 1970...

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Main Authors: Asha C Bowen, Antoine Mahé, Roderick J Hay, Ross M Andrews, Andrew C Steer, Steven Y C Tong, Jonathan R Carapetis
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0136789
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author Asha C Bowen
Antoine Mahé
Roderick J Hay
Ross M Andrews
Andrew C Steer
Steven Y C Tong
Jonathan R Carapetis
author_facet Asha C Bowen
Antoine Mahé
Roderick J Hay
Ross M Andrews
Andrew C Steer
Steven Y C Tong
Jonathan R Carapetis
author_sort Asha C Bowen
collection DOAJ
description <h4>Objective</h4>We conducted a comprehensive, systematic review of the global childhood population prevalence of impetigo and the broader condition pyoderma.<h4>Methods</h4>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.<h4>Findings</h4>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%).<h4>Conclusion</h4>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.
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spelling doaj-art-bba6b07be8ad444b9070ff7ede23debb2025-08-20T03:17:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01108e013678910.1371/journal.pone.0136789The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma.Asha C BowenAntoine MahéRoderick J HayRoss M AndrewsAndrew C SteerSteven Y C TongJonathan R Carapetis<h4>Objective</h4>We conducted a comprehensive, systematic review of the global childhood population prevalence of impetigo and the broader condition pyoderma.<h4>Methods</h4>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.<h4>Findings</h4>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%).<h4>Conclusion</h4>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.https://doi.org/10.1371/journal.pone.0136789
spellingShingle Asha C Bowen
Antoine Mahé
Roderick J Hay
Ross M Andrews
Andrew C Steer
Steven Y C Tong
Jonathan R Carapetis
The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma.
PLoS ONE
title The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma.
title_full The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma.
title_fullStr The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma.
title_full_unstemmed The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma.
title_short The Global Epidemiology of Impetigo: A Systematic Review of the Population Prevalence of Impetigo and Pyoderma.
title_sort global epidemiology of impetigo a systematic review of the population prevalence of impetigo and pyoderma
url https://doi.org/10.1371/journal.pone.0136789
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