Prevalence and risk factors for onychomycosis in acute care dermatology wards.

Autor: Inoue T; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Watabe D; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Furukawa M; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Goto M; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Kamada H; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Sato Y; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Arakawa N; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Miura S; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Sato T; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan., Yasuhira S; Division of Tumor Biology, Institute for Biomedical Sciences, Iwate Medical University, Shiwa-gun, Japan., Tsunemi Y; Department of Dermatology, Saitama Medical University, Saitama, Japan., Amano H; Department of Dermatology, Iwate Medical University School of Medicine, Iwate, Japan.
Jazyk: angličtina
Zdroj: The Journal of dermatology [J Dermatol] 2024 Aug; Vol. 51 (8), pp. 1079-1082. Date of Electronic Publication: 2024 Apr 01.
DOI: 10.1111/1346-8138.17211
Abstrakt: We conducted a cross-sectional study on the clinical and mycological features of onychomycosis in patients in the dermatology ward of Iwate Medical University Hospital, an acute care hospital. Of the 226 hospitalized patients, 73 (32.3%) had onychomycosis and 61 (26.9%) were diagnosed after admission. The toenail was the most common site of onychomycosis (94.5%), while toenail plus fingernail and fingernail only sites were 4.1% and 1.4%, respectively. The most common clinical form of onychomycosis was distal and lateral subungual onychomycosis (79%) with Trichophyton rubrum (66.7%) and T. interdigitale (27.8%) as the main causative species. Patients who were older, or had neurological diseases, or needed stretcher transfer had onychomycosis significantly more frequently than those who were obese, had diabetes, cancer, needed an escort for moving, or could move independently. Our study suggests that there is likely to be a significant number of untreated and undiagnosed patients with onychomycosis in acute care hospitals. Therefore, it is necessary to increase awareness of onychomycosis in hospitals.
(© 2024 Japanese Dermatological Association.)
Databáze: MEDLINE
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