The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)

Abstract Background Head lice are a main public health problem and the most important human ectoparasites and the use of pediculicides is the most common way to control it. One of the possible causes of treatment failure is the lack of improper application of pediculicide. The aim of this study was...

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Main Authors: Eslam Moradi-Asl, Abedin Saghafipour, Amir Hamta, Zahra Taheri-Kharameh, Malek Abazari, Shabnam Asghari Jajin
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-024-09029-1
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author Eslam Moradi-Asl
Abedin Saghafipour
Amir Hamta
Zahra Taheri-Kharameh
Malek Abazari
Shabnam Asghari Jajin
author_facet Eslam Moradi-Asl
Abedin Saghafipour
Amir Hamta
Zahra Taheri-Kharameh
Malek Abazari
Shabnam Asghari Jajin
author_sort Eslam Moradi-Asl
collection DOAJ
description Abstract Background Head lice are a main public health problem and the most important human ectoparasites and the use of pediculicides is the most common way to control it. One of the possible causes of treatment failure is the lack of improper application of pediculicide. The aim of this study was to assess the effect of education on efficacy of 1% permethrin or 4% dimeticone lotion to treat head lice infestation. Methods This quasi-experimental study included 100 individuals with head lice infestation from comprehensive urban health centers in Ardabil as the intervention group, and 400 individuals from East Azerbaijan and West Azerbaijan provinces as the control group, from April to March 2019. The data collection tools included a demographic questionnaire and an examination recording sheet, which documented the presence of adult lice or nits. Due to the inability to perform random assignment and control for numerous observed covariates, propensity score matching (PSM) was used. Results The outcome of treatment included elimination of head lice infestation on is 7, and in the case of recurrence, it was considered on days 14 and 30 after treatment. The results showed that the educational intervention program had a significant positive effect on the efficacy of both treatments. The likelihood of improvement was approximately three times greater in the intervention group compared to the control group. Conclusion Participants who received the training intervention (OR = 3.29; CI 95%: 2.21–4.88) were more likely to have a successful treatment than control group. In the case of providing proper training on the use of pediculicides and observing hygiene tips to patients with pediculosis, could help to successful treatment of pediculosis.
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spelling doaj.art-65a26a84373446afbbb12c39d4d2af5e2024-03-05T17:49:18ZengBMCBMC Infectious Diseases1471-23342024-01-012411710.1186/s12879-024-09029-1The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)Eslam Moradi-Asl0Abedin Saghafipour1Amir Hamta2Zahra Taheri-Kharameh3Malek Abazari4Shabnam Asghari Jajin5Department of Public Health, School of Public Health, Ardabil University of Medical SciencesDepartment of Public Health, Faculty of Health, Qom University of Medical SciencesDepartment of Family and Community Medicine, School of Medicine, Qom University of Medical SciencesSpiritual Health Center, Department of public Health, School of Health, Qom University of Medical SciencesArthropod-Borne Diseases Research Center , Ardabil University of Medical SciencesDepartment of Medical Entomology, School of Public Health, Tehran University of Medical SciencesAbstract Background Head lice are a main public health problem and the most important human ectoparasites and the use of pediculicides is the most common way to control it. One of the possible causes of treatment failure is the lack of improper application of pediculicide. The aim of this study was to assess the effect of education on efficacy of 1% permethrin or 4% dimeticone lotion to treat head lice infestation. Methods This quasi-experimental study included 100 individuals with head lice infestation from comprehensive urban health centers in Ardabil as the intervention group, and 400 individuals from East Azerbaijan and West Azerbaijan provinces as the control group, from April to March 2019. The data collection tools included a demographic questionnaire and an examination recording sheet, which documented the presence of adult lice or nits. Due to the inability to perform random assignment and control for numerous observed covariates, propensity score matching (PSM) was used. Results The outcome of treatment included elimination of head lice infestation on is 7, and in the case of recurrence, it was considered on days 14 and 30 after treatment. The results showed that the educational intervention program had a significant positive effect on the efficacy of both treatments. The likelihood of improvement was approximately three times greater in the intervention group compared to the control group. Conclusion Participants who received the training intervention (OR = 3.29; CI 95%: 2.21–4.88) were more likely to have a successful treatment than control group. In the case of providing proper training on the use of pediculicides and observing hygiene tips to patients with pediculosis, could help to successful treatment of pediculosis.https://doi.org/10.1186/s12879-024-09029-1Lice infestationsPediculusHealth EducationPropensity score
spellingShingle Eslam Moradi-Asl
Abedin Saghafipour
Amir Hamta
Zahra Taheri-Kharameh
Malek Abazari
Shabnam Asghari Jajin
The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)
BMC Infectious Diseases
Lice infestations
Pediculus
Health Education
Propensity score
title The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)
title_full The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)
title_fullStr The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)
title_full_unstemmed The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)
title_short The effect of educational intervention on efficacy of 1% permethrin shampoo and 4% dimeticone lotion to treat head lice infestation using propensity score matching (PSM)
title_sort effect of educational intervention on efficacy of 1 permethrin shampoo and 4 dimeticone lotion to treat head lice infestation using propensity score matching psm
topic Lice infestations
Pediculus
Health Education
Propensity score
url https://doi.org/10.1186/s12879-024-09029-1
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