The evaluation of scabies management in children at tertiary referral hospital in Surabaya

Abstract

Scabies is still a health issue in the majority of developing countries. Scabies in children may cause harm and sepsis if not treated properly. With these issues in mind, this study aims to describe and evaluate the management of scabies cases over the course of four years using a retrospective descriptive study supported by pediatric patients with a scabies diagnosis recorded in their medical records at the Dr. Soetomo General Academic Hospital Surabaya's Division of Pediatric Dermatology-Venereology Outpatient Clinic from 2015 to 2018. Male have outnumbered females by a large percentage (63.7%) since the 2015-2018 visit (36.3%). Scabies children, on average, have a history of infection, with the main family origin accounting for around 370 cases (75.4%), while those without a source of transmission account for up to 60 children (12.2%). Scabies affects male patients aged 5 to 14 years, causing itching, especially at night. Permethrin 5% topical scabicide was the most common treatment for scabies sufferers at Dr. Soetomo General Academic Hospital in 2015-2018, with 395 children receiving it (80.45%). Scabies management with scabicide administration revealed that 72 (39.8%) scabies with secondary infection and 3 (1%) scabies without secondary infection were not treated with scabicide. We recommend the health personnel follow the guidelines for scabies treatment with and without secondary infection and carefully record it in the medical record.