Penatalaksaan Skabies Dengan Pendekatan Kedokteran Keluarga Pada Pasien Dewasa

  • Ni Komang Dessy Kumarayanti Student
  • Yunita Hapsari
  • Dinie Ramdhani Kusuma
Keywords: Skabies, Kedokteran keluarga, kebersihan diri

Abstract

Scabies is an infected skin disease caused by infestation and sensitization of Sarcoptes scabiei var. Hominis and its products with nocturnal pruritus as symptom. At 2017, scabies was included to Neglected Tropical Diseases (NTD). This disease related to low economic state, low educational level, poor hygiene, linited access to clean water, dense settlement, wrong diagnosis and treatment. Scabies can easily transmitted both directly and indirectly. Scabies was neglected by people because people thought thah this disease wasn’t a life-threatening disease, however this disease can lead to some complications such as impetigo, celullitis, abscesses, even sepsis, in the case of S. pyogenes, post-streptococcal glomerulonephritis and acute rheumatic fever can happen. In resource-poor countries, outbreaks of acute poststreptococcal glomerulonephritis coincide with outbreaks of scabies and may contribute to development of chronic kidney disease and subsequent renal failure. Patient came with complaints itching between fingers on both hands and foots, wrist, back, and crotch especially at night since four months ago. He has poor personal hygiene. The patients was diagnosed with scabies, then he got treatment with family medicine approach. Medicine treatment he got was Permethrine cream 5%, Cetirizine tablet, and mixed cream of Fusidat Acid and Desoximetason. The family who lived together with patient also got treatment and educated about the disease.

References

1. Djuanda A, Hamzah M, Aisah S. Ilmu penyakit kulit dan kelamin. Edisi ke-7. Jakarta: Balai Penerbit FKUI; 2018
2. Ikatan Dokter Indonesia. Panduan Praktik Klinis bagi Dokter di Fasilitas Pelayanan Kesehatan Primer. 2nd ed, Jakarta: Ikatan Dokter Indonesia; 2017.
3. Davis, J.S.; McGloughlin, S.; Tong, S.Y.; Walton, S.F.; Currie, B.J. A novel clinical grading scale to guide the management of crusted scabies. PLoS Negl. Trop. Dis. 2013, 7, e2387.
4. WHO. Water Sanitation and Health (WSH). Available from: http://www.who.int/water_sanitation_health/diseases/scabies/en/ (Accessed: 5 September 2020)
5. RISKESDAS. Badan Penelitian dan Pengembangan Kesehatan Republik Indonesia. Available from: https://doi.org.1 (Accessed: 5 September 2020)
6. Worth, C.; Heukelbach, J.; Fengler, G.; Walter, B.; Lisenfeld, O.; Feldmeier, H. Impaired quality of life in adults and children with scabies from an impoverished community in Brazil. Int. J. Dermatol. 2012, 51, 275–282.
7. Hofstraat, K.; van Brakel, W.H. Social stigma towards neglected tropical diseases: A systematic review. Int. Health 2016, 8 (Suppl. 1), i53–i70
8. Thornley, S.; Marshall, R.; Jarrett, P.; Sundborn, G.; Reynolds, E.; Schofield, G. Scabies is strongly associated with acute rheumatic fever in a cohort study of Auckland children. J. Paediatr. Child Health 2018, 54, 625–632.
9. Engelman, D.; Kiang, K,; Chosidow, O,; McCarthy, J.; ,Fuller, C.; Lammie, P.; Hay R.; Steer A.; Members of the International Alliance for The Control of Scabies. Toward the global control of human scabies: introducing the international alliance for the control of scabies. PLoS Negl Trop Dis 2013, 7: e2167.
10. Hay R.; Steer AC.; Engelman D.; Walton S. Scabies in the developing world—its prevalence, complications, and man- agement. Clin Microbiol Infect 2012, 18: 313–323.
11. Anderson KL.; Strowd LC. Epidemiology, diagnosis, and treatment of scabies in a dermatology office. J Am Board Fam Med 2017, 30: 78–84.
12. Romani L et al. Mass drug administration for scabies control in a population with endemic disease. N Engl J Med 2015, 373: 2305–2313.
13. Brunton, L.L., B.A. Chabner, and B.C. Knollmann, Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 2011, McGraw-Hill; New York
14. Wolff K, Goldsmith LA, Katz Sl, Gilchrest BA, Paller AS, Leffell DJ. Fitzpatrick’s dermatology in general medicine. Edisi ke-8. New York: McGraw Hill; 2012
15. Currie BJ, Harumal P, McKinnon M, Walton SF, 2004. First doc- umentation of in vivo and in vitro ivermectin resistance in Sacrcoptes scabiei. Clin Infect Dis 39: e8–e12.
16. Goldust M, Nejad B, Rezaee E, Raghifar R. Comparative trial of permethrin 5% versus lindane 1% for the treatment of scabies. J Dermatolog Treat. 2013:e1-3
17. Gilson RL, Crane JS. Scabies (Sarcoptes Scabiei). In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.
18. Gan GL, Azwar A, Wonodirekso S. A primer on family medicine practice. Singapore: Singapore International Foundation; 2004
Published
2020-10-17

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