2020, Number 3
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Dermatología Cosmética, Médica y Quirúrgica 2020; 18 (3)
Pediculosis Capitis in Kindergarteners in Acapulco. Effectiveness of Coconut Oil
Saldaña AJ, Paredes SS, Romero NM, Castillo SA, Flores MM, Andersson N, Cockcroft A
Language: Spanish
References: 38
Page: 185-191
PDF size: 140.51 Kb.
ABSTRACT
Background: pediculosis capitis is common among children
worldwide. Concerns about toxicity of treatment with pesticides
and resistance have led to alternative treatments.
Objective: to evaluate the effectiveness of natural coconut oil
for treatment of pediculosis capitis.
Material and method: a cluster randomized controlled trial
was carried out in eight public pre-schools in Acapulco, Guerrero,
Mexico. After randomization, we selected four pre-schools
for studying and four as controls. 30 ml of coconut oil were
applied to the scalp of the children twice a day with a 10-day
interval. This analysis aimed to estimate the impact of the coconut
oil treatment.
Results: the study group was much less likely to have infestation
in the follow-up examination than children in control
group (odds ratio 0.27, cluster adjusted 95% confidence interval
0.11-0.69). The treatment significantly reduced levels of
infestation (risk difference 9.3%; number needed to treat 11,
95% ci 7-21). Affected children in the study showed significantly
lower loads of
Pediculus humanus capitis compared with those in
control schools (p ‹0.0001).
Conclusions: school-based application of natural coconut oil
was effective in the treatment of pediculosis capitis.
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