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(KomBesPol) dr. Antoni, Sp.

KK

RATU BALQIS ANASA


1518012167

RS BHAYANGKARA POLDA LAMPUNG


HUMAN LICE

Pediculus humanus Pediculus humanus Pthirus pubis


humanus capitis
EPIDEMIOLOGI
100/ Head louse = all countries, all levels. (Largest: children
of primary school age/3-12 years). Increased in school
1.000.000 siblings and lower socioeconomic group
People
Pubic louse = sexually transmitted organism, some in
each year eyebrows and eyelashes.

Body louse = clothes, multiplies when cold,


promiscuity or lack of hygiene.
70-90%
optimal
Kelembaban
<40% die

29 32 oC
FISIOLOGI
Temp
>50 oC die

Can survive at
Eggs lower temp
(limit 16 days)
LIFE CYCLE
LOUSE BORNE
infection disease
Remerged in jails and refugee camps in central and eastern
Africa

High
Rural communities in the Peruvian Andes
prevalence
of body
louse Rural populations in Russia
infestation
Homeless populations living in poor hygiene conditions in
developed countries.
VS
Body louse
more patoghen

vectors of bacterial disease


transmitted to humans

Trench fever Bartonella quintana

Relapsing fever Borrelia recurrentis

Epidemic typhus Rickettsia prowazekii


DIAGNOSE

Itching/pruritus

Bacterial infections (complication


excoriated)

Occurs in scalp (hair) or clothing (body)

Inspection: direct magnifying glass + louse


comb
Using hands

TREATMENT Using combs

Historical methods Shaving


Strategies

Using Heat

Chemical Products

Study Methods:
Sensitivity and
Resistance
Local Products

Pediculicides

Per Os Treatment
NEW APPROACHES!

Symbiotic Treatment Synergistic Treatment


Antibiotic + Ivermectin
Symbiotic treatment: (a) living control showing higher bacterial fluorescence;
(b) louse treated with doxycycline 20 g/mL taken at day 10 showing lower bacterial
Fluorescence.

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