Merlin K, Kilkenny M, Plunkett A, Marks R
Department of Medicine (Dermatology), The University of Melbourne, St Vincent's Hospital, Fitzroy 3065, Victoria, Australia.
Br J Dermatol. 1999 May;140(5):897-901. doi: 10.1046/j.1365-2133.1999.02822.x.
Tinea pedis is a condition that is common, often undiagnosed and frequently inadequately treated. It is reported as being rare in young children, but there are relatively few population-based reports of prevalence. A randomized sample of 2491 students from schools throughout the State of Victoria, Australia, were examined by dermatologists and dermatology registrars, who recorded clinical signs suggestive of tinea pedis, which were then confirmed by fungal culture. The age- and sex-adjusted prevalence of culture-proven tinea pedis was 5.2% [95% confidence interval (CI) 3.58-6.82] increasing with age from 2.1% (95% CI 0.95-3.28) in 4-6 year olds to 9.7% (95% CI 5.21-14.26) in 16-18 year olds. A higher proportion of males (6.0%) had tinea pedis than females (4.3%). Trichophyton mentagrophytes and T. rubrum were the most common dermatophytes isolated on culture. Less than 40% of those with a positive diagnosis had reported on the questionnaire that they had tinea. Of those who reported correctly that they had tinea, 75% had used one or more products to treat their condition, of which more than 40% were classified as unlikely to have any therapeutic effect on tinea pedis. These data confirm that tinea pedis, a potentially transmissible disease, is common in Australian schoolchildren, including those in primary school. There is a need for education programmes in schools on the nature of tinea pedis, the treatment available, and the public health approach to infection control within the school and home environment.
足癣是一种常见的疾病，常常未被诊断出来，且治疗往往不充分。据报道，足癣在幼儿中较为罕见，但基于人群的患病率报告相对较少。澳大利亚维多利亚州各地学校的2491名学生被随机抽样，由皮肤科医生和皮肤科住院医生进行检查，他们记录了提示足癣的临床体征，随后通过真菌培养进行确诊。经真菌培养证实的足癣年龄和性别调整患病率为5.2%[95%置信区间（CI）3.58 - 6.82]，患病率随年龄增长而增加，4至6岁儿童为2.1%（95% CI 0.95 - 3.28），16至18岁青少年为9.7%（95% CI 5.21 - 14.26）。患足癣的男性比例（6.0%）高于女性（4.3%）。须癣毛癣菌和红色毛癣菌是培养中分离出的最常见皮肤癣菌。在诊断为阳性的人中，不到40%在问卷中报告自己患有足癣。在那些正确报告自己患有足癣的人中，75%曾使用一种或多种产品治疗，其中超过40%被归类为对足癣可能没有任何治疗效果。这些数据证实，足癣作为一种潜在的传染病，在澳大利亚学童中很常见，包括小学生。有必要在学校开展教育项目，内容包括足癣的性质、可用的治疗方法以及学校和家庭环境中感染控制的公共卫生方法。
