在皮肤脓疱病诊断中使用 Celphane 胶带和皮肤刮片法进行 KOH 检查的比较

Antonius Wibowo, Sulistya Nugrahaningrum, Betty Ekawati Suryaningsih, Tiar Ramadhan, Nada Tussqyah, F. J. Rachmawaty
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引用次数: 0

摘要

背景:真菌性皮肤感染在发展中国家十分普遍,其中以皮癣和花斑癣最为常见。KOH 检验是一种实用、简便的检查方法,可用于门诊诊断浅表真菌性皮肤感染。皮肤刮片是最常用的 KOH 检测样本采集方法,但也有研究表明,玻璃纸胶带也是一种更方便患者的方法。目的:本研究旨在比较使用玻璃纸胶带和皮肤刮片进行的 KOH 检测。方法:本研究是一项横断面诊断测试研究。研究数据来自 Soedirman Kebumen 市立医院 51 名皮肤病患者的病历,这些患者被诊断为股癣和体癣,分别接受了玻璃纸胶带和皮肤刮片的 KOH 检查。数据相关性采用卡方检验进行分析。 结果 :研究发现,在对癣病病例进行 KOH 检验取样时,使用玻璃纸胶带和皮肤刮片在统计学上没有显著差异(P = 0.153),这表明使用这两种方法诊断皮癣没有显著差异。结论是拍打法作为KOH检查皮肤刮片的替代方法,可用于确定皮癣的诊断。
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Comparison between Celphane Taping and Skin Scrapping Method for KOH Examination In Dermatopohytosis Diagnosis
Background: Fungal skin infections are prevalent in developing countries, with dermatophytosis and tinea versicolor being the most prevalent. The KOH test is a practical and easy-to-do examination for diagnosing superficial fungal skin infections on an outpatient basis. Skin scraping is the most known method for collecting samples for KOH testing, but some studies have shown that cellophane tape is also used for a more patient-friendly approach. Purpose: This study is aimed at comparing KOH examinations using cellophane tape and skin scrapings. Methods: This research is a diagnostic test study with a cross-sectional approach. The research data were obtained from 51 medical records of skin patients at Dr. Soedirman Kebumen Municipal Hospital with the diagnosis of tinea cruris and tinea corporis who underwent KOH examination with cellophane tape and skin scrapings. Data correlation was analyzed using the Chi square test.  Result : From the research, it was found that there was no statistically significant difference between the use of cellophane tape and skin scrapings in the KOH test sampling for tinea cases (p = 0.153), which indicates that there was no significant difference between the use of the two methods for the diagnosis of dermatophytosis. Conclusion: The tapping method as an alternative method of skin scraping for KOH examination can be used to establish the diagnosis of dermatophytosis.
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