Abstract

RationaleThe flea bite can cause papular urticaria. The disease manifests with skin lesions accompanied by intense pruritus, severe infections, scarring and frequent complaint in regions where the insect is common. The prevalence and associated factors are still unknown. The objective was to determine the prevalence and identify associated factors.MethodsCross-sectional study with sampling stratified random with proportional allocation, two-stage cluster that included children aged 1 to 6 years attending educational institutions. Survey was put into practice to parents and children, was make a dermatological examination, photography of skin lesions. Logistic regression was used to evaluate associated factors.ResultsWas included 2437 children. The prevalence was 20.3% (95%CI 18.2 to 22.5). The major risk factors were: to detect the presence of fleas at home (OR: 1.72, 95%CI 1.32 to 2.24), use of mattresses without springs (OR 1.73, 95%CI 1.19 to 2.50), use of public transport for to take the children to school daily (OR 1.76, 95%CI 1.07 to 2.92), having ground floor in the main room (OR 6.61, 95%CI 1.14 to 38.50), brothers and sisters with a history of atopic dermatitis (OR 1.46, 95%CI 1.01 to 2.11) and homes without sewage service (OR 1.89, 95%CI 0.93 to 3.85).ConclusionsWas found a high prevalence of papular urticaria by flea bite, which was associated factors that can be changed with the implementation of strategies for prevention and control at homes, educational institutions and public transport. RationaleThe flea bite can cause papular urticaria. The disease manifests with skin lesions accompanied by intense pruritus, severe infections, scarring and frequent complaint in regions where the insect is common. The prevalence and associated factors are still unknown. The objective was to determine the prevalence and identify associated factors. The flea bite can cause papular urticaria. The disease manifests with skin lesions accompanied by intense pruritus, severe infections, scarring and frequent complaint in regions where the insect is common. The prevalence and associated factors are still unknown. The objective was to determine the prevalence and identify associated factors. MethodsCross-sectional study with sampling stratified random with proportional allocation, two-stage cluster that included children aged 1 to 6 years attending educational institutions. Survey was put into practice to parents and children, was make a dermatological examination, photography of skin lesions. Logistic regression was used to evaluate associated factors. Cross-sectional study with sampling stratified random with proportional allocation, two-stage cluster that included children aged 1 to 6 years attending educational institutions. Survey was put into practice to parents and children, was make a dermatological examination, photography of skin lesions. Logistic regression was used to evaluate associated factors. ResultsWas included 2437 children. The prevalence was 20.3% (95%CI 18.2 to 22.5). The major risk factors were: to detect the presence of fleas at home (OR: 1.72, 95%CI 1.32 to 2.24), use of mattresses without springs (OR 1.73, 95%CI 1.19 to 2.50), use of public transport for to take the children to school daily (OR 1.76, 95%CI 1.07 to 2.92), having ground floor in the main room (OR 6.61, 95%CI 1.14 to 38.50), brothers and sisters with a history of atopic dermatitis (OR 1.46, 95%CI 1.01 to 2.11) and homes without sewage service (OR 1.89, 95%CI 0.93 to 3.85). Was included 2437 children. The prevalence was 20.3% (95%CI 18.2 to 22.5). The major risk factors were: to detect the presence of fleas at home (OR: 1.72, 95%CI 1.32 to 2.24), use of mattresses without springs (OR 1.73, 95%CI 1.19 to 2.50), use of public transport for to take the children to school daily (OR 1.76, 95%CI 1.07 to 2.92), having ground floor in the main room (OR 6.61, 95%CI 1.14 to 38.50), brothers and sisters with a history of atopic dermatitis (OR 1.46, 95%CI 1.01 to 2.11) and homes without sewage service (OR 1.89, 95%CI 0.93 to 3.85). ConclusionsWas found a high prevalence of papular urticaria by flea bite, which was associated factors that can be changed with the implementation of strategies for prevention and control at homes, educational institutions and public transport. Was found a high prevalence of papular urticaria by flea bite, which was associated factors that can be changed with the implementation of strategies for prevention and control at homes, educational institutions and public transport.

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