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JOURNAL READING
PROFILE OF SCABIES
IN DERMATOVENEREOLOGY OUTPATIENT DEPARTMENT
MARDI WALUYO PUBLIC HOSPITAL BLITAR

RDI WA
UD MA

LU
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KO
TA BLI TA R

BY:
dr. Irma Tarida Listiyawati, Sp.KK
dr.Sitanaya Katje, SpKK
dr. Erie Trijono, Sp.THT-KL
Dymas Bryliandi Nofarengga
Ardila Utari Dewi
Gita Ayu Kusumadewi
Elva Maulidya

MARDI WALUYO REGIONAL HOSPITAL OF BLITAR CITY

Kalimantan Street Number 113 Blitar city – Phone (0342) 801118 –
Faxmile (0342) 809740, E-mail: rsudmardiwaluyo@yahoo.com,
website: rsudmardiwaluyo.com
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PROFILE OF SCABIES IN DERMATOVENEREOLOGY OUTPATIENT DEPARTMENT MARDI

WALUYO PUBLIC HOSPITAL BLITAR
Listyawati IT1, Katje S1,Trijono E2, Nofarengga DB3, Dewi AU3, Kusumadewi GA3, M Elva3
1. Dermatovenereology Department of Mardi Waluyo Public Hospital Blitar
2. Ear Nose and Throat Department of Mardi Waluyo Public Hospital Blitar
3. Medical Faculty of University of Islam Malang

ABSTRACT
Scabies is a common health problem, affected people in all ages and socio-economic
status. There are an estimated 300 million cases each year. This disease often occurs
in children, with transmission through skin contact and usage of same bedding and
belonging. Adequate therapy and proper education are necessary, to prevent further
transmission. It is necessary to know the profile of the patient, because there are some risks to
harbor the disease. This is a descriptive to describe the profile of scabies patients in
dermatovenereology outpatient department from August’1 2017 –October’31 2017.
Keyword: scabies, profile, dermatovenereology

INTRODUCTION
Scabies is a common health problem, affected people in all ages and all socio-economic
status. There are an estimated 300 million cases each year. The prevalence of scabies in
developing countries is caused by delayed in diagnosis, treatment, and lack of information
about the disease. Children is the most affected. The transmission through skin contact and
usage of same bedding and belonging. Mites that cause scabies would make the tunnel at the
stratum corneum.1 This tunnel cause inflammation and rash. The rash and papule would
develop in six to eight weeks and cause itching. The Itching in the scabies worse at night.1
Scabies mites not only live on the human body, but also in belonging and bedding, such
as clotheas and towel. Mites may live up to 3 days at room temperature.1 Scabies patient were
given topical therapy, permetrin 5%. The application of topical therapy for scabies is different
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between children and adult. In adults the therapy were applied to the entire body except the
face and scalp. In children and patients with crusted scabies, the theraphy should be given to
the entire body, including face and scalp.1 Adequate therapy and education of scabies patient is
very important, in order to avoid recurrent transmission of scabies and ailments can be
treated.1 Therefore, it is very necessary to know the profile of the patient in order to estimate
the risk and to establish the proper diagnosis. The Purpose this study to determine the profile of
scabies patients in the clinic of skin and venereal in the period from August to October 2017.

MATERIAL AND METHOD

This is a descriptive study, which describes the profile of scabies patients in the
dermatovenereology outpatient department in Mardi Waluyo public hospital Blitar from
August’1’2017-October’31’2017.

INCLUSION CRITERIA
All patients who came in Dermatovenereology outpatient departement Mardi Waluyo
public Hospital Blitar during August’1’2017 untill October’31’2017 with the diagnosis Scabies.

PROCESSING AND ANALYSIS OF DATA

The data will be extracted in standar table for each criteria of profile.

RESULTS AND DISCUSSION

During August 2017 to October 2017 (3 months) clinical data of scabies patients who
came for treatment at the Mardi Waluyo Regional Hospital inBlitar City, with clinical results
were as follows
Table 1. Distribution of gender
GENDER TOTAL PERCENTAGE (%)
Man 31 67.4
Woman 15 32.6
TOTAL 46 100
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From table 1, there are 67.4% Man dan 32.6% women included in this study. There are
no gender predisposed in scabies.2

Table 2. Distribution of Age

NO. AGE CATEGORY (IN YEARS) TOTAL PERCENTAGE (%)
1 Toddler (0-5) 7 15.2
2 Children (6-11) 4 8.7
3 Early Adolescence (12-16) 12 26
4 Late Teenagers (17-25) 4 8.7
5 Early adults (26-35) 3 6.5
6 Late Adults (36-45) 3 6.5
7 Early Elderly (46-55) 3 6.5
8 Late Elderly (56-65) 3 6.5
9 Seniors (65 and above) 7 15.2

TOTAL 46 100

The distribution of age from 46 patient were most in the age 12-16 (26%). It may caused
by there are a lot of children in that age were sent to boarding school to study science and
religion. They were placed in the crowded dormitory room with the risk of using same personal
belonging together.

Table 3. Distribution of Address

DOMICILE TOTAL PERCENTAGE (%)
Kota Blitar 10 21.7
Kabupaten Blitar 36 78.3
TOTAL 46 100
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The distribution of addres, is predominantly in Kabupaten Blitar (78.3%). It may caused

by there is no dermatovenereologist in Ngudi Waluyo public hospital , the govermental hospital
in kabupaten Blitar.

Table 4. Distribution of Patients Who Stays in the Dormitory

RESIDENCE TOTAL PERCENTAGE (%)
Dormitory 38 82.6
Home 8 17.4
TOTAL 46 100

The distribution of patient who stays in the dormitory (82.6%) is higher than the patient
who stays at home. As explained before, crowded dormitory and using together personal
belonging is one of the risk factor of getting scabies.

Table 5. Distribution of The Source of Financing

FINANCING TOTAL PERCENTAGE (%)
BPJS 11 24
Personal Funding 35 76
TOTAL 46 100

The distribution of patient’s source of financing using personal funding (76%) is higher
than using BPJS insurance (24%). It may be caused by, the diagnosis of scabies is the diagnosis
which have to be done in the primary care for the BPJS user.

Table 6. Distribution of Drug Prescribed for the Patient

DRUG TOTAL PERCENTAGE (%)
Permethrin 5% 12 26
Permethrin 5% + Anti Histamine 34 74
TOTAL 46 100
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Distribution of patient treated with permethrine combine with antihistamine (74%) is

higher than with permethrine alone (26%), because more patients need supportive theraphy to
relieve the symptom.

Table 7. Distribution of Frequency of Visit in the Hospital

FOLLOW UP TOTAL PERCENTAGE (%)
1 time therapy 28 60.9
> 1 time therapy 18 39.1
TOTAL 46 100

Distribution of patient frequency of visit to the hospital once (60.9%) is higher. It may be
caused by the compliance of the patient to repeat the visit to ensure that the disease already
clear.

CONCLUSION AND SUGGESTION

Based on the results of data analysis and discussion in this paper, it can be concluded
that, most of scabies patient were male, in the age of 12-16 years, stay in kabupaten Blitar, live
in the dormitory, and use personal financing. Most of patient need additional treatment than
single treatment with permethrine 5% and most of them only come for one visit in the Mardi
Waluyo Public Hospital Blitar.
Researchers need to do further and longer data collection about scabies patients in the
skin and venereal polyclinic of Mardi Waluyo Public Hospital, to describe precisely the profile of
scabies patients.

REFERENCE
1. Burkhart CN and Burkhart CG. Scabies, Other Mites, and Pediculosis. In: Wolff K,
Goldsmith LA, Freeberg IM, Kazt SI, Gilchrest BA, Paller AS, Leffell DJ, editors.
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Fitzpatrick’s Dermatology in General Medicine. 8th edition. New York: Mc Graw Hill;
2012. p.2659-72
2. Persatuan Dokter Spesialis Kulit dan Kelamin Indonesia. Panduan Praktik Klinis. Jakarta:
PP Perdoski;2017.
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