Factors responsible for difficult to treat superficial fungal infections: A study from a tertiary healthcare centre in India

Background Recurrent and clinically unresponsive dermatophytosis is being increasingly observed in India. However, there is little information regarding the extent of the problem and the factors responsible for these difficult to treat superficial fungal infections. Aim To identify factors contribut...

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Bibliographic Details
Published in:Mycoses 2021-11, Vol.64 (11), p.1442-1447
Main Authors: Jain, Amit, Dhamale, Suyog, Sardesai, Vidyadhar
Format: Article
Language:English
Subjects:
chronic dermatophytosis
Chronic infection
Dermatology
Dermatomycosis
Disease
Fungal infections
Leprosy
Patients
recurrent dermatophytosis
Recurrent infection
Statistical analysis
Steroid hormones
Steroids
superficial fungal infections
Tinea
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Summary:Background Recurrent and clinically unresponsive dermatophytosis is being increasingly observed in India. However, there is little information regarding the extent of the problem and the factors responsible for these difficult to treat superficial fungal infections. Aim To identify factors contributing to difficult to treat recurrent superficial fungal infections. Materials and methods This prospective cross‐sectional study enrolled 105 patients of all age groups presenting with either recurrent or long‐standing dermatophyte infection attending the outpatient department of Dermatology, Venerology and Leprosy of Bharati Hospital, Pune, India, between September 2018 and March 2020. Patients were clinically examined, clinical history was taken and questions were asked regarding their current complaints and recorded in a proforma. Data were analysed using the SPSS software package. Results The males outnumbered females (74.3% vs 25.7%). A strong association was observed between the presence of past history and duration of disease (p = .007). The association of use of topical steroids or keratolytic agents with the duration of disease was statistically significant (p = .022). There was a statistically significant inverse association of duration of disease with dermatologist consultation (p 
ISSN:0933-7407
1439-0507
DOI:10.1111/myc.13301