Karakteristik Tanda Kardinal Penyakit Skabies pada Santri di Pesantren

Abstract

Skabies merupakan suatu penyakit infeksi kulit yang menular. Penyakit ini dapat ditegakkan dengan menemukan dua dari empat tanda kardinal, yaitu gatal pada tempat predileksi terutama di malam hari, mengenai sekelompok orang, terdapat lesi terowongan pada kulit dan ditemukan tungau pada kerokan kulit. Penelitian ini bertujuan mengetahui karakteristik tanda kardinal penyakit skabies. Penelitian dilakukan di salah satu pesantren di Bandung dari bulan Maret sampai Oktober 2019. Subjek penelitian ini adalah penderita skabies sebanyak 43 orang. Penelitian ini bersifat deskriptif dan data dianalisis dengan analisis univariat. Pemeriksaan terowongan dilakukan dengan burrow ink test dan kerokan lesi dilakukan dengan teknik adhesive tape. Hasil penelitian menggambarkan bahwa papul merupakan morfologi lesi yang paling banyak ditemukan (86%), lokasi lesi terbanyak ditemukan di sela-sela jari (65%), hasil pemeriksaan positif pada burrow ink test sebanyak 14% dan keseluruhan adhesive tape test menunjukkan hasil negatif. Terowongan dan tungau sulit ditemukan pada penderita skabies disebabkan oleh kerusakan kulit karena garukan dan jumlah tungau yang sedikit.

CHARACTERISTICS OF CARDINAL SIGNS OF SCABIES IN SANTRI AT ISLAMIC BOARDING SCHOOLS

Scabies is a contagious skin infection. This disease can be diagnosed by finding two of the four kardinal signs, namely itching at the site of predilection, especially at night, concerning a group of people, the presence of tunnel lesions in the skin and the discovery of mites in skin scrapings. This study aims to determine the characteristics of kardinal signs in scabies. The study was conducted at one pesantren in Bandung from March to October 2019. Subjects in this study were 43 person with scabies. Tunnel checks are performed with a burrow ink test and lesion scrapings are carried out using an adhesive tape technique. The data of this descriptive research are analyzed by univariate analysis. The results showed that papules were the most common lesion morphology (86%), most lesion locations were found between fingers (65.1%), positive examination results on the burrow ink test were 14% and all adhesive tape test showed results negative. Tunnels and mites are difficult to find in people with scabies due to skin damage due to scratching and a small amount of mites.