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TREATMENT OF SCABIES ON 6 YEARS OLD BOY IN DISTRICT OF NATAR SOUTH LAMPUNG Billy Aditya Pratama 1018011046 Faculty of Medicine, University of Lampung Abstract Background: Scabies is a skin disease that caused by Sarcoptes scabiei infestations. Scabies has becomed a health issue that associated with personal and environmental hygiene. Incidence of scabies is increasing both in developed and developing countries. In Indonesia, prevalence of scabies is 5.6% -12.95% and had become third of the 12 most common skin disease based on data from Indonesian Ministry of Health. The development of this disease is influenced by low socioeconomic factors, bad personal hygiene, low levels of knowledge and errors both of diagnosis and treatment. Objective: Application of family physician services based on evidence based medicine in patients with identified risk factors, clinical problems, and patient management framework based on the patient's problem solving approached to patient and family centre approached. Methode: Analysis of this study is a case report. The primary data obtained through anamnesis ( autoanamnesis and alloanamnesis of family members ), physical examination and home visits , to complete the family data, the data psychosocial and environmental. Assessment is based upon a holistic diagnosis of early, process, and the final quantitative and qualitative studies. Result: Patients had grade 1 of fungsional grade and diagnosed by scabies. Internal risk factors are low levels of knowledge about the transmission of scabies, mothers did not give attention to other family members that had similar symptoms. External risk factors are low level of parental education status, mothers did not maintain personal hygiene of family, low income. Intervention that already given is drugs and education about personal hygiene, modes of transmission and prevention of scabies, recognize family members that have similar complaints to be treated, instruction of using drugs and eradication of the transmission of scabies. On evaluation found itching, red spoth that already reduced and also itchy on other family members is also reduced.

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TREATMENT OF SCABIES ON 6 YEARS OLD BOY IN DISTRICT OF NATAR SOUTH LAMPUNG

Billy Aditya Pratama1018011046

Faculty of Medicine, University of Lampung

Abstract

Background: Scabies is a skin disease that caused by Sarcoptes scabiei infestations. Scabies has becomed a health issue that associated with personal and environmental hygiene. Incidence of scabies is increasing both in developed and developing countries. In Indonesia, prevalence of scabies is 5.6% -12.95% and had become third of the 12 most common skin disease based on data from Indonesian Ministry of Health. The development of this disease is influenced by low socioeconomic factors, bad personal hygiene, low levels of knowledge and errors both of diagnosis and treatment.

Objective: Application of family physician services based on evidence based medicine in patients with identified risk factors, clinical problems, and patient management framework based on the patient's problem solving approached to patient and family centre approached.

Methode: Analysis of this study is a case report. The primary data obtained through anamnesis ( autoanamnesis and alloanamnesis of family members ), physical examination and home visits , to complete the family data, the data psychosocial and environmental. Assessment is based upon a holistic diagnosis of early, process, and the final quantitative and qualitative studies.

Result: Patients had grade 1 of fungsional grade and diagnosed by scabies. Internal risk factors are low levels of knowledge about the transmission of scabies, mothers did not give attention to other family members that had similar symptoms. External risk factors are low level of parental education status, mothers did not maintain personal hygiene of family, low income. Intervention that already given is drugs and education about personal hygiene, modes of transmission and prevention of scabies, recognize family members that have similar complaints to be treated, instruction of using drugs and eradication of the transmission of scabies. On evaluation found itching, red spoth that already reduced and also itchy on other family members is also reduced.

Conclusion: Complex clinical problems takes a long time and cooperation between health workers and families. Where the officer has not only solved the problem of clinical patients, but also seeks and gave solutions to the environmental problems that affect the health of the patient and family.

Keywords: Scabies, Family Medicine Practice

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PENATALAKSANAAN SKABIES PADA SEORANG ANAK LAKI-LAKI USIA 6 TAHUN DI KECAMATAN NATAR LAMPUNG SELATAN

Billy Aditya Pratama1018011046

Fakultas Kedokteran Universitas Lampung

Abstrak

Latar Belakang: Skabies merupakan penyakit kulit akibat infestasi tungau Sarcoptes scabiei. Skabies telah menjadi masalah kesehatan yang sangat dikaitkan dengan kebersihan diri dan lingkungan. Angka kejadian skabies meningkat baik di negara maju dan negara berkembang. Prevalensi skabies di Indonesia menurut Kemenkes RI berdasarkan data dari puskesmas seluruh Indonesia tahun adalah 5,6%-12,95% dan menduduki urutan ketiga dari 12 penyakit kulit tersering. Perkembangan penyakit ini juga dipengaruhi oleh keadaan sosial ekonomi yang rendah, tingkat higiene yang buruk, kurangnya pengetahuan, dan kesalahan dalam diagnosis serta penatalaksanaan.

Tujuan: Penerapan pelayanan dokter keluarga berbasis evidence based medicine pada pasien dengan mengidentifikasi faktor risiko, masalah klinis, serta penatalaksanaan pasien berdasarkan kerangka penyelesaian masalah pasien dengan pendekatan patient centred dan family approached.

Metode: Analisis studi ini adalah laporan kasus. Data primer diperoleh melalui anamnesis (autoanamnesis dan alloanamnesis dari anggota keluarga), pemeriksaan fisik dan kunjungan rumah, untuk melengkapi data keluarga, data psikososial dan lingkungan. Penilaian dilakukan berdasarkan diagnosis holistik dari awal, proses, dan akhir studi secara kuantitatif dan kualitatif.

Hasil: Pasien memiliki derajat fungsional 1 dengan diagnosa klinis skabies. Faktor resiko internal yaitu pengetahuan yang kurang tentang penularan skabies, ibu pasien kurang memperhatikan anggota keluarga dengan gejala yang sama. Faktor resiko eksternal yaitu status pendidikan orang tua rendah , ibu pasien kurang menjaga higienitas personal anak, pendapatan keluarga cukup rendah. Dilakukan intervensi berupa pemberian obat dan edukasi terhadap pasien dan keluarganya tentang higiene perorangan, cara penularan dan pencegahan skabies, mengenali anggota keluarga dan lingkungan yang memiliki keluhan serupa untuk berobat, cara penggunaan obat dan pemberantasan rantai penularan scabies. Dalam evaluasi ditemukan keluhan gatal berkurang, bintik berkurang dan keluhan gatal pada anggota keluarga yang lain berkurang.

Kesimpulan: Masalah klinis yang kompleks membutuhkan waktu yang lama dan kerjasama antara petugas kesehatan dan keluarga. Petugas tidak hanya menyelesaikan masalah klinis pasien, tetapi juga mencari dan memberi solusi atas permasalahan-permasalahan dalam lingkungan yang mempengaruhi kesehatan pasien dan keluarga.

Kata Kunci: Skabies, Pelayanan Kedokteran keluarga