Trends in skin fungal infection in Tripoli, Libya, during 2007–2015

Ahmed Atia; Abdulsalam Ashour; Najla Elyounsi

doi:10.4103/ijmbs.ijmbs_29_19

Ibnosina Journal of Medicine and Biomedical Sciences, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2019; 11(03): 116-119
DOI: 10.4103/ijmbs.ijmbs_29_19

Original Article

Trends in skin fungal infection in Tripoli, Libya, during 2007–2015

Authors

Ahmed Atia

¹Department of Anesthesia and Intensive Care, Faculty of Medical Technology, University of Tripoli, Tripoli, Libya
Abdulsalam Ashour

¹Department of Anesthesia and Intensive Care, Faculty of Medical Technology, University of Tripoli, Tripoli, Libya
Najla Elyounsi

²Department of Medical Laboratories, Faculty of Medical Technology, University of Tripoli, Tripoli, Libya

Abstract

Background: Skin infection is common worldwide and continues to rise. This study was undertaken to determine the trends in skin fungal infection in patients attending a tertiary hospital. Methods: A total of 253 patients, suspected of superficial and cutaneous skin infections, referred to the Medical Mycology Laboratory of Berustta-Milad Hospital, Libya, were included from attendees over the past 8 years (January 2007–December 2015). Specimens were attained from clinically atypical skin lesions, hair or nail samples of infected patients through scraping. Dermatophyte isolates were identified by studying macroscopic and microscopic characteristics of their colonies. Results: Of 253 samples, fungi were detected in 179 (70.8%) by potassium hydroxide, of which 70 (39.1%) samples were Aspergillus infection followed by 55 (30.7%) samples which were culture positive of Trichophyton spp., 33 (18.4%) samples were isolates of Candida, and 21 (11.8%) due to other opportunistic fungi. Patients with the age group of 17–28 years were more affected. Conclusion: Skin fungal infections are common there is a need to increase the awareness of risk factors contributing to skin fungal infections. Further larger and more detailed epidemiological studies of fungus-induced dermatophytosis which have public health implication are needed.

Key-words:

Dermatophytic - infection - mycosis - skin

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Referenzen

References
1 Kelly BP. Superficial fungal infections. Pediatr Rev 2012;33:e22-37.
2 Weitzman I, Summerbell RC. The dermatophytes. Clin Microbiol Rev 1995;8:240-59.
3 Narasimhalu CR, Kalyani M, Somendar S. A cross-sectional, clinico-mycological research study of prevalence, aetiology, speciation and sensitivity of superficial fungal infection in Indian patients. J Clin Exp Dermatol Res 2016;7:1-10.
4 Pakshir K, Hashemi J. Dermatophytosis in Karaj, Iran. Indian J Dermatol 2006;51:262-264.
5 Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses 2008;51 Suppl 4:2-15.
6 Ellabib MS, Khalifa Z, Kavanagh K. Dermatophytes and other fungi associated with skin mycoses in Tripoli, Libya. Mycoses 2002;45:101-4.
7 World Health Organization. Epidemiology and management of common skin diseases in children in developing countries. Geneva: World Health Organization; 2005. Available from: http://WHO/FCH/CAH/05. [Last accessed on 2019 Jun 27].
8 Nweze EI, Eke IE. Dermatophytes and dermatophytosis in the eastern and southern parts of Africa. Med Mycol 2018;56:13-28.
9 Altayyar I. Opportunistic pathogenic fungi from the dust in Sebha medical centre, Libya. Sebha Med J 2012;11:87-93.
10 Villa L, Krishna G. Epidemiology and prevalence of dermatological diseases among schoolchildren of Medak district, Telangana. Int J Med Sci Public Health 2016;5:1475-8.
11 Jain S, Barambhe M, Jain J, Jajoo U, Pandey N. Prevalence of skin diseases in rural Central India: A community-based, cross-sectional, observational study. J Mahatma Gandhi Inst Med Sci 2016;21:111-5.
12 Ramamuthie G, Verma RK, Appalasamy J, Barua A. Awareness of risk factors for skin infections and its impact on quality of life among adults in a Malaysian City: A crosssectional study. Trop J Pharm Res 2015;14:1913-7.
13 Kurade SM, Amladi SA, Miskeen AK. Skin scraping and a potassium hydroxide mount. Indian J Dermatol Venereol Leprol 2006;72:238-41.
14 Teklebirhan G, Bitew A. Prevalence of dermatophytic infection and the spectrum of dermatophytes in patients attending a tertiary hospital in Addis Ababa, Ethiopia. Int J Microbiol 2015;2015:653419.
15 Arshah T, Al-Bakosh A, Ali M, Ramadan H, Alshawish S, Algondy M, et al. Epidemiology of superficial fungal skin infections in patients attending Zliten teaching hospital. J Humanities Appl Sci 2015;27:83-93.
16 Ameen M. Epidemiology of superficial fungal infections. Clin Dermatol 2010;28:197-201.
17 Naseri A, Fata A, Najafzadeh MJ, Shokri H. Surveillance of dermatophytosis in Northeast of Iran (Mashhad) and review of published studies. Mycopathologia 2013;176:247-53.
18 Balakumar S, Rajan S, Thirunalasundari T, Jeeva S. Epidemiology of dermatophytosis in and around Tiruchirapalli, Tamil Nadu, India. Asian Pacific J Tropical Dis 2012;2:286-9.
19 Rassai S, Feily A, Sina N, Derakhshanmehr F. Some epidemiological aspects of dermatophyte infections in Southwest Iran. Acta Dermatovenerol Croat 2011;19:13-5.
20 Maraki S, Nioti E, Mantadakis E, Tselentis Y. A 7-year survey of dermatophytoses in Crete, Greece. Mycoses 2007;50:481-4.
21 Al-Dwibe H, El-Fergani N, El-Zurghany A, Sharfiddin S, Khalifa Z. Superficial fungal infection among patients with immune bullous diseases. Libyan J Med Sci 2017;1:16-7.
22 Monod M, Méhul B. Recent findings in onychomycosis and their application for appropriate treatment. J Fungi 2019;5:20.
23 Phudang R, Vasant P, Jayanthi S. Clinico-mycological study of dermatophytosis and dermatomycosis in tertiary care hospital. Int J Curr Microbiol App Sci 2019;8:1297-306.
24 Zarrin M, Poosashkan M, Mahmoudabadi A, Mapar M. Prevalence of superficial fungal infection in primary School Children in Ahvaz, Iran. Maced J Med Sci 2011;4:89-92.