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All Journal Syntax Literate: Jurnal Ilmiah Indonesia AKSELERASI: Jurnal Ilmiah Nasional
Imaroh, Rifa
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Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Law, Crime, Criminology & Criminal Justice Social Sciences Other

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SCABIES WITH SECONDARY BACTERIAL INFECTION IN A BOARDING SCHOOL STUDENT: A CASE REPORT Imaroh, Rifa; Lumaksono, Maria Angela; Imani, Izzah; Widasmara, Dhelya
AKSELERASI: Jurnal Ilmiah Nasional Vol 7 No 3 (2025): AKSELERASI: JURNAL ILMIAH NASIONAL
Publisher : GoAcademica Research dan Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/jin.v7i3.1499

Abstract

Scabies is a contagious parasitic skin disease caused by Sarcoptes scabiei var. hominis. A 14-year-old male student residing in an Islamic boarding school presented to a public health centre with a long-standing history of scab-like skin lesions. The patient had sought treatment for more than one month without clinical improvement. He complained of intense nocturnal pruritus affecting the interdigital spaces and palms, accompanied by erythematous lesions, excoriations, vesicles, purulent discharge, swelling, pain, and fever. He also reported pain in the axillary and inguinal regions. Physical examination revealed multiple discrete erythematous papules and vesicles on the interdigital spaces and palms, accompanied by crusts, excoriations, and purulent discharge. Enlarged and tender axillary lymph nodes were also noted. Based on clinical findings, the patient was diagnosed with scabies complicated by secondary bacterial infection. Non-pharmacological management included patient and family education regarding the disease, personal hygiene, environmental sanitation, and a visit to the boarding school to prevent further transmission. Pharmacological therapy consisted of oral antibiotics, analgesics, antihistamines, and anti-inflammatory agents. Topical treatment included anti-scabietic therapy and a combination of topical antibiotic and anti-inflammatory agents. Scabies may be complicated by secondary bacterial infection due to delayed diagnosis and treatment, persistent scratching, and poor personal and environmental hygiene. Overcrowded living conditions, such as those in boarding schools, facilitate transmission and increase the risk of complications. A family-centred and community-based approach, particularly involving boarding school environments, plays a crucial role in controlling transmission and improving outcomes in patients with scabies complicated by secondary infection.
Utilization Of The Becak Tirtayasa Innovation In Reducing Leprosy Prevalence In The Tirtayasa Public Health Center Area, 2024 Imaroh, Rifa; Angela Lumaksono, Maria; Hardiati, Rien; Imani, Izzah; Widasmara, Dhelya
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v11i1.63454

Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae that affects the peripheral nerves, skin, and other body tissues. In addition to medical consequences, leprosy poses complex social, economic, cultural, and public health challenges. The Tirtayasa Public Health Center oversees 14 villages with a total population of 50,937 people. As part of leprosy elimination efforts, the center developed the BECAK Tirtayasa Innovation, aimed at supporting the achievement of Triple Zero leprosy. This innovation includes the development of a leprosy counseling module, the formation of BECAK Tirtayasa cadres, establishment of a telemedicine group connecting cadres, leprosy officers, and doctors, implementation of health education and educational games on leprosy, active Intensified Case Finding (ICF), and provision of chemoprophylaxis. To analyze the utilization of the BECAK Tirtayasa Innovation in reducing leprosy prevalence in the Tirtayasa Public Health Center area in 2024. This study employed an observational analytical cross-sectional design involving 50 respondents selected through total sampling from leprosy cases recorded between 2019 and 2024. Most leprosy patients were adults aged 20–60 years (44 individuals; 88.1%) and male (27 individuals; 54%). The highest proportion of cases originated from Lontar Village (12 individuals; 24%). Multibacillary leprosy predominated (44 individuals; 88%), and the majority of patients presented with grade 1 disability (23 individuals; 46%). The highest number of leprosy cases was recorded in 2019 (17 cases), while the lowest occurred in 2024, with only one new case identified. In 2024, the implementation of the BECAK Tirtayasa Innovation was associated with a decrease in leprosy prevalence to 0.1 per 10,000 population and achievement of the new case detection target at 1.9 per 100,000 population. No grade 2 disability cases or pediatric leprosy cases were reported (0%), and the treatment completion rate exceeded the national target (100%). Leprosy cases in the Tirtayasa Public Health Center area predominantly affected adult males, were mostly multibacillary in type, and commonly presented with grade 1 disability. The BECAK Tirtayasa Innovation contributed to a reduction in leprosy prevalence and supported progress toward Triple Zero leprosy in the Tirtayasa Public Health Center area.
Co-Authors Angela Lumaksono, Maria Dhelya Widasmara Hardiati, Rien Imani, Izzah Lumaksono, Maria Angela