Holistic Management on 3 Years Old Child with Scabies through Family Medicine Approach in Community Health Center, Tanjung Sari Natar


  • Siti Amalya Ilmyasri
  • Sisy Rizkia Putri university of lampung
  • Reni Zuraida




family medicine, holistic management, scabies


Scabies is a dermatological disorder caused by the parasitic mite Sarcoptes scabei which is capable of digging tunnels in the skin and causing itching that gets worse at night. The aim of this study is to apply family doctor services based on evidence-based medicine to patients by identifying risk factors, clinical problems, and patient management based on a framework for solving patient problems using a patient centered and family approach. This study is a case report. The data obtained were primary data obtained through alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical records. Patients and their families have poor personal hygiene. The patient's family has insufficient knowledge about scabies, the habit of using towels together, and there is no regular schedule for washing and changing bed sheets, pillowcases and blankets. After carrying out holistic and comprehensive management using a family medicine approach, patient evaluation results were obtained in the form of increased knowledge of the patient's family regarding scabies, reduced complaints, and changes in behavior in maintaining personal and environmental hygiene.

Author Biographies

Siti Amalya Ilmyasri



Sisy Rizkia Putri, university of lampung



Reni Zuraida




Boediardja, Handoko. Buku Ajar Ilmu Penyakit Kulit dan Kelamin. Depok: Fakultas Kedokteran Universitas Indonesia; 2016.

WHO. WHO Informal Consultation on a Framework for Scabies Control. 2020. Tersedia dari: http://www.apps.who.int/

Micali G, Lacarrubba F, Verzi AE, Chosidow O, Schwartz RA. Scabies: Advances in Noninvasive Diagnose. PLoS Negl Trop Dis. 2016.

James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prebalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the global burden of disease study. 2017.

Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study. 2019.

Mutiara H, Syailindra F. Skabies. J Major. 5(2): 37-42. 2016.

Badan Penelitian dan Pengembangan Kesehatan Republik Indonesia. 2013. Riset Kesehatan Dasar (RISKESDAS) 2013, Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI.

Wahyu SD, Hamka, Zaitun S. Tingkat pengetahuan dan kejadian skabies di pondok pesantren. Jurnal Keperawatan Wiyata. 2018.

Gunardi KY, Sungkar S, Irawan Y, Widaty S. 2022. Level of efidence diagnosis scabies berdasarkan Oxford Centre for evidence-based medicine. Jakarta: Departemen Parasitologi Fakultas Kedokteran Universitas Indonesia.

McMeniman E, Holden L, Kearns T. 2011. Skin disease in the first two years of life in aboriginal children in East Arnhem land. Australia J Dermatol.

Perdoski. Panduan Praktik Klinik Bagi Dokter Spesialis Kulit dan Kelamin di Indonesia. Jakarta: Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (Perdoski). 2017.

Gunardi KY, Sungkar S, Irawan Y, Widaty S. Level of Evidence Diagnosis Skabies Berdasarkan Oxford Centre for Evidence-Based Medicine. Jakarta: Departemen Dermatologi dan Venerologi FKUI. 2022.

Prasetyo GNS. Skabies Beserta Penatalaksanaannya: Sebuah Laporan Kasus. Denpasar: Fakultas Kedokteran Universitas Udayana. 2017.

Kurniati, Zulkarnain I, Listiawan MY. Kesesuaian Gambaran Klinis Patognomonis Infestasi Skabies dengan Kepositifan Pemeriksaan Dermoskop dan Kerokan Kulit. Surabaya: Fakultas Kedokteran Universitas Airlangga. 2014.

Dewi MK, Wathoni N. Artikel Review: Diagnosis dan Regimen Pengobatan Skabies. Bandung: Fakultas Farmasi Universitas Padjadjaran. 2017.

Burkhart CN, Burkhart CG. Scabies, Other Mites, and Pediculois. Dalam Wolff K, Goldsmith LA, Freedberg IM, Kazt SI, Gilchrest BA, Paller AS, Leffell DJ, editor. Fitzpatrick’s Dermatology in General Medicine. Edisi ke-8. New York: McGraw-Hill. 2012.

Shimose L, Munoz-Price LS. Diagnosis, Prevention, and Treatment of Scabies. Curr Infect Dis Rep. 2013.

Putri YY, Astuti RDI, Bhatara T. Karakteristik Tanda Kardinal Penyakit Skabies pada Santri di Pesantren. Bandung: Fakultas Kedokteran Universitas Islam Bandung. 2020.

Koduri UK. Burrow Ink Test (BIT) Done by The Patient and Analyzed through Telemedicine to Diagnose Scabies in Covid Era: Our Experience. India: Indian Association of Dermatology, Venereology, and leprology. 2021.

Barrio-Diaz PB, Vera-Kellet C. The Burrow Ink Test: A Simple Method to Improve the Diagnosis of Scabies. Santiago: Department of Dermatology, Facultad de Medicina, Pontificia Universidad Catolica de Chile. 2021.



How to Cite

Ilmyasri, S. A. ., Putri, S. R., & Zuraida, R. (2024). Holistic Management on 3 Years Old Child with Scabies through Family Medicine Approach in Community Health Center, Tanjung Sari Natar. Medical Profession Journal of Lampung, 14(4), 674-683. https://doi.org/10.53089/medula.v14i4.1067




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