Resistance Patterns and Associated Risk Factors of Scabies and Tinea among Outpatients in a Tertiary Care Hospital of Chattogram

Abstract

Background: Scabies and Tinea are common parasitic and fungal infections in dermatological practice. The emergence of treatment resistance in both conditions has complicated clinical outcomes, particularly in low-resource settings. The aim of the study is to investigate the resistance patterns of scabies and tinea and assess associated sociodemographic, socioeconomic, environmental, hygiene-related and clinical risk factors.

Materials and methods: A cross-sectional study was conducted among 250 Dermatology Outpatients from January to October 2025. Structured interviews and clinical record reviews were used. Chi-square tests and logistic regression were performed to explore associations and calculate Odds Ratios (OR).

Results: Resistance was observed in 38.4% of scabies and 29.6% of tinea cases. Significant associated factors

included poor sanitation, overcrowding, steroid misuse, improper treatment completion, diabetes, eczema, and sharing of personal items. The 10–19 years age group, low education level, low income and poor personal hygiene were particularly vulnerable.

Conclusion: Rising resistance to common treatments in scabies and tinea highlights the urgent need for improved hygiene, public awareness and rational medication practices.

IAHS Medical Journal Vol 8(2), December 2025; 15-18