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pedikulosis.pptx
- 1. PEDIKULOSIS
- 2. KLASIFIKASI DAN ETIOLOGI • Pedikulosis kapitis • Pediculus humanus var capitis • Pedikulosis korporis • Pediculus humanus var corporis • Pedikulosis pubis • Phthirus pubis
- 3. EPIDEMIOLOGI • Pedikulosis Kapitis • Sangat menular • Paling banyak menyerang anak usia 3-11 thn • Ditemukan dibagian kepala • Pr > Lk • Manusia ke manusia: • Lingkungan padat (sekolah, asrama, dll) • Pemakaian alat yang terinfestasi (helm, sisir, topi, dll)
- 4. • Pedikulosis Korporis • Menyerang orang dewasa dgn higiene yg buruk. • Kutu melekat pd serat pakaian > transien ke kulit utk menghisap darah. • Daerah beriklim dingin > pakaian tebal jarang dicuci. • Penularan: pakaian / kontak langsung. • Pedikulosis Pubis • Pada orang dewasa & digolongkan PMS. • Menyerang jenggot & kumis. Pd anak2: alis/bulu mata. • Penularan: kontak langsung.
- 5. GEJALA KLINIS • Pedikulosis Kapitis • Gatal • Susah tidur (karena kutu lebih aktif pada malam hari) • Nyeri dan luka akibat infeksi tambahan karena sering digaruk • Pedikulosis Korporis • sangat gatal • Perubahan kulit/ jadi menebal • Infeksi bakteri sekunder karena digaruk • Ruam kemerahan • Pedikulosis Pubis • Gatal di kemaluan dan sekitarnya terutama malam hari • Makula serulae
- 6. DIAGNOSIS • Perhatikan pada rambut, telur sering tidak terlihat karena terlalu kecil; atau dikira ketombe, sisa gel rambut, dll • Gunakan sisir serit dan kaca pembesar • Untuk melihat kutu tubuh, dapat ditemukan menempel pada baju
- 7. PENATALAKSANAAN • Pedikulosis Kapitis • Malathion 0,5–1% (losio, spray) malam: 1x , dpt diulang 1 minggu kemudian. • Gama benzena heksa klorida (Gameksan) 1% dioles 12 jam & diulang 1 minggu kemudian. • Pedikulosis Korporis • Krim gameksan 1%, dioleskan tipis diseluruh tubuh dan didiamkan 24 jam kemudain mandi. • Emulsibenzil benzoat 25% dan bubuk malathion 2% • Pakaian direbus dan disetrika
- 8. • Pedikulosis Pubis • Krim gameksan 1% emulsi benzilbenzoat 25% dioleskan dan didiamkan selama 24 jam • Rambut pubis dicukur • pakaiandirebus dan disetrika • Mitra seksual diperiksa dan diobati
Editor's Notes
- Pedikulosis adalah infeksi kulit/rambut pada manusia oleh parasit Pediculus humanus
- Symptoms associated with head lice: mostly due to the lice biting (people are somewhat allergic to the bite.) = itching Difficulty sleeping: This is due to vector biology -- the lice are more active at night, so biting and itching are more likely to occur at night. Sores and secondary bacterial infection: Caused by scratching the itchy bites (and bacteria that's on the fingers or on the scalp can get into the bite.) This is a minor symptom and isn't observed as often as the common itching! Body lice typically characterized by intense itching (more so than head lice usually because there are more lice.) If infection is ongoing for a long period time (lots of lice bites), there can be skin discoloration and thickening in the areas with lots of bites. As with head lice, secondary bacterial infection is possible from scratching = open wound, bacteria can enter from hands or surrounding skin area Red rash appears where the lice have bitten.
- Gameksan : Suatu organoklorida yang bekerja menghambat GABA (aminobutyric acid) sehingga menyebabkan paralis pernafasan Malathion: Menghambat organofosfat kolinesterase sehingga menyebabkan paralisis pernafasan