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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.
Characteristics of Leprosy Chemoprophylaxis Recipeints in The Tirtayasa Public Health Center Area, 2023–2024 Imaroh, Rifa; Lumaksono, Maria Angela; Imani, Izzah; Widasmara, Dhelya
Jurnal Epidemiologi Kesehatan Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Leprosy remains a public health problem in Indonesia. In 2023, Indonesia ranked third globally in the number of leprosy cases, with 14,376 reported cases, after India (107,851 cases) and Brazil (22,773 cases). One of the key strategies for leprosy control in Indonesia is the implementation of preventive measures, including home visits and the administration of chemoprophylaxis using single-dose rifampicin (SDR). Post-exposure prophylaxis plays an important role in preventing leprosy transmission among contacts of confirmed patients. This study aimed to describe the characteristics of leprosy chemoprophylaxis recipients in the Tirtayasa Public Health Center area during 2023–2024. This study was an descriptive observational study. A total of 381 respondents were included using total sampling from close contacts of leprosy patients who received chemoprophylaxis. Data were analyzed descriptively. The majority of chemoprophylaxis recipients were aged ≥15 years (328 individuals; 86.1%). Most recipients were female (198 individuals; 52.0%). The highest number of recipients was found in Tirtayasa Village (81 individuals; 21.3%). Based on the type of contact, most recipients had neighbor contact (237 individuals; 62.2%). The most commonly administered rifampicin dose was 600 mg (326 individuals; 85.6%). No adverse effects were reported among all recipients following rifampicin administration. Most leprosy chemoprophylaxis recipients were aged ≥15 years and female. The majority of recipients resided in Tirtayasa Village and had neighbor contact with leprosy patients. Rifampicin at a dose of 600 mg was the most frequently administered, and no adverse effects were observed among all recipients. Keywords: Characteristics, Chemoprophylaxis, Leprosy