Prevalence and Socio-Demographic and Hygiene Factors Influencing Impetigo in Saudi Arabian Children: A Cross-Sectional Investigation

Clin Cosmet Investig Dermatol. 2024 Nov 21:17:2635-2648. doi: 10.2147/CCID.S472228. eCollection 2024.

Abstract

Purpose: To determine the prevalence of impetigo among children in Saudi Arabia as well as to identify socio-demographic factors associated with impetigo.

Methods: This cross-sectional study conducted in Saudi Arabia examined impetigo prevalence and associated factors among children aged 2 to 15. Data collection occurred between June 2022 and November 2023, involving structured interviews with the parents or legal guardians of the participating children. A pre-designed questionnaire was used, which included questions related to personal hygiene practices (such as, frequency of handwashing, bathing routines, and use of communal facilities), environmental conditions, and the child's impetigo diagnosis history.

Results: The study encompassed a total of 1200 participants, with a predominant representation of female (79.3%). Participants exhibited a diverse age distribution, with the highest proportion falling within the 18-24 age group (33.7%). Importantly, a statistically significant association was identified between the occurrence of impetigo in children and their personal hygiene scores (p < 0.001). Children with a confirmed impetigo diagnosis exhibited lower mean personal hygiene scores (2.6 ± 0.723) in contrast to those without such diagnoses (3.75 ± 0.911).

Conclusion: Socio-demographic factors, including child's gender, parental education level, employment status, and geographic location, emerge as significant determinants of impetigo occurrence. Additionally, there is a strong correlation between proper personal hygiene practices and a reduced incidence of impetigo.

Keywords: Staphylococcus aureus; Staphylococcus pyogenes; impetigo; personal hygiene; skin infections.

Grants and funding

This research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2024R390), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.