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Demodex folliculorum causing pathological lesions in immunocompetent children.

Scabies and pediculosis are the vast major ectoparasites infesting man. Demodex folliculorum is unreported ectoparasite, since it is considered harmless. Marked pathologic infestations caused by D. folliculorum were diagnosed in five immunocompetent children, The infestations are successful treated with 2% permethrin cream.

Administration, Topical↗

Assessing coral stress responses using molecular biomarkers of gene transcription.

We present a method for detecting rapid changes in coral gene expression at the messenger ribonucleic acid (mRNA) level. The staghorn coral Acropora cervicornis was exposed to 1 and 10 microg/L permethrin and 25 and 50 microg/L copper for 4 h. Using differential display polymerase chain reaction (PCR), mRNA associated with each toxicant exposure were reverse transcribed into complementary DNA (cDNA) fragments that were subsequently amplified and isolated. Six differentially expressed cDNA fragments were further developed into molecular probes that were used in Northern dot blots to determine the change in transcription levels of target transcripts. Changes in mRNA abundance were quantified by densitometry of chemiluminescence of digoxigenin-labeled probes hybridizing to target mRNA transcripts. The six gene probes showed varying degrees of sensitivity to the toxicants as well as specificity between toxicants. These probes were hybridized in Southern blots to genomic DNA from A. formosa sperm, which lacks zooxanthellae, to demonstrate that the genes coding for the mRNA transcripts produced are found within the coral genome. The gene probes developed in this study provide coral biologists with a new tool for coral assessment. Gene probes are sensitive, toxicant-specific biomarkers of coral stress responses with which gene sequence information can be obtained, providing a mechanism for identifying the stressor altering the gene expression.

Animals↗

Efficacy of Australian quarantine procedures against the mosquito Aedes aegypti.

Methods employed by Australian quarantine officers to control Aedes mosquitoes in containers were tested against all stages of Aedes aegypti. Saltwater emersion killed all larvae but not pupae or eggs that were briefly exposed. Swimming pool chlorine, methyl bromide fumigation, and permethrin (2% active ingredient) spray provided 100% mortality of eggs, larvae, and pupae. Aerosol sprays incorporating synthetic pyrethrins are practical and also provide effective control of adults.

Aedes↗

Efficacy of Biomist 30:30 and Aqua Reslin against Anopheles quadrimaculatus in Arkansas.

Aqua Reslin and Biomist 30:30 technical permethrin and piperonyl butoxide were applied via ground ultra-low volume at a rate of 237 ml/min and 0.00196 kg active ingredient/ha against wild-caught adult Anopheles quadrimaculatus. The 2 formulations did not differ significantly at 31 m from the spray path (P < or = 0.05). However, at 61 and 91 m, percent mortality for 30:30 was significantly higher than for Aqua Reslin at each time after treatment (P < or = 0.05). Between 12 and 24 h, about 8% recovery was observed in mosquitoes treated with Aqua Reslin at 31 m.

Animals↗

The in vivo pediculicidal efficacy of a natural remedy.

BACKGROUND: Head louse infestations are prevalent worldwide. Over the past 20-25 years, 15-20% of all children in Israel between 4 and 13 years of age have been infested with head lice. This is mainly due to the existence of ineffective pediculicides on the market. OBJECTIVE: To examine the pediculicidal efficacy and safety of a natural remedy ("Chick-Chack") and to compare it in an open clinical study with a known pesticide spray. METHODS: The natural remedy, which contains coconut oil, anise oil and ylang ylang oil, was applied to the hair of infested children three times at 5 day intervals. Each treatment lasted for 15 minutes. The control pediculicide was a spray formulation containing permethrin, malathion, piperonyl butoxide, isododecane and propellant gas, which was applied twice for 10 minutes with a 10 day interval between applications. RESULTS: Of 940 children, aged 6-14 years, from six schools in Jerusalem who were examined for head louse infestation, 199 (21.2%) were infested with lice and eggs, while 164 (17.4%) were infested only with nits. Altogether, 119 children were randomly treated with either the natural remedy or the control product. Treatment was successful with the natural remedy in 60 children (92.3%) and with the control pediculicide in 59 children (92.2%). There were no significant side effects associated with either formulation. CONCLUSIONS: The natural remedy was very effective in controlling louse infestations under clinical conditions and caused no serious side effects.

Adolescent↗

A four years old girl with phthiriasis pubis infestation.

A four years old girl had Phthirus pubis infestation in the scalp, eyelids, eyelashes, neck and shoulders. She had fever, severe itching, allergic reaction and anxiety. The girl was successfully treated with 2.5% permethrin cream. The risk of lice infestation as a community health problem was discussed.

Animals↗

Head lice diagnosed in general practice in the West Midlands between 1993 and 2000: a survey using the General Practice Research Database.

The potential of the General Practice Research Database (GPRD) for communicable disease surveillance was explored using head lice as an example. All diagnoses of head lice and prescriptions for parasiticidal agents from 1993 to 2000 in the West Midlands were analysed. Diagnoses reached a peak of 28.2 per 1,000 patient years at risk and total prescriptions reached a peak of 27.1 per 1,000 patient years at risk in 1997. Malathion and permethrin were prescribed most often. The proportion of further parasiticidal prescriptions issued within 30 days of the initial prescription increased to a peak of 11.5% of prescriptions in 1997. The ratio of the same:different further prescriptions changed during the study period, reaching a high of 5:1 in 2000. These trends are mirrored by the Royal College of General Practitioners (RCGP) Weekly Returns Service and Prescribing Analysis and Cost (PACT) data. Use of GPRD provides additional insights into patient data, particularly on prescribing, that would not be available from other sources.

Adolescent↗

Evaluation of efficacy of four pediculicides against head louse (Pediculus capitis) infestation.

To evaluate the efficacy and to determine the minimum effective dosage of four pediculicides against head louse infestation, as well as to select a safe, effective, practical, and cheap agent, 1,657 infested school children in 25 primary schools in Szu-Hu, Kou-Hu, and Ku-Keng Districts of Yunlin County were treated and 1,611 of them were examined. The overall cure rate was 73% and the rate for boys (84%) was higher than that for girls (71%). The cure rate of Nix (permethrin 1%) cream rinse was 81%. The cure rate for single dosages of 1, 2, 3 and 4 cases/tube (56 gm/tube) was 87%, 83%, 81% and 71%, respectively. The cure rate of Para aerosol (bioallethrine 0.66%) was 78%. The cure rate for single dosages of 30 and 40 cases/tube (90 gm/tube) was 87% and 70%, respectively. The cure rate of Prioderm (malathion 1%) cream shampoo was 64%. The cure rate for single dosages of 10, 15 and 20 cases/tube (40 gm/tube) was 74%, 71% and 52%, respectively. The cure rate of Delice (1% gamma benzene hexachloride) was 71%. The cure rate for single dosages of 5 and 10 ml/case was 64% and 76%, respectively. Of the 226 infested girls, 181 (80%) were found to be infested with 1-10 head lice, 33 (15%) with 11-50 lice, 7(3%) with 51-100 lice and 5 (2%) with over 100 lice. Of the 2,160 head lice collected, 1,788 (83%) were nymphs, 284 (13%) females, and 88 (4%) males. The mean number of head lice in each infested girl was 10 (range 1-137). The low cure rates obtained in the present study may be due to the fact that many school girl & have long hair. In comparison, Nix had the highest cure rate (81%) but the highest price (NT$ 120/case). The cure rate and price of Para aerosol (78%, NT$ 7.2/case) and Delice (71%, NT$ 16.7/case) came next. Prioderm (64%, NT$ 10.0/case) had the lowest rate and a slight offensive smell. Preliminary trials show that based on the cost-effectiveness, Para aerosol is best in head louse infestation control.

Allethrins↗

Scabies.

Scabies is highly contagious and is usually transmitted by direct personal contact. It typically presents as an intensely pruritic eruption. Atypical presentations are common in Norwegian scabies and in childhood scabies. Infestation is documented by visualizing the mite, its eggs or scybala on low-power microscopy. The treatment of choice is 5 percent permethrin cream, used in a single application at bedtime and removed the next morning.

Diagnosis, Differential↗

[Effects of pyrethroids on the concentrations of thyroid hormones in the rat serum and brain].

OBJECTIVE: To investigate the effects of pyrethroids on the concentrations of thyroid hormone in rat brain. METHOD: Permethrin (PM) and deltamethrin (DM) were administered to the rats with daily doses of 100, 200 and 400 mg.kg-1.d-1 and 6.25, 12.5 and 25 mg.kg-1.d-1, respectivelly for 15 days. Serum and brain tissue determinations of thyroxin (T4) and triiodothyronine (T3) were performed by radioimmunoassay (RIA). RESULTS: PM induced a dose dependent decrease in the serum levels of T4, T3, fT4 and fT3 and an increase in the serum TSH levels, whereas DM was only able to induce a dose dependent decrease in the serum levels of T4. PM treatment reduced both the levels of T4 and T3 in homogenates of the cerebral cortex and hippocampus respectively, whereas the highest dose of DM decreased only the cerebral cortex levels of T4. The effects of subchronic treatment with PM and DM on the concentrations of T3 were further investigated in the subcellular fractions, namely nuclei, mitochondria, myelin and synaptosomes of the cerebral cortex and hippocampus. PM treatment induced a decrease in the nuclear and synaptosomal concentrations of T3 of either the cerebral cortex or hippocampus, whereas DM reduced the levels of T3 especially in the mitochondria of the cortex and hippocampus. CONCLUSIONS: Treatment with pyrethroids subchronically to the rats would affect the serum and brain tissue levels of T4 and T3. These results indicate that the pyrethroids-induced neurotoxicity may involve at least in part an impairment of the physiological action of T3 at its subcellular targets.

Animals↗

Prevention of sand fly attack by topical application of a permethrin/pyriproxyfen combination on dogs.

Dogs are the primary domestic reservoir of Leishmania infantum, the parasite responsible for most cases of human visceral leishmaniasis. A strategy for the control of leishmaniasis would be to inhibit the sand fly bite. A study was designed to measure the prevention of the sand fly attack by spraying a combination of permethrin and pyriproxyfen on dogs artificially exposed to the vector of leishmaniasis. Eight dogs were individually challenged with 100 female sand flies for 1 hour on Days -7, 0, 7, 14, 21, and 28. Four dogs were randomly assigned to a control group and four dogs were treated with topically applied permethrin/pyriproxyfen on Day 0. After each exposure, sand flies were collected, counted, and scored as fed or unfed. Efficacy of the combination for prevention of feeding was based on the number of unfed sand flies (dead or alive). The combination of permethrin/pyriproxyfen demonstrated a significant (P <.05) repellent effect against Phlebotomus perniciosus bites as soon as it was sprayed on the dogs, and its repellent efficacy lasted at least for 28 days. The combination product provided significant (P <.05) knockdown activity against challenge with sand flies for 21 days in adult dogs and 14 days in puppies. These findings indicate that adult animals in endemic areas should be sprayed with the permethrin/pyriproxyfen product at 3- to 4-week intervals, and young dogs should be sprayed at approximately 2-week intervals, to prevent sand fly attack.

Administration, Cutaneous↗

[Effects of pyrethroids on tyrosine hydroxylase in nigrostriatum of male rats].

OBJECTIVE: To study the effects of pyrethroids on tyrosine hydroxylase in nigrostriatum of male rats. METHODS: Different doses of permethrin and deltamethrin in corn oil were administered to rats by gavage for ten days, then PLC-Fluorescence detection was used to analyzed the contents of dopamine (DA), DOPAC and HVA in the Substantial Nigra and Striatum. The activities of TH were also detected by HPLC-Fluorescence detection. TH mRNA or TH protein levels were measured by RT-PCR and immunohistochemistry method. RESULTS: Contents of DA in Striatum in 1/10LD50 DM group have a significant change, the contents of DOPAC and the turnover rate of DA all increased (P < 0.05), but DA, DOPAC and (DOPAC + HVA)/DA did not have any significant change in Substantial Nigra. The activities and mRNA level of TH had obvious decrease in two DM groups, the TH protein levels also significantly decreased in 1/10LD50 DM group. CONCLUSION: Deltamethrin could decrease the activities, mRNA and protein levels in nigraostriatum of rats.

3,4-Dihydroxyphenylacetic Acid↗

[Effects of pyrethroids on dopamine and its metabolites in nigrostriatum of male rats].

OBJECTIVE: To investigate the effects of pyrethroids on nigrostriatal dopaminergic pathways in male rats and its mechanism. METHODS: Different doses of permethrin (PM, 200, 400 mg/kg) and deltamethrin (DM, 6.25, 12.50 mg/kg) in corn oil were administered to rats by gavage once daily for ten days, then the contents of dopamine (DA) and its metabolites, 3, 4-dihydroxyphenylacetic acid (DOPAC) and homovanillic acid (HVA) in the substantial nigra and striatum were analyzed by HPLC-fluorescence detection. RESULTS: The contents of DA in striatum in four administered groups were decreased to a certain extent. DA in 6.25 mg/kg DM group [(6.14 +/- 0.57) microg/g wet weight] was lower than that in control group [(9.46 +/- 1.95) microg/g wet weight], P < 0.05. The turnover rate of DA in 200, 400 mg/kg PM and 6.25, 12.5 mg/kg DM groups increased by 133.33%, 166.67%, 166.67%, 266.67% respectively (P < 0.05 or P < 0.01), however there was no significant difference in DA and DOPAC in substantial nigra between control and administered groups. CONCLUSION: DM may inhibit tyrosine hydroxylase and decrease the level of DA in striatum, and both pyrethroid pesticides may increase the metabolism of dopamine in striatum.

3,4-Dihydroxyphenylacetic Acid↗

Knowledge and management of scabies in general practitioners and dermatologists.

Scabies is an infectious skin disease with an increasing incidence during the past decade. A survey was conducted among general practitioners (GPs) and dermatologists in the region of Ghent, Belgium, to explore their knowledge on scabies. Information on the treatment advice given and the frequency of reporting scabies to the Health Inspection was also collected. The scores on the knowledge test were of an acceptable level in both GPs and dermatologists (median score 59% and 79% respectively). We found that profession (dermatologist versus GP), the number of years of experience and the estimated number of scabies patients per year had a significant effect on this score. Permethrin cream, currently regarded as the standard treatment, is prescribed as the only treatment for scabies by half of the GPs and dermatologists. Almost 50% of the GPs and dermatologists indicated they rarely or never report scabies to the Health Inspection. As a result the correct incidence of scabies in Belgium, as in many other countries, is not known.

Adult↗

Ornithonyssus bacoti infestation and elimination from a mouse colony.

Skin lesions, consisting of nonspecific bites with intense pruritus and excoriation of the skin, were found on personnel working in an animal colony primarily housing mice. The tropical rat mite, Ornithonyssus bacoti, was diagnosed from mites trapped on insect-monitoring sticky traps and collected from mouse cages in the colony. Because these mites do not live on mice but only come to feed when the animals are in their nest, an initial attempt was made to eliminate the mites with a thorough cleaning of the facility. Clidox foam was applied to the entire room with a foaming machine. Then the mice were transferred into the sanitized cages in the cleaned room. The numbers of mites were reduced to the point that they were no longer noticed in the colony, but the mites returned within 2 weeks. The mites were successfully eliminated with the use of permethrin-impregnated cotton balls in the mouse cages for 8 weeks and treatment of the premises. Treatment of the premises included spraying floors and walls of all rooms housing mice and adjacent hallways in the colony with pyrethrin spray by a commercial pest control company. To prevent one room of rabbits from maintaining the infestation, they were treated weekly with an organic pyrethrin dust. Insect sticky traps have remained negative for mites for more than 3 years after treatment.

Animals↗

[Acaricidal activity of "Medifox" against the human itch mites Sarcoptes scabiei].

The acaricidal activity of Medifox was evaluated in terms of the itch mites to lend support to the validity of its regimen to treat human scabies. Experiments using mainly females, eggs, and larvae withdrawn from the burrows on the skin of patients with scabies were performed. Permethrin contained in 0.4% aqueous Medifox emulsion was found to affect an itch mite by contact and intestinal routes, without a marked knock-down effect; however, the signs of intoxication are irreversible and lead to the death of Medifox-treated mites. In an in vitro experiment, 100% death of specimens occurred 24-48 hours after immersion of the active stages in the aqueous emulsion for 1 min, depending on the stage of their development. Visual inspection of the course of embryogenesis and the hatch of larvae from eggs under a light microscope established that 20-40-min exposure to Medifox emulsion did not prevent the final formation of a larva and its hatch if the egg was at the late stages of embryogenesis. Long-term (180-min) exposure yielded a 100% ovicidal effect. An in vivo experiment indicated that there were no viable mites in the scabies burrows after single-to-double treatment of patients. Repeated applications are required due to their incomplete ovicidal effect. As a matter of fact, the third treatment is additional to create the "safety factor" of therapy. It is concluded that there is an agreement of the results of in vitro and in vivo experiments, by studying Medifox as an example. The findings suggest that the chosen Medifox treatment regimen including three consecutive treatments results in complete eradication of all the stages of the causative agent on the patient.

Administration, Topical↗

PCR-based assay to survey for knockdown resistance to pyrethroid acaricides in human scabies mites (Sarcoptes scabiei var hominis).

Permethrin, in the form of a topical cream, is being increasingly used for community-based programs to control endemic scabies. The development of resistance has reduced the use of pyrethroids for the control of many arthropods of economic and health importance. The best recognized form of pyrethroid resistance, known as knockdown resistance or kdr, has been linked to specific mutations in the target of these agents, the para-homologous voltage-sensitive sodium channel gene (Vssc). To develop tools to study resistance to pyrethroid acaricides, we cloned 3711 and 6151 bp, respectively, of cDNA and genomic fragments of the Vssc gene from scabies mite, Sarcoptes scabiei. The sequence encompasses the major polymorphic amino acid residues associated with pyrethroid resistance. A polymerase chain reaction-based strategy has been developed that enables genotyping individual scabies mites. This will facilitate early detection and monitoring of pyrethroid resistance in scabies mite populations under drug selection pressure.

Amino Acid Sequence↗

Field efficacy of "Mosbar" mosquito repellent soap against vectors of bancroftian filariasis and Japanese encephalitis in southern India.

Deet-permethrin "Mosbar" soap was field tested for repellency against mosquitoes by volunteers in urban and rural localities in southern India. Eighty-nine to 100% reduction in man-vector contact was recorded for 8 mosquito species, including Culex quinquefasciatus and recognized vectors of Japanese encephalitis. The soap was highly acceptable to the community.

Adolescent↗