Rise of superficial mycoses: A clinicoepidemiological study among the patients attending tertiary health care centre in north India
Journal Title: Indian Journal of Microbiology Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Superficial mycoses refer to the disease of skin, hair and nail caused by fungi, are a serious problem due to deficient sanitation and education. This group includes dermatophytoses, non dermatophytic molds and Candida spp. Microscopic detection of fungal elements using wet mount preparation of 10% and 40% potassium hydroxide (KOH) is a rapid and precise tool for laboratory diagnosis. Objectives: This retrospective study was conducted to evaluate the sensitivity of wet preparation direct microscopy using potassium hydroxide for early detection of fungal elements from various clinical specimens and thereby helping the clinicians in initiating the appropriate antifungal treatments. Materials and Methods: All clinical specimen like skin and nail scrapping from patients suspected of superficial mycoses were subjected to KOH examination for screening and detection and positive samples were cultured on SDA (Sabouraud’s Dextrose Agar) medium for identification. Results: A total of 5734 samples of clinically suspected patients of superficial mycoses attended the tertiary care teaching hospital between September 2013 and August 2017 were included. 3165 patients (55%) were found to be positive by KOH examination. In the present study the most common clinical type was tinea cruris (74.3%) followed by tinea corporis (22.6%) in the patients attending tertiary health care centre. Conclusion: Clinical finding and wet mount with KOH can be believed upon as the single most important rapid and sensitive tool for early diagnosis of superficial mycoses. Since there is a high incidence of superficial mycoses in rural people coming to the tertiary heath care facilities therefore preventive and early screening measures are need of hours.
Authors and Affiliations
Suresh Ahirwar, Vikramjeet Singh, Manodeep Sen, Vineeta Mittal, Anupam Das
Purification and characterization of bioactive secondary metabolites isolated from soil bacteria
The search for new bioactive compounds from the natural environment has rapidly been gaining momentum with the increase in multi-drug resistant (MDR) pathogens. In the present study, the antimicrobial potential of new ba...
Clinico - mycological study on superficial fungal infections in tertiary care hospital and a profile of their antifungal susceptibility pattern
Background: Superficial fungal infections are one among the most common fungal diseases in the world. Dermatophytosis is common in tropical countries like India and may reach epidemic proportions in areas with high rate...
Xpert MTB/RIF – A new gold standard for extrapulmonary Tuberculosis?
Background: Tuberculosis infection can develop in the forms of Pulmonary as well as Extra Pulmonary form which are seen as major complications in HIV/AIDS. Tuberculosis is still a diagnostic dilemma in low resource count...
Screening for HBV, HCV, HIV, HSV and Syphilis in reproductive age group women attending a tertiary care hospital in South India
Introduction: Reproductive tract infections (RTI) and Sexually transmitted infections (STI) are the major contributing illnesses among the women of reproductive age group in a developing country like India. Even though p...
Carbapenem resistant Enterobacteriaceae neonatal gut colonization: A future concern in healthcare settings
Introduction: Carbapenem-resistant Enterobacteriaceae (CRE) isolates are resistant to carbapenem and other beta-lactam drugs. Infections with these CREs have been reported in different age groups and are difficult to tre...