Background: Dermatomycosis often occurs in tropical countries. Many studies from tropical countries have reported high prevalence of dermatomycosis among elementary school children. Despite being a tropical country, prevalence of dermatomycosis among elementary school children in Indonesia is still unknown. The objective of this study was to determine the prevalence and characteristics of dermatomycosis among elementary school children in Jatinangor, Sumedang, West Java in September-November 2012. Methods: This study used a cross-sectional descriptive survey method. The 328 children from five elementary schools in Jatinangor were included in the study using multistage sampling technique. Medical history and physical examination was performed to all subjects. Subjects who had skin lesion suspected for dermatomycosis were examined with direct microscopic examination using 10% solutions of potassium hydroxide (KOH). Data were presented as frequent analysis distribution using Statistical Package for Social Sciences (SPSS) version 17.0. Results: Of 328 children (174 males, 154 females; aged 5-14 years), 35 (10.6%) had lesions suggestive of dermatomycosis but only 5 children (1.5%) were positive for dermatomycosis. Males are more prevalent than females, patients were in ≥10 years age group. Four cases were Pityriasis versicolor, while one was diagnosed with tinea facialis. Conclusions: Dermatomycosis among elementary school children in Jatinangor had a low prevalence, with only 4 cases of Pityriasis versicolor and one tinea facialis case. [AMJ.2015;2(1):

Objective: To determine the prevalence of Mycoplasma genitalium (M. genitalium) infection in HIV positive patients by PCR examination in Teratai Clinic of Dr. Hasan Sadikin General Hospital, Bandung in order to reduce sexually transmitted diseases, especially M. genitalium infection in HIV positive patients. Methods:This study was a cross-sectional study with consecutive sampling methods. Eighty one HIV positive patients attending the Teratai Clinic of Dr. Hasan Sadikin General Hospital, Bandung were recruited to be the subjects of this study. All subjects underwent history taking, physical examination, and PCR examination for M. genitalium. Specimens were taken from cervical smear in females and first void urine in male. Results:The prevalence of M. genitalium based on the PCR examination in HIV positive patients attended to Teratai Clinic Dr. Hasan Sadikin General Hospital Bandung was 9%. Conclusions:Mycoplasmal infection identification based on PCR examination should be considered for routine screening test to reduce the incidence of sexually transmitted diseases in HIV positive patients. IntroductionMycoplama genitalium (M. genitalium) is the smallest bacterium, with a genome size of 580 kb , of the Mollicutes Class (Mollis:soft, Cutis:skin, in Latin) that is mainly found in human genital tract.1,2 Several studies have already shown that M. genitalium is a sexually transmitted organism that causes asymptomatic or non-gonococcal urethritis (NGU) in males as well as cervicitis, endometritis, pelvic inflammatory disease in females. 3-7Mycoplama genitalium infection can be detected through culture, serological, and polymerase chain reaction (PCR) examinations. The culture examination may take several weeks or even months to grow M. genitalium.Hence, it cannot be used as a routine diagnostic tool in every day practice. In the serological examination, cross reactions may occur between M. genitalium and M. pneumoniae due to some similar structures, thereby decreasing the specificity of the test. The PCR examination can detect the microorganism in samples collected from the reproductive tracts in a highly sensitive, accurate, and specific manner. This leads to a situation where PCR is the only reliable diagnostic tool for M. genitalium infection.8 Currently, the PCR examination to detect M. genitalium is available for research only and not available comercially. MethodsThis study was an observational study with cross sectional design. The subjects were 81 HIV positive patients who visited Teratai Clinic of Dr. Hasan Sadikin General Hospital Bandung who were taken in consecutive admission in July 2012. The HIV serostatus of the study population had already been determined and confirmed based on National HIV guideline in Teratai Clinic before this study. The inclusion criteria for this study were male and female HIV patients inTeratai clinic who were sexually active. Female patients who were having her menstrual period were excluded from this study. The study design was approved by the Research Ethics Commit...

Background: Heretofore, leprosy remains one of the most stigmatizing diseases with serious social consequences. Patients with leprosy might develop inflammatory reactions that interrupt with stable and chronic disease which are called leprosy reactions. Type 1 leprosy reactions, also known as reversal reactions (RR), are caused by immune responses that initially decreases, then “reverses” to become more intense, leading to considerable disability. The aim of this study was to identify the prevalence, sociodemographic characteristics, and precipitating factors of reversal reaction in leprosy patients. Methods: This was a retrospective study with a cross-sectional design, with an approach to collecting data from the medical records of the Leprosy Clinic, Department of Dermatology and Venereology Dr. Hasan Sadikin General Hospital Bandung West Java, during January 2015–December 2019. Results: The results showed that 53 patients (24.7%) of the total 214 leprosy patients experienced a reversal reaction. The most frequent type of leprosy with reversal reaction was borderline lepromatous (BL) (56.5%). Most of the patients were male (68%), aged between 25–44 years (47.2%), unemployed patients (35.8%), and the last education was senior high school (71.7%). Physical stress was suspected as the most precipitating factor in reversal reaction patients (50.9%). Conclusions: The prevalence of leprosy patients with reversal reaction in a Tertiary Referral Hospital West Java, Indonesia is 24.7%, with various characteristics based on sociodemographic. Physical stress is suspected as the most precipitating factor of RR in leprosy patients. Early diagnosis of reversal reaction is important to prevent nerve damage and disability.

No abstract