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All Journal Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia
Sujudi, Yufanti
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Health Professions Medicine & Pharmacology

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Empowering nonmedical personnel to detect scabies in endemic area using DeSkab instrument: A diagnostic study Widaty, Sandra; Kekalih, Aria; Friska, Dewi; Bramono, Kusmarinah; Sari, Siti Maulidya; Darmawan, Irene; Sujudi, Yufanti; Hartanto, David Dwiadiputra; Kartika, Emiliana; Oktavia, Nikken Rima
Journal of General - Procedural Dermatology and Venereology Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Scabies has been added to World Health Organization (WHO) list of neglected tropical disease in 2017. Various methods have been developed to control scabies in highly prevalent communities. In this study we conducted a diagnostic study to evaluate the performance of scabies detection by trained nonmedical personnel (NMP) using Deteksi Skabies (Deskab) instrument which has been validated for NMP. Methods: Eight NMPs in a boarding school were trained to detect scabies using DeSkab instrument. The NMPs diagnosis were compared to diagnosis of 10 medical doctors. The study was conducted in a religion-affiliated boarding school in West Java, Indonesia. Both examiners consecutively assessed boarding school students using DeSkab instrument and were blinded to each other findings. Results: Among 140 participants included in this study, scabies was confirmed by medical doctors in 60 participants. Diagnostic accuracy of NMPs examination is 72.14% [95% confidence interval (CI) 64.2-78.9], with sensitivity and specificity 67.42% (95% CI 57.13-76.26), and 80.32% (95% CI 67.54-88.98) respectively. The inter-rater agreement (Cohen’s kappa) for diagnosing scabies is 0.44. Conclusion: NMPs can be trained to detect scabies in their community with acceptable accuracy. Improving training are recommended to further improve the diagnosis skills and maintaining sustainable detection program.
Skrining pada Kanker Kulit Chairista, Inadia Putri; Paramitha, Larisa; Sampurna, Adhimukti T; Krisanti, RR Inge Ade; Wahyudi, Danang T; Hoemardani, Aida SD; Sujudi, Yufanti; Legiawati, Lili
Media Dermato-Venereologica Indonesiana Vol 51 No 3 (2024): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v51i3.423

Abstract

Tingginya insiden, prevalensi, morbiditas, dan mortalitas kanker kulit telah menjadi permasalahan kesehatan masyarakat di seluruh dunia. Skrining kanker kulit dilakukan sebagai salah satu upaya dalam mengurangi beban kanker kulit yang ditimbulkan. Skrining kanker kulit meliputi total body skin examination yang bersifat non-invasif, mudah, cepat, dan hemat biaya bila dibandingkan dengan skrining untuk kanker lainnya. Akan tetapi, efektivitas skrining kanker kulit pada tingkat populasi masih diperdebatkan. Tenaga kesehatan, khususnya dokter spesialis kulit berperan penting dalam pelayanan skrining kanker kulit. Pengetahuan lebih lanjut mengenai skrining kanker kulit, rekomendasi, dan berbagai teknik pendekatan diagnostik sangat diperlukan untuk memajukan program skrining kanker kulit. 
Co-Authors Aria Kekalih Chairista, Inadia Putri Darmawan, Irene Dewi Friska Hartanto, David Dwiadiputra Hoemardani, Aida SD Kartika, Emiliana Krisanti, RR Inge Ade Kusmarinah Bramono Larisa Paramitha Lili Legiawati Oktavia, Nikken Rima Sampurna, Adhimukti T Sandra Widaty Sari, Siti Maulidya Wahyudi, Danang T