STUDI KASUS: DIAGNOSTIK HOLISTIK DAN PENATALAKSANAAN BERBASIS LAYANAN KEDOKTERAN KELUARGA PADA PASIEN ANAK DENGAN SKABIES

Abstract

Scabies is a parasitic infectious disease (Sarcoptes scabiei var hominis) which is still a public health  problem in the world, including Indonesia. Scabies can be transmitted through direct and indirect contact with the greatest prevalence in children, densely populated populations, poor sanitation and  hygiene. Symptoms  and  signs  of  scabies  include  papules, vesicles, pustules or nodules accompanied by itching at night with  a predilection for a thin epidermal layer. This study is a case report that aims to examine the accuracy in diagnosing and providing pharmacological and non-pharmacological (communication, information and education) treatment of scabies patients. Primary data were obtained through anamnesis (by autoanamnesis   and alloanamnesis with  the patient's family members) and physical examination by conducting home visits, filling out the family folder, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. In the study, a 16-year-old boy patient was found at the Pediatric Polyclinic at the Meuraxa Health Center with complaints of itching all over the body, especially between the fingers, since the last 8 months. Complaints of itching worsen at night so that it disturbs the patient's sleep. The patient has two siblings who live in the same home with the same complaint The patient's mother also  had  the  same  complaint. On physical  examination,  HR:  84x/I,  RR:  20x/I,  temperature: 36°C and nodules were found in the left palmar region of the manus, and canaliculi in the form  of  white  straight  lines  with  papular  tips.  Management  in  the  form  of  communication, information   and education on environmental sanitation and hygiene as well as pharmacological treatment.