Dermatophytoses Severity Score – A novel point‐of‐care scoring tool to assess the severity of dermatophytosis

The rising prevalence of dermatophytosis in tropical countries coupled with drug resistance necessitates an objective scoring system to define the severity, monitor therapeutic response and predict prognoses. We attempted to establish and validate a new scoring system – Dermatophytoses Severity Scor...

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Bibliographic Details
Published in:Mycoses 2023-04, Vol.66 (4), p.354-361
Main Authors: Bhat, Ramesh M., Madhumita, Monisha, Jayaraman, Jyothi
Format: Article
Language:English
Subjects:
Dermatomycosis
dermatophytosis
Drug resistance
Humans
mycosis
Point-of-Care Systems
Reproducibility of Results
scoring system
Severity of Illness Index
severity score
Skin
tinea
Tinea - diagnosis
Tinea - drug therapy
Tinea - epidemiology
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Summary:The rising prevalence of dermatophytosis in tropical countries coupled with drug resistance necessitates an objective scoring system to define the severity, monitor therapeutic response and predict prognoses. We attempted to establish and validate a new scoring system – Dermatophytoses Severity Score (DSS), for dermatophytoses affecting non‐glabrous skin. A consensus group was convened to develop an objective and reproducible scoring system to describe the extent and severity of dermatophytosis of 200 consecutive patients with dermatophytosis. A second assessment entailed independent DSS scoring of the same patients by dermatologists and residents who were not part of the consensus group. The main outcome measured was index reliability, assessed in two steps, between the observers. A two‐step assessment and DSS grading of 200 consecutive patients with clinically diagnosed dermatophytoses showed high reliability (Cronbach's α test and intraclass correlation coefficient). The DSS has demonstrated high reliability, and it could serve as a novel, reproducible and objective scoring tool for dermatophytosis.
ISSN:0933-7407
1439-0507
DOI:10.1111/myc.13560