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

Autor: Ramesh M. Bhat, Monisha Madhumita, Jyothi Jayaraman
Rok vydání: 2022
Předmět:
Zdroj: Mycoses. 66:354-361
ISSN: 1439-0507
0933-7407
DOI: 10.1111/myc.13560
Popis: The rising prevalence of dermatophytosis in tropical countries coupled with drug resistance necessitate 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.The reliability of the DSS system was done in 2 steps. A 2 step assessment and DSS grading of 200 consecutive patients with clinically diagnosed dermatophytoses showed high reliability (Cronbach α test and intraclass correlation coefficient (ICC)) CONCLUSIONS: The DSS has demonstrated high reliability and it could serve as a novel, reproducible and objective scoring tool for dermatophytosis.
Databáze: OpenAIRE