Scabiasis discussin with Afghanistan.ppt

Scabiasis

1. Curriculum Vitae

Name : Elpen Fatrizal
Mobile Phone : [phone]
Email Address : [email protected]
Hobby : Reading
Employment
•General Physician Eka Hospital Pekanbaru 2013-2018
•Venue Medical Officer, National Paralympic Games 2012
•Venue Medical Officer, Indonesian National Games 2012
•English Language Teacher, English First Pekanbaru 2011
Honors and Awards
•Australia-Indonesia Youth Exchange Program 2009
•Indonesian Youth Representative in Meeting with
Australian Foreign Affair Minister, Mr. Stephen Smith
2010
,

2. Scabiasis
Presented by: Elpen Fatrizal, MD

3. Presentation Objectives
•Provide an overview of scabies
–Description
–Transmission
–Symptoms
–Diagnosis and treatment

4. Scabies Description
•Contagious infestation of the skin
•Caused by human mites (Sarcoptes scabiei
subsp. hominis)
•Distributed worldwide
•Humans are the reservoir

5. Who is Scabies?

6. Transmission

7. Scabies Transmission
•Direct, prolonged, skin–to-skin contact
•Sexual contact
•Household contact
•Indirect transfer from clothing, towels and
bedding, only if contaminated immediately
before contact
•Communicable
–while infested and untreated
–during incubation period

8. Scabies
Infestation:
Mites burrow under Mites burrow under
skin to feed and lay skin to feed and lay
eggseggs
Can burrow beneath Can burrow beneath
skin in 2.5 minutesskin in 2.5 minutes
Adult female mite Adult female mite
.3 - .4 mm long.3 - .4 mm long

9. Scabies Symptoms
•Symptoms caused by reaction to mites
•Pimple-like rash or burrows between fingers, on
wrist, elbows, armpits, belt line, navel, abdomen,
and/or buttocks
•Intense itching over most of the body, especially at
night
•Sores on the body caused by scratching
•Incubation period:
–2-6 weeks without previous exposure
–1-4 days after re-infestation (usually milder)

10. Scabies Rash

11. Scabies Diagnosis
•Confirmed by skin
scrapings of papules or
intact burrows
•Burrows and mites may
be few in number (only
10-12) and difficult to
find

12. Scabies Treatment
•Applicaton of scabicide over entire body below
head:
–5% permethrin cream (wash after 8-14 hrs)
–1% lindane cream (wash after 8-12 hrs)
•Ivermectin, single dose, orally
•Itching may continue for several weeks despite
successful treatment
•In ~5% of cases, 2
nd
treatment may be necessary
after 7-10 days.

13. Applying Prescription Creams
•Follow package insert
•Apply thin layer over whole body from neck down,
paying particular attention to folds in skin
•Trim fingernails and toenails, apply under nails
•Reapply after handwashing
•Leave on for at least 8 hours, but not longer than
maximum time recommended for product
•Wash off with warm, soapy water and dry skin

14. Scabies Control
•Prompt diagnosis and treatment of patients
•Simultaneous, prophylactic therapy:
–household members,
–sexual contacts, and
–caregivers with prolonged skin-to skin contact
•Launder all clothing worn within 48-72 hrs. of
treatment in hot water and dry in hot dryer
•Thorough vacuuming of carpets and upholstered
furniture

15. Wash

16. Expose to the sun light

17. Iron

18. Prevention and Handwashing
•Germs are everywhere:
–People carry millions of germs on their hands.
–Germs are on also on objects that we touch every day
(doorknobs, handrails)
•“30 second solution”
•Least expensive way to stay healthy
•Forming good habits early in life keeps us healthy
•Biggest factor in preventing spread of infectious
diseases!

19. How to Wash Your Hands
•Use warm running water
•Lather with soap (liquid preferred)
•Scrub, including between fingers, for
20 seconds
•Rinse with water
•Dry thoroughly with a clean dry towel
or paper towel
•Turn off faucet with towel