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Title:Garje pri otrocih in mladostnikih
Authors:ID Zupan, Amadea (Author)
ID Starbek Zorko, Mateja (Author)
Files:.pdf PDF - Presentation file, download (437,15 KB)
MD5: 35164FBDC5EA46A517627F8CF348590B
 
URL URL - Source URL, visit https://www.slovenskapediatrija.si/clanek?revija=1070&clanek=2500
 
Language:Slovenian
Typology:1.02 - Review Article
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:Garje (scabies) so nalezljiva parazitska kožna bolezen, ki jo povzroča pršica Sarcoptes scabiei var. hominis. Prenašajo se predvsem s tesnim stikom kože na kožo, redkeje posredno preko okuženega perila ali posteljnine. Najpogosteje zbolevajo dojenčki in otroci, v primeru prisotnosti scabies norvegica (crustosa) pa obolevajo osebe z oslabljenim imunskim sistemom. V zadnjih letih v Evropi in Sloveniji opažamo izrazit porast pojavnosti garij, tudi v okoljih z ustrezno higieno. Bolezen se kaže z značilnim srbenjem, najizrazitejšim ponoči, ter s tipičnimi papulami v parih, pogosto razpraskanimi in pokritimi s krasto, na področju tanjše, mehke in neporaščene kože z manjšim izločanjem loja. Pri dojenčkih so lahko prizadeti tudi obraz, lasišče, dlani in podplati. Razvijejo se lahko tudi skabični granulomi in infantilna akropustuloza. Diagnoza temelji na klinični sliki, dermatoskopiji in mikroskopskem dokazu pršic ali njihovih produktov. Zdravljenje vključuje lokalno uporabo 5-odstotnega permetrina kot zdravila prve izbire, pri odpornih oblikah ali posebnih indikacijah pa poleg zamenjave lokalne terapije lahko tudi peroralno zdravljenje z ivermektinom. Pomembna sta sočasno zdravljenje vseh družinskih članov oz. oseb, s katerimi je bil otrok v stiku, in dosledno izvajanje higienskih ukrepov. V zadnjem času poročajo o vse pogostejši neučinkovitosti svetovane terapije zaradi nepravilne uporabe in razvoja rezistentnosti pršic na te ukrepe, kar poudarja potrebo po zgodnjem prepoznavanju bolezni, ustreznem zdravljenju in preventivi.
Keywords:parazitne bolezni, garje, scabies, otroci, klinična slika, zdravljenje
Publication status:Published
Publication version:Version of Record
Year of publishing:2026
Number of pages:str. 38-44
Numbering:Letn. 33, št. 1
PID:20.500.12556/DiRROS-29277 New window
UDC:616-053.2
ISSN on article:1318-4423
DOI:10.38031/slovpediatr-2026-1-06 New window
COBISS.SI-ID:277103107 New window
Copyright:Na spletni strani revije navedeno "Slovenska pediatrija je revija z odprtim dostopom, vsi objavljeni prispevki so prosto in takoj po objavi dostopni za deljenje in uporabo ob ustreznem citiranju originalnih avtorjev in vira (Licenca CC-BY-NC 4.0)." (https://www.slovenskapediatrija.si/sl-si/, 6. 5. 2026)
Note:Besedilo v slov.;
Publication date in DiRROS:06.05.2026
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Downloads:22
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Record is a part of a journal

Title:Slovenska pediatrija : revija Združenja pediatrov Slovenije in Združenja specialistov šolske in visokošolske medicine Slovenije
Shortened title:Slov. pediatr.
Publisher:Združenje pediatrov Slovenije, Združenje specialistov šolske in visokošolske medicine Slovenije
ISSN:1318-4423
COBISS.SI-ID:43052032 New window

Licences

License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
Description:A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.

Secondary language

Language:English
Title:Scabies in children and adolescents
Abstract:Scabies is a contagious parasitic skin disease caused by the mite Sarcoptes scabiei var. hominis. Transmission occurs mainly through close skin-to-skin contact and, less commonly, indirectly via contaminated clothing or bedding. Infants and children are most commonly affected, and in the case of scabies norvegica, people with weakened immune systems. In recent years, a marked increase in incidence has been observed across Europe and Slovenia, including in settings with adequate hygiene. The disease is characterized by intense pruritus, most pronounced at night, and with typical papules in pairs, often scratched and covered with scabs, in areas of thinner, soft and hairless skin with less sebum secretion. In infants, the face, scalp, palms, and soles may also be involved. Scabies granulomas and infantile acropustulosis may also develop. Diagnosis is based on the clinical presentation, dermatoscopy, and microscopic identification of mites or their products. Treatment includes topical application of 5% permethrin as the first-line drug, but in resistant forms or for special indications, oral ivermectin can be used in addition to replacing topical therapy. Simultaneous treatment of all family members or contacts and consistent implementation of hygiene measures are important. Recently, there have been reports of increasing ineffectiveness of recommended therapy due to incorrect use and development of mite resistance, which emphasizes the need for early recognition of the disease, appropriate treatment and prevention.
Keywords:parasitic diseases, scabies, children, clinical picture, treatment


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