Identifikasi Malassezia furfur Pada Kerokan Kulit Anak-Anak Di Banjar Dinas Batang Karangasem Bali
Abstract
Tinea versicolor is a common superficial fungal infection found in tropical regions such as Indonesia. This condition is often caused by Malassezia furfur, especially in environments with high temperature and humidity and less than optimal hygiene. This study aimed to identify the presence of M. furfur in elementary school children in Banjar Dinas Batang, Karangasem, Bali, a region with a cool, humid climate and limited sanitation access. The study used a descriptive design with a purposive sampling approach, involving 23 children aged 6–18 years who showed skin lesion symptoms and had not undergone antifungal therapy. Skin scrapings were examined microscopically using a 10% KOH solution combined with Parker ink. Observations were made at 100× and 400× magnifications, identifying the distinctive morphology of M. furfur as a “spaghetti and meatballs” structure. Of the 23 samples examined, 13 (56.5%) tested positive for Malassezia furfur. The majority of cases occurred in boys (83%). Hygiene data showed that 61% bathed once a day, 78% changed clothes twice a day, but 87% washed clothes only once a week. Furthermore, most respondents (56%) used rainwater as their source of clean water. The relatively high prevalence of M. furfur infection reflects the strong influence of the humid environment, inadequate sanitation, and suboptimal hygiene behaviors. Microscopic examination using the KOH and Parker ink method proved effective as an initial screening tool in rural areas. Nevertheless, health education interventions and improved access to clean water are needed to reduce the incidence of skin fungal infections in children
References
G. Gaitanis, P. Magiatis, M. Hantschke, I. D. Bassukas, and A. Velegraki, “The Malassezia Genus in Skin and Systemic Diseases,” Clin Microbiol Rev, vol. 25, no. 1, pp. 106–141, Jan. 2012, doi: 10.1128/CMR.00021-11.
N. Łabędź, C. Navarrete-Dechent, H. Kubisiak-Rzepczyk, M. Bowszyc-Dmochowska, A. Pogorzelska-Antkowiak, and P. Pietkiewicz, “Pityriasis Versicolor—A Narrative Review on the Diagnosis and Management,” Life, vol. 13, no. 10, p. 2097, Oct. 2023, doi: 10.3390/life13102097.
M Kharis Khamdan, Yuri Widia, R. J. Setiabudi, and E. Ervianti, “Impacts of Clinical and Demographical Aspects on the Duration of Pytiriasis Versicolor,” Berkala Ilmu Kesehatan Kulit dan Kelamin, vol. 35, no. 2, pp. 107–115, 2023, doi: 10.20473/bikk.v35.2.2023.107-115.
S. C. Salsabila, D. M. Seta, A. Bagaskara, and Y. Peristiowati, “Profil Pityriasis Versicolor di Poliklinik Kulit dan Kelamin RSUD Haji Provinsi Jawa Timur Tahun 2019-2021,” Journal of Community Engagement in Health, vol. 6, no. 1, pp. 35–42, Mar. 2023, doi: 10.30994/jceh.v6i1.474.
B. N. R. S. Aritonang, H. H, Aisyara. Yuliandari, Agatha. Naranz, and S. Yola, “Identifikasi Malassezia furfur Pada Kerokan Kulit Petani Sawit PT Panca Surya Garden,” Karya Tulis Ilmiah, Akademi Kesehatan John Paul II Pekanbaru, Pekanbaru., pp. 1–10, 2022.
P. R. V. Dewi, “Prevalensi Pitiriasis Versicolor Pada Murid Kelas IX Di SMPN 4 Denpasar Tahun 2017.,” Jurnal Medika Udayana, vol. 9, no. 3, 2020.
A. Pohan. Kawilarang, “Perbandingan Pewarnaan Periodic Acid Schiff (PAS) dan Gomori Methenamine Silver (GMS) Pada Pasien Tinea versicolor,” Jurnal Mikologi Klinik dan Penyakit Menular (JMKPM), vol. 1, no. 1, pp. 1–5, 2022.
S. Marlita, Hartati, and N. Taufiq, “Identifikasi jamur (Malassezia furfur) pada kulit wanita penderita pityriasis versicolor penghuni Lembaga Permasyarakatan Perempuan Kelas II A Sungguminasa,” Tropis: Jurnal Riset Teknologi Laboratorium Medis, vol. 1, no. 1, 2024, [Online]. Available: https://e-journal.upr.ac.id/index.php/tropis/article/view/12000
V. L. Jaishi, R. Parajuli, P. Dahal, and R. Maharjan, “Prevalence and Risk Factors of Superficial Fungal Infection among Patients Attending a Tertiary Care Hospital in Central Nepal,” Interdiscip Perspect Infect Dis, vol. 2022, pp. 1–10, Oct. 2022, doi: 10.1155/2022/3088681.
D. B. Saskia, L. M. Ramali, and R. Sadeli, “Dermatophytosis among Elementary School Students in Jatinangor West Java,” Althea Medical Journal, vol. 3, no. 2, pp. 165–169, Jun. 2016, doi: 10.15850/amj.v3n2.808.
P. Keshwania et al., “Superficial Dermatophytosis across the World’s Populations: Potential Benefits from Nanocarrier-Based Therapies and Rising Challenges,” ACS Omega, vol. 8, no. 35, pp. 31575–31599, Sep. 2023, doi: 10.1021/acsomega.3c01988.
R. A. Utami, Kamil, and M. T. Datu, “Gambaran Perbandingan Pemeriksaan Jamur Candida albicans,” vol. 4, no. 1, pp. 15–22, 2024.
N. Afifah, “Analisis Akses Layanan Kesehatan terhadap Kesejahteraan Masyarakat Indonesia Analisis Akses Layanan Kesehatan terhadap Kesejahteraan Masyarakat Indonesia,” no. December, 2024.
E. Böhmová, E. Čonková, Z. Sihelská, and M. Harčárová, “Diagnostics of Malassezia Species: A Review,” Folia Vet, vol. 62, no. 2, pp. 19–29, Jun. 2018, doi: 10.2478/fv-2018-0013.
A. Prohic, T. Jovovic Sadikovic, M. Krupalija‐Fazlic, and S. Kuskunovic‐Vlahovljak, “Malassezia species in healthy skin and in dermatological conditions,” Int J Dermatol, vol. 55, no. 5, pp. 494–504, May 2016, doi: 10.1111/ijd.13116.
N. Łabędź, C. Navarrete-Dechent, H. Kubisiak-Rzepczyk, M. Bowszyc-Dmochowska, A. Pogorzelska-Antkowiak, and P. Pietkiewicz, “Pityriasis Versicolor—A Narrative Review on the Diagnosis and Management,” Life, vol. 13, no. 10, p. 2097, Oct. 2023, doi: 10.3390/life13102097.
M. K. Khamdan, Y. Widia, Dr. R. J. Setiabudi, and E. Ervianti, “Impacts of Clinical and Demographical Aspects on the Duration of Pytiriasis Versicolor,” Berkala Ilmu Kesehatan Kulit dan Kelamin, vol. 35, no. 2, pp. 107–115, Jul. 2023, doi: 10.20473/bikk.V35.2.2023.107-115.
W. Chebil et al., “Epidemiology of Pityriasis versicolor in Tunisia: Clinical features and characterization of Malassezia species,” Journal of Medical Mycology, vol. 32, no. 2, p. 101246, May 2022, doi: 10.1016/j.mycmed.2022.101246.
M Kharis Khamdan, Y. Widia, R. J. Setiabudi, and E. Ervianti, “Impacts of Clinical and Demographical Aspects on the Duration of Pytiriasis Versicolor,” Berkala Ilmu Kesehatan Kulit dan Kelamin, vol. 35, no. 2, pp. 107–115, Jul. 2023, doi: 10.20473/bikk.V35.2.2023.107-115.
B. D. Nguyen et al., “Epidemiological characterization of pityriasis versicolor and distribution of Malassezia species in students from Hai Phong city, Vietnam,” Curr Med Mycol, Aug. 2020, doi: 10.18502/cmm.6.2.2838.
G. Wu et al., “Genus-Wide Comparative Genomics of Malassezia Delineates Its Phylogeny, Physiology, and Niche Adaptation on Human Skin,” PLoS Genet, vol. 11, no. 11, p. e1005614, Nov. 2015, doi: 10.1371/journal.pgen.1005614.
Copyright (c) 2025 I Gusti Ayu Devi Adelia, Ni Wayan Desi Bintari, Sri Idayani

This work is licensed under a Creative Commons Attribution 4.0 International License.

This work is licensed under a Creative Commons Attribution 4.0 International License

