Prevalence, Etiology, and Risk Factors of Tinea Pedis and Tinea Unguium in Tunisia

Overview

Journal Can J Infect Dis Med Microbiol

Publisher Wiley

Date 2017 Aug 31

PMID 28852411

Citations 17

Authors

Nourchene Toukabri

Cyrine Dhieb

Dalenda El Euch

Mustapha Rouissi

Mourad Mokni

Najla Sadfi-Zouaoui

Affiliations

Soon will be listed here.

Abstract

Background: Foot mycoses are a frequent disease that represents a public health problem worldwide.

Objectives: This study aims to evaluate the epidemiology of foot mycoses among Tunisian patients, in order to determine the fungal etiological agents and to identify possible risk factors.

Patients And Methods: A prospective study of three hundred and ninety-two patients was undertaken during one year (2013-2014). All subjects were asked to collect demographic data related to the risk factors of foot mycoses. A complete mycological diagnosis was carried out on all patients.

Results: A total of 485 samples were collected; tinea pedis and tinea unguium were confirmed in 88.2% of cases. Dermatophytes were isolated in 70.5% and the most frequent pathogen was (98.1%), followed by yeasts (17.7%) commonly . Non-dermatophyte molds (NDMs) were observed in 8.02% cases and sp. was the frequent genus (29.1%). The main predisposing factors of fungal foot infections were practicing ritual washing (56.6%) and frequentation of communal showers (50.5%).

Conclusion: This is a recent survey of foot mycoses in Tunisia. Epidemiological studies can be useful to eradicate these infections and to provide further measures of hygiene and education.

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References

Panackal A, Halpern E, Watson A . Cutaneous fungal infections in the United States: Analysis of the National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), 1995-2004. Int J Dermatol. 2009; 48(7):704-12. DOI: 10.1111/j.1365-4632.2009.04025.x. View

Papini M, Piraccini B, Difonzo E, Brunoro A . Epidemiology of onychomycosis in Italy: prevalence data and risk factor identification. Mycoses. 2015; 58(11):659-64. DOI: 10.1111/myc.12396. View

Boonchai W, Kulthanan K, Maungprasat C, Suthipinittham P . Clinical characteristics and mycology of onychomycosis in autoimmune patients. J Med Assoc Thai. 2003; 86(11):995-1000. View

Ilkit M, Tanir F, Hazar S, Gumusay T, Akbab M . Epidemiology of tinea pedis and toenail tinea unguium in worshippers in the mosques in Adana, Turkey. J Dermatol. 2005; 32(9):698-704. DOI: 10.1111/j.1346-8138.2005.tb00828.x. View

Gunduz T, Metin D, Sacar T, Hilmioglu S, Baydur H, Inci R . Onychomycosis in primary school children: association with socioeconomic conditions. Mycoses. 2006; 49(5):431-3. DOI: 10.1111/j.1439-0507.2006.01268.x. View

Raboobee N, Aboobaker J, Peer A . Tinea pedis et unguium in the Muslim community of Durban, South Africa. Int J Dermatol. 1998; 37(10):759-65. DOI: 10.1046/j.1365-4362.1998.00550.x. View

Nkondjo Minkoumou S, Fabrizi V, Papini M . Onychomycosis in Cameroon: a clinical and epidemiological study among dermatological patients. Int J Dermatol. 2012; 51(12):1474-7. DOI: 10.1111/j.1365-4632.2012.05509.x. View

Gupta A, Cooper E, Macdonald P, Summerbell R . Utility of inoculum counting (Walshe and English criteria) in clinical diagnosis of onychomycosis caused by nondermatophytic filamentous fungi. J Clin Microbiol. 2001; 39(6):2115-21. PMC: 88098. DOI: 10.1128/JCM.39.6.2115-2121.2001. View

Tosti A, Hay R, Arenas-Guzman R . Patients at risk of onychomycosis--risk factor identification and active prevention. J Eur Acad Dermatol Venereol. 2005; 19 Suppl 1:13-6. DOI: 10.1111/j.1468-3083.2005.01282.x. View

10.

Ilkit M, Durdu M . Tinea pedis: the etiology and global epidemiology of a common fungal infection. Crit Rev Microbiol. 2014; 41(3):374-88. DOI: 10.3109/1040841X.2013.856853. View

11.

Laraqui C, Caubet A, Benghalem A, Laraqui O, Zahrathaddi A, Curtes J . [Hygiene, working conditions and professional risks in the Moorish "hammams++" in Marrakech]. Sante. 2000; 10(1):19-26. View

12.

Hajoui F, Zeroual Z, Ghfir B, Moustachi A, Lyagoubi M, Aoufi S . [The mould onychomycosis in Morocco: about 150 isolated cases in 20 years]. J Mycol Med. 2013; 22(3):221-4. DOI: 10.1016/j.mycmed.2012.05.001. View

13.

Mugge C, Haustein U, Nenoff P . [Causative agents of onychomycosis--a retrospective study]. J Dtsch Dermatol Ges. 2006; 4(3):218-28. DOI: 10.1111/j.1610-0387.2006.05877.x. View

14.

Szepietowski J, Reich A, Garlowska E, Kulig M, Baran E . Factors influencing coexistence of toenail onychomycosis with tinea pedis and other dermatomycoses: a survey of 2761 patients. Arch Dermatol. 2006; 142(10):1279-84. DOI: 10.1001/archderm.142.10.1279. View

15.

Gianni C, Cerri A, Crosti C . Non-dermatophytic onychomycosis. An understimated entity? A study of 51 cases. Mycoses. 2000; 43(1-2):29-33. DOI: 10.1046/j.1439-0507.2000.00547.x. View

16.

Pau M, Aste N, Biggio P . Tinea pedis observed in Cagliari, Italy, between 1996 and 2000. Mycoses. 2003; 46(1-2):38-41. DOI: 10.1046/j.1439-0507.2003.00794.x. View

17.

Mapelli E, Colombo L, Crespi E, Menni S . Toenail onychomycosis due to Trichophyton violaceum complex. (An unusual, emerging localization of this anthropophilic dermatophyle). Mycoses. 2011; 55(2):193-4. DOI: 10.1111/j.1439-0507.2011.02056.x. View

18.

Zuber T, Baddam K . Superficial fungal infection of the skin. Where and how it appears help determine therapy. Postgrad Med. 2001; 109(1):117-20, 123-6, 131-2. DOI: 10.3810/pgm.2001.01.830. View

19.

Anane S, Chtourou O, Chedi A, Triki S, Belhaj S, Kaouech E . [Onychomycosis in the elderly]. Ann Dermatol Venereol. 2007; 134(10 Pt 1):743-7. DOI: 10.1016/s0151-9638(07)92529-6. View

20.

Godoy-Martinez P, Nunes F, Tomimori-Yamashita J, Urrutia M, Zaror L, Silva V . Onychomycosis in São Paulo, Brazil. Mycopathologia. 2009; 168(3):111-6. DOI: 10.1007/s11046-009-9209-5. View