DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20181052

Profile of dermatophyte infections among rural population: a facility based prospective observational study

J. S. Poyyamozhi, Anandhi Lakshmanan

Abstract


Background: Dermatophyte infections are a common but neglected public health problem in rural India. Considering the heterogeneity of presentation and changing trends periodic studies documenting the demographic and clinical profile of these infections may be vital in guiding clinical practice. The objectives of the study were to analyse the demographic, clinical and etiological profile of dermatophyte infections among rural population, presenting to a rural health center.

Methods: The current study was a cross sectional study, conducted in the rural health center, Department of Community Medicine and Department of Microbiology, Dhanalaskmi Srinivasan medial College and Hospital, permbalur between January 2017 to June 2017. All patients who are clinically diagnosed to have dermatophytosis in the study setting were included in the study. The relevant skin, nail or hair scrapings were subjected to KOH preparation and culture.

Results: A total of 250 subjects were included in the final analysis. The majority (47.20%) of the subjects were between 21 to 30 years. Males constituted 65.60% of the study population. The proportion of participants who worked in agricultural labour/farmer, housewife, industrial skilled worker, housemaid, and businessman was 22.40%, 17.20%, 15.20%, 6.40% and 4.80% respectively The majority (38.80%) of the participants were in lower class and lower middle class (31.20%). The most common clinical diagnosis was tinea corporis seen in 30.8% of the population, followed by tinea cruris in 19.6% and tinea ungium in 7.6% of the population. The most common organism isolated in culture was Trichophyton rubrum (25.2%), followed by Trichophyton mentagrophyte (17.2%), and Trichophyton tonsurans (1.20%).

Conclusions: Clinicians need to be aware of the demographic profile, common clinical presentations and changing the etiological profile of dermatophyte infections, especially in rural population.


Keywords


Dermatophytes, Epidemiology, Rural population

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References


Peerapur BV, Inamdar AC, Pushpa PV, Srikant B. Clinicomycological study of dermatophytosis in Bijapur. Indian J Med Microbiol. 2004;22(4):273-4.

Huda MM, Chakraborty N, Sharma Bordoloi JN. A clinico-mycological study of superficial mycoses in upper Assam. Indian J Dermatol Venereol Leprol. 1995;61(6):329-32.

Bhagra S, Ganju SA, Kanga A, Sharma NL, Guleria RC. Mycological pattern of dermatophytosis in and around shimla hills. Indian J Dermatol. 2014;59(3):268-70.

Surendran K, Bhat RM, Boloor R, Nandakishore B, Sukumar D. A clinical and mycological study of dermatophytic infections. Indian J Dermatol. 2014;59(3):262-7.

Vyas A, Pathan N, Sharma R, Vyas L. A clinicomycological study of cutaneous mycoses in sawai man singh hospital of jaipur, north India. Ann Med Health Sci Res. 2013;3(4):593-7.

Panda S, Verma S. The menace of dermatophytosis in India: The evidence that we need. Indian J Dermatol Venereol Leprol. 2017;83(3):281-4.

Lakshmanan A, Ganeshkumar P, Mohan SR, Hemamalini M, Madhavan R. Epidemiological and clinical pattern of dermatomycoses in rural India. Indian J Med Microbiol. 2015;33:134-6.

Prasad P, Shivananda PG, Srinivas CR, Subbannayya K, Naik RP. Dermatophytosis in and Around Manipal. Indian J Dermatol Venereol Leprol. 1987;53(4):217-8.

Grover S, Roy P. Clinico-mycological Profile of Superficial Mycosis in a Hospital in North-East India. Med J Armed Forces India. 2003;59(2):114-6.

Singh S, Beena PM. Profile of dermatophyte infections in Baroda. Indian J Dermatol Venereol Leprol. 2003;69(4):281-3.

Yehia MA, El-Ammawi TS, Al-Mazidi KM, Abu El-Ela MA, Al-Ajmi HS. The spectrum of fungal infections with a special reference to dermatophytoses in the capital area of Kuwait during 2000-2005: a retrospective analysis. Mycopathologia. 2010;169(4):241-6.

Harries M, Lear J. Occupational skin infections. Occupational medicine. 2004;54(7):441-9.

Sahin I, Kaya D, Parlak AH, Oksuz S, Behcet M. Dermatophytoses in forestry workers and farmers. Mycoses. 2005;48(4):260-4.

Verma S, Madhu R. The Great Indian Epidemic of Superficial Dermatophytosis: An Appraisal. Indian J Dermatol. 2017;62(3):227-36.

Agarwal US, Saran J, Agarwal P. Clinico-mycological study of dermatophytes in a tertiary care centre in Northwest India. Indian J Dermatol Venereol Leprol. 2014;80(2):194.

Bhatia VK, Sharma PC. Epidemiological studies on Dermatophytosis in human patients in Himachal Pradesh, India. Springerplus. 2014;3:134.