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All Journal Medical Journal of Indonesia Majalah Kedokteran The Indonesian Biomedical Journal Paediatrica Indonesiana Jurnal Entomologi Indonesia ASEAN Journal of Community Engagement eJournal Kedokteran Indonesia Archives of Pediatric Gastroenterology, Hepatology, and Nutrition The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Saleha Sungkar
Department Of Parasitology Faculty Of Medicine Universitas Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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Journal : ASEAN Journal of Community Engagement

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Control of Scabies in a Boarding School Using 5% Permethrin Applied on Lesion Only Sungkar, Saleha; Wahdini, Sri; Kekalih, Aria; Rilanda, Risa; Angkasa, Hansen; Widaty, Sandra
ASEAN Journal of Community Engagement Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Scabies is one of the most neglected tropical skin diseases in Indonesia. It is usually found in overcrowded communities with poor hygiene. The gold standard for scabies treatment is the whole-body topical application of 5% permethrin cream. However, the treatment causes inconvenience and stickiness for a prolonged period. The modification of topical treatment by applying only to the lesion yielded results similar with whole-body topical application. We consider using this mode of treatment to control the disease in a boarding school. The study was conducted from June to August 2019. All students were examined by dermatologists, and individuals who were diagnosed with scabies were treated using 5% permethrin for 12 h before wash-off (week 0) applied on the lesion only and reapplied a week after. The evaluation was conducted on weeks 4 and 8 by observing scabies lesions. Local health cadres were also trained, and environmental interventions were also performed. A total of 75 participants were analyzed. Most lesions were found on predilection sites such as finger web spaces of the left (57.3%) and right (58.7%) hands, gluteal region (60%), and penis (40%). The cure rate (CR) was 83%–100% of the lesions in week 4, which increased to 95%–100% in week 8. The CR on week 8 compared with baseline was 94.7% (p < 0.001). A total of 23 cadres were trained, and from post-test, 84% of the cadres showed good knowledge of scabies management. This novel application of 5% permethrin cream on the lesion only is an effective alternative to the conventional whole-body topical application.
Co-Authors Agnes Kurniawan Agus Aulung Ahmad Fuady Ahmad P. Natanegara Aji W. Wardhana Amajida Fadia Ratnasari Anastasia Yoveline Anastasia Yoveline Andi Arus Victor Anthea Casey Aria Kekalih Ayudianingrum, Asti Badriul Hegar Budiman Prakoso Cara Tasya Handita Dani M. Trianto Danny Surya Dewita Kamaruddin Diadikma Bellarosa Em Yunir, Em Evita Karianni Bermanshah Fanny P. Irmawati Ferry Sandra Franciscus D. Suyatna Ghina Fedora Gladys - Gladys Kusumowidagdo Gozali, Meutia N. Guntur Darmawan Hansen Angkasa Hasan Mihardja Hasan Mihardja Herqutanto - Hilman Zulkifli Amin Hirzi Zulkarnain Hisar Daniel I Gusti N.A.A. Oktafandi Idrus Alwi Idrus Alwi Indra  Sianturi Irma Annisa Isfiyanto, Isfiyanto Julie Barliana Julie Dewi Barliana Jusuf Rachmat Jusuf Rachmat Kartika Hajarani Keiko Gunardi Kusumowidagdo, Gladys Laura Agnestasia Djunaedi Luddwi A. Rizky Matiur, Eiko B. Mohamad A. Sahala Monica E.T. Rosandi Muhamad S. Advani Muhammad P. Wiratama Murdani Abdullah Murdani Abdullah Nadjib Advani Pratiwi Sudarmono R. Sapto Hendri Boedi Soesatyo Ratna Sitompul Ratna Sitompul Ratna Sitompul Rawina Winita Rawina Winita Reksodiputro, Mirta Hediyati Reza Damayanti Rikeish R. Muralitharan Rilanda, Risa Rinawati Rohsiswatmo Rita Sitorus Ronald Winardi Kartika Rose A. Haswinzky Rossalyn Andrisa Sandra Widaty Santoso, Dewi Irawati Soeria Saptawati Bardosono Saptawati Bardosono Sari, Della P. Sarwono Waspadji Sarwono Waspadji Soefiannagoya Soedarman Soleman, Imam Rahadian Sri L. Menaldi Sri Wahdini Sri Wahdini Sri Wahdini Sukartini, Ninik Suzanna Immanuel Suzzana Immanuel Tambunan, Fitry B.J. Tanjungsari, Dian Wahyu Tetty Yuniarti Todung Silalahi Todung Silalahi Tri Rahayu Triana Agustin Victor Santawi Wirastuti, Aulia Wresti Indriatmi Yasmine A. Dwinastiti Yeni D. Lestari, Yeni D. Yeni Dwi Lestari Yudo Irawan Yusuf Ananda Yvan Vandenplas Zahrotul Habibah