Dermatophytes and Bacterial Superinfections in Tinea Pedis Patients at Haji Adam Malik Central Hospital, Medan-Indonesia
Sitepu, E. Heriawati
Putra, Imam Budi
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Background: Tinea pedis is a dermatophyte infection of the feet, especially the toes and soles of the feet. The clinical features of tinea pedis consist of four forms. They are interdigital, chronic hyperkeratotic, vesiculobullous, acute ulcerative or a combination. Tinea pedis mainly interdigital type often involved bacterial superinfection, initially Gram-positive bacteria, but Gram-negative bacteria may also be involved. In a state of severe infection, the fungus is getting hard to find. Otherwise, the bacteria were easier to find, so it is necessary to do fungal and bacterial culture with antibiotic sensitivity tests. Objective: To determine dermatophyte species and bacterial superinfection in tinea pedis at H. Adam Malik General Hospital Medan. Methods: This study is a descriptive observational with cross sectional design. The results of the study are presented in the form of frequency distribution table. These research involved 45 subjects with tinea pedis who met the inclusion and exclusion criteria. We conducted anamnesis, dermatologic examination, and collection of samples that were skin scrapings and smears on the lesion. The samples then examined on microscopic directly by using KOH. When KOH result was positive, it followed by fungal and bacterial culture. Results: The number of subjects who suffer from tinea pedis is not much difference between men (48.9%) and women (51.1%).The highest prevalence was in the age group 37-46 years (28,9%), mostly graduated from elementary school (40%) and mostly housekeepers (22.5%), with the most prevalent type was interdigital of 40 cases (88.9%). Dermatophytes T. mentagrophytes was most found by 44.4%, followed by T. rubrum, E. floccosum, and T. violaceum. Bacterial superinfection was mostly involved S.aureus by 30,8%, but B. subtilis, S.epidermidis, K.oxytoca, K.pneumoniae, E. coli, P. vulgaris were also found. Conclusion: Dermatophytes T. mentagrophytes were most found followed by T. rubrum. Bacterial superinfection S.aureus were mostly involved.