Evaluation of Dermatologists' Opinions in the Face of Increasing Scabies Cases: A Survey Study.

Abstract

Objective: Scabies is a common and highly contagious parasitic skin disease that continues to pose a significant public health burden worldwide and in Türkiye. This study aimed to evaluate the approaches, experiences, and challenges of dermatologists in Türkiye regarding the diagnosis and treatment of scabies.

Methods: A cross-sectional survey was conducted among 107 dermatologists. Data were collected anonymously via an online questionnaire.

Results: Sulfur-based magistral formulations were the preferred treatments among adults, pregnant women, and children over two years of age, whereas permethrin remained the first-line choice for children under two years of age. Although permethrin has traditionally been considered the gold standard, 47.7% of dermatologists reported inadequate treatment responses, while 41.1% found it effective. Conversely, 74.8% of respondents reported successful outcomes with sulfur therapy. Nearly 60% of dermatologists reported using oral ivermectin as a second-line therapy, while 20% prescribed it as a first-line therapy in appropriate cases. Approximately 70% of participants reported frustration in managing scabies cases. Most emphasised the need to reduce hospital burden, extend consultation times, and involve family physicians in screening and follow-up.

Conclusion: Scabies remains a growing healthcare problem in Türkiye. Strengthening primary care involvement, improving patient education, and reconsidering treatment strategies are essential for effective disease control.