Holistic Management of Scabies in a 14 Years Old Male Student Using Family Medicine Approach


  • Nikom Sonia Purohita Medical Faculty Lampung University
  • Aila Karyus




Family medicine, holistic management, scabies


Scabies is a skin disease caused by Sarcoptei scabei mites hominis variety. According to WHO, an estimated 300 million people are currently infected with scabies globally, with a prevalence ranging from 0.2% to 71%. Scabies attacks  community because it is transmitted easily through skin contact. There are various factors that can lead to the failure of management of patients with scabies. Therefore, proper holistic management using a family medicine approach is needed. This study is a case report with primary data obtained from anamnesis, physical examination, and home visit. Secondary data were obtained from patient medical records. Patient A, a 14 year old student complained itching between his fingers, especially at night since 3 months. He already looking for treatment three times but his symptoms have not decreased. Then an initial holistic diagnosis is carried out. Pharmacological and non-pharmacological management is carried out with the principles of patient-centered, family focused, and community-oriented. The intervention was done using posters and pamphlets, including general knowledge about scabies, how to maintain personal and environmental hygiene, how to use medicine properly, and how to prevent transmission in the community. After the pharmacological and non-pharmacological management, evaluation is carried out. There is an increase in knowledge and changes in behavior for both patients and his families. It can be concluded, holistic management with a family medicine approach is needed for the management of patients with scabies in order to support the success of therapy and prevent transmission to the community.


Sungkar S. Skabies: Etiologi, Patogenesis, Pengobatan, Pemberantasan, dan Pencegahan. Badan Penerbit FKUI: Jakarta; 2016.

Engelmen D et al. The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Briish Journal of Dermatology. 2020; 10.1111: 1-13

WHO. Neglected Tropical Diseases: Scabies. World Health Organization; 2019 [Disitasi tanggal 11 September 2020] Tersedia dari: https://www.who.int/neglected diseases/diseases/scabies-and-other-ectoparasites/.

Farid AFM, Wulan D, Busman H, Rahmayani F. Perbedaan Pengetahuan Tentang Pencegahan Penyakit Sekabies antara Sebelum dan Sesudah Promosi Kesehatan pada Siswa Kelas 7 MTS di Pondok Pesantren Madarijul Ulum Bandar Lampung. Medical Profession Journal Of Lampung. 2019; 8(2): 1-10

CDC. Scabies [internet]. Center For Disease Control and Prevention; 2010. [Disitasi tanggal 12 September 2020]. Tersedia dari: https://www.cdc.gov/parasites/scabies/disease.html.

Ronny PH. Skabies. Dalam: Adhi D, Mochtar H, Siti A, Editor. Ilmu Penyakit Kulit dan Kelamin Edisi ke-7. Jakarta: Balai Penerbit FKUI; 2017.

Dien BCN, Sibauea S. Penatalaksanaan Penyakit Skabies Pada Laki-Laki Usia 42 Tahun Dengan Pendekatan Kedokteran Keluarga. Juke Unila. 2020; 10(2): 241-246.

Johnston GA. Scabies: Diagnosis and Treatment. BMJ Online Journal. 2014; 331 (1):612-22

Alsyali Z et al. A Comprehensive Review Study on Scabies and its Associated Impact on PsychoSocial Health of an Individual. International Journal of Contemporary Research and Review. 2019; 10 (2): 20700-8.

Mutiara H, Syailindra F. Skabies. Majority. 2018; 5(2):37-42

AAD. Scabies [internet]. American Academy of Dermatology; 2015. Disitasi tanggal 11 September 2020. Tersedia dari: https://www.aad.org/dermatology-a-toz/diseases-and-treatments/t/scabies/who-gets-causes.

Sobirin MY, Mayasari D. Penatalaksanaan Skabies pada Anak Perempuan Usia Satu Tahun dengan Pendekatan Kedokteran Keluarga. Jurnal Medula Unila. 2017; 7(3): 50-7.

CDC. Scabies [internet]. Center for Dieases Control and Prevention; 2017. Disitasi tanggal 17 September 2020. Tersedia dari: https://www.cdc.gov/parasites/scabies/resources/scabies_fact_sheet.pdf.

Shimose L, Price SL. Diagnosis, Treatment, and Prevention of Scabies. Current Infections Disease Report.2014; 15(1):0354-0

Fakhrena F. Perbandingan Efektivitas Terapi Kombinasi Salep 24 dan Sabun Sulfur 10% dengan Salep 24 Tunggal Sebagai Pengobatan Skabies di Pondok Pesantren Bait Qurani Ciputat [Skripsi]. FKIK UI Syarif Hidayatullah: Jakarta; 2015.

Mansyur M. Pendekatan Kedokteran Keluarga pada Penatalaksanaan Skabies Anak Usia Pra-Sekolah. Maj Kedokteran Indonesia. 2007; 57(2):63-7.

MIMS Indonesia. MIMS Petunjuk Konsultasi Edisi Ke-16. Jakarta: PT Buana Ilmu Populer; 2016.

Notoatmodjo S. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta; 2017.



How to Cite

Purohita, N. S., & Aila Karyus. (2021). Holistic Management of Scabies in a 14 Years Old Male Student Using Family Medicine Approach. Medical Profession Journal of Lampung, 10(4), 661-669. https://doi.org/10.53089/medula.v10i4.113




Most read articles by the same author(s)