Systematic literature review to identify methods for treating and preventing bacterial skin infections in Indigenous children

Australas J Dermatol. 2018 Aug;59(3):194-200. doi: 10.1111/ajd.12680. Epub 2017 Jul 28.

Abstract

Background/objectives: Bacterial skin infections in Indigenous children in Australia frequently lead them to access primary health care. This systematic review aims to identify and analyse available studies describing the treatment and prevention of bacterial skin infections in Indigenous children.

Methods: Electronic databases including Scopus, MEDLINE, CINAHL, ProQuest, Informit and Google Scholar were searched. Studies in English published between August 1994 and September 2016, with the subject of bacterial skin infections involving Indigenous children and conducted in Australia, New Zealand, the USA or Canada were selected.

Results: Initially 1474 articles were identified. After the application of inclusion and exclusion criteria, 10 articles remained. Strategies for the treatment and prevention of bacterial skin infections included the management of active infections and lesions, improving environmental and personal hygiene, the installation of swimming pools and screening and treatment.

Conclusion: There is a need for more, rigorous, large-scale studies to develop evidence for appropriate, culturally acceptable methods to prevent and manage bacterial skin infections in Indigenous children in Australia. The problem is complex with multiple determinants. Until underlying socioeconomic conditions are addressed skin infections will continue to be a burden to communities.

Keywords: Staphylococcus aureus; Streptococcus pyogenes; Aboriginal and Torres Strait Islander; CA-MRSA; children; pyoderma.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Australia
  • Child
  • Child, Preschool
  • Housing
  • Humans
  • Hygiene
  • Infant
  • Infant, Newborn
  • Native Hawaiian or Other Pacific Islander*
  • Skin Diseases, Bacterial / drug therapy*
  • Skin Diseases, Bacterial / ethnology
  • Skin Diseases, Bacterial / prevention & control*
  • Swimming Pools*
  • Toilet Facilities
  • Young Adult

Substances

  • Anti-Bacterial Agents