Diagnostic and therapeutic approaches of pediatricians to scabies: a nationwide cross-sectional study from Turkiye

Aims: Scabies is a highly contagious ectoparasitic infestation commonly observed in childhood. Its diagnosis and treatment can be challenging due to atypical clinical presentations that overlap with other dermatological conditions. This study aims to evaluate the diagnostic and therapeutic approaches of pediatricians toward scabies and highlight the variabilities in their clinical practices. Methods: Online survey forms were distributed to pediatric specialists and residents practicing across Turkiye. The questionnaire included items on demographic characteristics, clinical approaches, treatment preferences, and management of close contacts. Results: A total of 459 pediatricians participated in the study. The most commonly preferred first-line treatment agent was permethrin lotion (60.3%), while the use of ivermectin was limited (1.3%). In addition, 64.5% of the participants reported prescribing magistral preparations in their daily practice, and 90% stated that they recommended treatment for family members. Clinical findings were most frequently used for diagnosis (96.5%), whereas laboratory confirmation was rarely requested. Approximately one-quarter of the participants believed that scabies could also be transmitted from animals. These results demonstrate considerable variability in knowledge and clinical practice. Conclusion: This study has revealed notable variabilities among pediatricians in the diagnostic and therapeutic approaches used to treat scabies. Practical challenges in the clinical setting underscore the need for improved integration of current guidelines and implementation of targeted educational programs.