Ectoparasites - PPT UISU

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Ectoparasites

Dr.DARLAN DJALI CHAN Parasitology Department Medical Faculty of UISU

Ectoparasites General
Definition: parasites which live on the surface of a host and are dependent on at least one gene or its product from that host to complete their own life cycle (Dr.Clive Bennet 1998)

Ectoparasites General
Ectoparasite infestations are often seen in pediatric patients Typical infestations result from arthropods such as: S.scabiei, Pediculus humanus corporis and Pediculus humanus capitis

Ectoparasites Scabies
Due to Sarcoptes scabiei Belongs to order Astigmata, Class Arachnida

Scabies features
Adult female: 0.4mm long It burrows into stratum corneum layer of skin Eggs: laid in burrows, glossy, white and smooth, lays2-3 eggs/day; hatch in 3-4 days Larvae grise to skin surface and mature in 14 to 17 days. Adult females: life span 30 days Adult male: dies shortly after mating

Scabies life cycle

Scabies features

Gravid female scabies mite

Burrow of Sarcoptes consisting adult female and eggs

Scabies Epidemiology
Transmissions: Close contact; holding hands, sharing towel, clothing or bedding Personal contact: sleeping together, sexual Breeding environments: In overcrowded living conditions Elderly nursing homes In school children playing together Roommates Sexual patrners

Human scabies on the hand

Scabies Prevention
Avoid sharing personal stuff Check family members Clothing and underwear should changed regularly Have regular bathing Keep all bedding well laundered

Lice Features
Ordo pthiraptera; subordo: anoplura Dorso-ventrally flattened bodies wingless Permanent ectoparasites of mammals: sucking blood Nocturnal feeding

Body Lice General


Due to: Pediculus humanus corporis Defenition: parasitic insects that live on the body and clothing or bedding of infected humans Body lice are found on the body and clothing or bedding used by infested people. Occasionally eggs are attached to body hair

Body Lice General


Adult female louse her can lay up to 150 eggs a day during 20-day adult life span. Eggs hatch in 7-10 days, and the larvae mature into adults in 9 days Lives and lays eggs in the seams (layers) of clothing The adult louse emerges from clothing to take a blood meal, usually at night.

Body Lice Epidemiology


Lives and lays eggs in the seams (layers) of clothing The adult louse emerges from clothing to take a blood meal, usually at night.

Body Lice Medical important


Dermatitis Vector of diseases:
o Trench Fever: o Louse borne epidemic typhus o Louse borne relapsing fever

Transmission:
o Fecal contamination o Body crushing o Physical contact

Body Lice Prevention and control


Personal hygiene Changing and washing the clothing in water hotter than 60C, preferably followed by ironing Permethrin in lotion, shampoo, emulsion, and powder

Head Lice General


Due to: Pediculus humanus capitis Definition: parasitic insectsm found on the heads of people Commonly found on the scalp, behind the ears and near the neckline at the back of the neck. Children 3-10 years are commonly affected

Head Lice General


The adult female louse lays 7 to 10 eggs daily in egg casings (nits) that are cemented to the base of hair shafts Eggs hatch in 8 to 10 days, mature in 8 to 15 days, and live 9 to 30 days as adult

Head Lice epidemiology


Transmission: head to head contact is common during play at school and at home;

Wearing clothing, such as hat, scarves, coats etc Using infested combs, brushes, or towels Lying on a bed, couch, pillow, carpet that has recently been in contact with an infested person

Head Lice Medical important


o Itchy o Erythema o Discomfort o Secondary infection:
o Vagabondd disease: darkened, thickened skin (hyperceratination) o Plica polonica: exudate, fungus grow, a fetid odor

Head Lice Prevention and control


o Personal hygiene o Regularly washing with soap and warm water o Regularly combing with ordinary comb
o Permethrin in lotion, shampoo, emulsion, and powder

Pthrirus Pubis (Crab Louse)


Pubic Louse Crablike appearance Life in pubic hair and body hair Life cycle: 3-4 weeks Direct transmission: Body contact (STD) Ectoparasite Crawling

Pthrirus Pubis (Crab Louse)


PREVENTION & CONTROL

Personal hygiene Permethrin in lotion, shampoo, emulsion, and powder

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