Flora Marlita Lubis
Universitas Sumatera Utara

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Managing Tinea Cruris During Pregnancy: Therapeutic Dilemmas and Clinical Considerations Molla Andriska Dewi; Flora Marlita Lubis
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.300

Abstract

Tinea cruris (dermatophytic infection of the groin) is a common superficial fungal infection. Increased levels of estrogen and progesterone during pregnancy can affect the immune system and skin homeostasis, creating a favorable environment for the growth of dermatophyte fungi. Its management during pregnancy poses clinical challenges, as the choice of antifungal therapy must balance maternal symptom relief with fetal safety. We report the case of a 21 years old pregnant woman in her third trimester who presented with pruritic, erythematous plaques in the inguinal region, clinically diagnosed as tinea cruris. Laboratory confirmation was achieved through potassium hydroxide (KOH) microscopy and fungal culture with sabaround dextrose agar. Considering gestational safety, topical terbinafine therapy was initiated, and systemic antifungals were avoided. Supportive measures, including hygiene optimization and avoidance of occlusive clothing, were reinforced. Symptomatic relief and lesion resolution were achieved within four weeks without maternal or fetal complications. The case highlights the therapeutic dilemma of managing tinea cruris in pregnancy, where systemic antifungals are often contraindicated. Topical terbinafine remain the mainstay of treatment, with satisfactory efficacy and safety profiles. Clinicians must carefully individualize therapy, prioritizing non-teratogenic options while ensuring effective infection control to prevent recurrence. Topical antifungal therapy is the mainstay of treatment for tinea cruris in pregnancy due to safety concerns with systemic agents. This case demonstrates that terbinafine cream is effective and well tolerated, with complete resolution and no maternal or fetal complications.
Meningkatkan Pengetahuan Kesehatan Keluarga terhadap Infeksi Menular Seksual (IMS) di Desa Bulu Cina, Hamparan Perak, Deli Serdang Flora Marlita Lubis; Dina Arwina Dalimunthe; Fithria Aldy
Jurnal Pengabdian Masyarakat Kedokteran Vol 5, No 3 (2026): September
Publisher : Fakultas Kedokteran, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/abdimasku.5.3.162-172

Abstract

Infeksi Menular Seksual (IMS) masih menjadi masalah kesehatan masyarakat akibat rendahnya pengatahuan, tingginya stigma, serta keterbatasan akses informasi kesehatan, khususnya di Desa Bulu Cina, Kecamatan Hamparan perak, Kabupaten Deli Serdang. Permasalahan utama yang diidentifikasi meliputi kurangnya pemahaman masyarakat mengenai ulkus genitalia, keputihan patologis, serta dampak gonore terhadap kesehatan mata. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan kesadaran masyarakat mengenai pencegahan, deteksi dini, serta penatalaksanaan awal IMS. Metode yang digunakan berupa penyuluhan kesehatan kepada masyarakat dan kader PKK dengan pendekatan ceramah interaktif, diskusi, demonstrasi, serta penggunaan media edukasi seperti poster dan leaflet. Evaluasi dilakukan melalui pretest dan posttest untuk menilai peningkatan pengetahuan peserta. Kegiatan dilaksanakan pada 45 responden yang mayoritas ibu rumah tangga dengan tingkat pendidikan dasar hingga menengah. Hasil menunjukkan peningkatan pengetahuan yang signifikan setelah penyuluhan, ditunjukkan oleh peningkatan kategori pengetahuan baik pada materi ulkus genitalia dari 2,2% menjadi 77,8%, serta pada materi keputihan dan gonore pada kesehatan mata dari 46,7% menjadi 91,1%. Implikasi kegiatan ini menunjukkan bahwa edukasi kesehatan berbasis masyarakat efektif dalam meningkatkan pemahaman masyarakat mengenai IMS serta berpotensi menurunkan risiko keterlambatan diagnosis dan komplikasi penyakit melalui peningkatan kesadaran terhadap perilaku pencegahan dan deteksi dini.Sexually Transmitted Infections (STIs) remain a public health problem due to low levels of knowledge, high levels of stigma, and limited access to health information, particularly in Bulu Cina Village, Hamparan Perak District, Deli Serdang Regency. The main problems identified include a lack of public understanding of genital ulcers, pathological vaginal discharge, and the impact of gonorrhea on eye health. This community outreach project seeks to increase public knowledge and awareness regarding the prevention, early detection, and initial management of STIs. The method used was health education for the community and PKK cadres using an interactive lecture approach, discussions, demonstrations, and the use of educational media such as posters and leaflets. Evaluation was carried out through pretests and posttests to assess the increase in participants' knowledge. The activity was carried out on 45 respondents, the majority of whom were housewives with elementary to secondary education levels. The results showed a significant increase in knowledge after the education, indicated by an increase in knowledge categories for both genital ulcers from 2.2% to 77.8%, and for vaginal discharge and gonorrhea on eye health from 46.7% to 91.1%. The implications of this activity indicate that community-based health education is effective in increasing public understanding of STIs and has the potential to reduce the risk of delayed diagnosis and disease complications by increasing awareness of preventive behavior and early detection.