Holistic Management of Cutis Candidiasis in A 14 Years Old Child Through Family Medicine Approach at Tanjung Bintang Health Center
DOI:
https://doi.org/10.53089/medula.v13i7.883Keywords:
Kandidiasis kutis, kedokteran keluarga, penatalaksanaan holistikAbstract
Candidiasis is a fungal infection caused by Candida albicans. In Indonesia, cases of cutaneous candidiasis are the third highest incidence among dermatomycosis cases. In 2013-2016, candidiasis cases were dominated by intertriginous cutaneous candidiasis at 50.5%. Internal risk factors, personal hygiene, and compliance with both medical and non-medical treatment, will greatly influence the patient's recovery. The study conducted was a case report. Data was obtained through anamnesis and physical examination by conducting home visits. The assessment is carried out based on a holistic diagnosis, process and end of visit qualitatively. Based on the examination carried out, the patient was a 14 year old girl with intertriginous candidiasis cutis. The patient's personal hygiene is not good. Patient and family knowledge about the disease is very limited. Education and intervention are provided to patients and families about candidiasis and risk factors that can trigger this disease. The internal factors in this case are the patient's lack of knowledge about the disease they are experiencing, poor personal hygiene, excessive body weight. Meanwhile, the external factors in this case were the family's lack of knowledge about candidiasis, the dominant hot weather. Pharmacological and non-pharmacological interventions are carried out by providing education regarding the causes and risk factors for candidiasis, how to use drugs, good personal hygiene, regular exercise and consumption of food with a balanced nutritional pattern. In the evaluation, it was found that there was an increase in patient and family knowledge regarding candidiasis, improvement in patient personal hygiene, and achievement of patient treatment compliance. Services with a family medicine approach in pharmacological and non-pharmacological therapy are able to solve health problems and improve the patient's quality of life.
References
Daftar Pustaka
Ahronowitz I, Kieron L. Yeast Infection. Fitzpatrick’s dermatology in general medicine. New York: McGraw-Hill; 2019.
Polii SVG, Pandaleke H, Kapantow. Profil Kandidosis Intertriginosa di Poliklinik Kulit dan Kelamin RSUD Prof. DR Kandou Manado Periode Januari-Desember 2013. 2016;4(1).
Rahmadhani SS, Astari L. Profile of new patients with candida infection in skin and nail. Berkala Ilmu Kesehatan Kulit dan Kelamin 2016; 28(1): 21-9.
Menaldi SLSW. 2018. Ilmu Penyakit Kulit dan Kelamin. Edisi ke-7. Jakarta: FK UI.
Goedadi M, Suwito PS. Kandidiasis kutan dan mukokutan. Dermatomikosis superfisialis. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2013.
Jafferany M, Huynh TV, Silverman MA, Zaidi Z. Geriatric dermatoses: a clinical review of skin diseases in an aging population. International journal of dermatology. 2012;51(5):509–522
Hidajat D, Yunita H, I Wayan. Karakteristik Penyakit Kulit pada Geriatri di Poliklinik Kulit dan Kelamin RSUD Provinsi Nusa Tenggara Barat Periode 2012-2014. Jurnal Kedokteran Unram. 2017;6(4): 7-13
PERDOSKI. Panduan Praktik Klinis Bagi Dokter Spesialis Kulit dan Kelamin di Indonesia. Jakarta:PERDOSKI; 2017.
Depkes R. MIMS Indonesia Petunjuk Konsultasi. 18th ed. UBM Medica Asia Jakarta; 2018.
Armstrong, A.W., Bukhalo, M. & Blauvelt, A. A Clinician’s Guide to the Diagnosis and Treatment of Candidiasis in Patients with Psoriasis. Am J Clin Dermatol 17, 329–336 (2016).
Setiati S, Harimurti K, Govinda A. Proses menua dan implikasi kliniknya. In Buku ajar ilmu penyakit dalam jilid III Edisi 6. Jakarta: Interna Publisher; 2014. p. 3669-3679.
Rahmadhani S, Astari L. Profile of new patients with candida infection in skin and nail. Berk Ilmu Kesehatan Kulit dan Kelamin. 2016;28(1):21–9.
Pillai R, Safal Rahim. Topical Steroid Abuse - A Persisting Dilemma - A Case Study of 200 Patients International Journal of Science and Research (IJSR) 2019 ; 8(8):167-170
European Association for the Study of Obesity.. Facts sheet : Obesity and overweight. Basel : Karger. 2019.
World Health Organization/International Association for the Study of Obesity/International Obesity Takforce. The Asia-Pacific perspective: redefining obesity and its treatment. Available at: http://www.idi.org.au/obesity report.htm.
Divyashree RA, Naveen KN, Pai VV, Athanikar SB, Gupta G. Cutaneous manifestations of obesity among dermatology patients in a tertiary care center. Indian J Dermatol Venereol Leprol 2014;80:278.
Pappas PG, Kauffman CA, Andes DR, Clancy CJ, Marr KA, Ostrosky-Zeichner L, Reboli AC, Schuster MG, Vazquez JA, Walsh TJ, Zaoutis TE. Clinical practice guideline for the management of candidiasis: 2016.
Kashem SW and Kaplan DH (2016) Skin immunity to Candida albicans. Trends in Immunology 37: 440–450
Sularsito, Adi A. Dermatologi praktis. Jakarta: Perkumpulan Ahli Dermatologi dan Venereologi Indonesia; 2006.
Anaissie, EJ. Clinical Mycology 2nd edition. Churchill Livingstone. Elsevier; 2009.
Taudorf EH, Jemec GBE, Hay RJ, Saunte DML. Cutaneous candidiasis - an evidence-based review of topical and systemic treatments to inform clinical practice. J Eur Acad Dermatol Venereol. 2019.
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