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All Journal Medical Journal of Indonesia Berkala Ilmu Kesehatan Kulit dan Kelamin Collaborative Medical Journal (CMJ) ASEAN Journal of Community Engagement JOURNAL LA MEDIHEALTICO eJournal Kedokteran Indonesia Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia Jurnal Inovasi dan Teknologi Pendidikan
Sandra Widaty
Faculty Of Medicine University Of Indonesia/ Cipto Mangunkusumo Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary 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 Andira Hardjodipuro Hardjodipuro Anna Rozaliyani Aria Kekalih Ariyati Yosi Artini Wijayanti Islami Bianti, Marsha Cornain, Emilina Faradila Darmawan, Irene Dewi Friska Dewi Lestarini Diantha, Soemantri Dini Daniaty Eliza Miranda Eliza Miranda Eliza Miranda Githa Rahmayunita Hamzah Hamzah Hanny Nilasari Hansen Angkasa Hartanto, David Dwiadiputra Henry Wan-Peng Lim Herwinda Brahmanti Huda Marlina Wati Irma Bernadette Islami, Artini Wijayanti Joanne Natasha Joses Saputra Kartika, Emiliana Keiko Gunardi Krisanti, Roro Inge Ade Kusmarinah Bramono Lili Legiawati Lili Legiawati Lili Legiawati Lim, Henry W Lis Surachmiati Luddwi Achmad Rizky M. Yulianto Listiawan Marissa, Melani Marsha Bianti Martinus Martinus Melinda, Thong Felicia Menaldi, Sri Linuwih Susetyo Wardhani Mochamad H Azis Mufqi Handaru Priyanto Mustika, Rita Novita Suprapto Nuary, Teffy Nugraheni Pasaribu, Uly Aanda Maria Oktarina, Caroline Oktavia, Nikken Rima Pandelaki, Paulus Anung Anindita Pandjaitan-Sirait, Sondang MHA Purnawan, Shafira Anindya Rahadi Rihatmadja Rhida Sarly Amalia Rilanda, Risa Rinadewi Astriningrum Rita Mustika Rizky, Luddwi Achmad Robiatul Adawiyah Saleha Sungkar Sammy Yahya Sari, Siti Maulidya Shannaz Nadia Yusharyahya Sirait, Sondang Pandjaitan Situmeang, Irhen Sondang Pandjaitan Sirait Sri L. Menaldi Sri Linuwih Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Sri Wahdini Sujudi, Yufanti Surachmiati Suseno, Lis Suryanti Teffy Nuary Triana Agustin Tugiran, Mulyati Wati, Huda Marlina Windy Keumala Budianti Yahya, Sammy Yenny Rachmawati Yosi, Ariyati Yudo Irawan Yudo Irawan