Leibovici Vera, Evron Ruth, Dunchin Milka, Strauss-Leviatan Nurit, Westerman Maria, Ingber Arieh
Department of Dermatology, Information Systems Division, Hadassah University Hospital, Jerusalen, Israel.
Pediatr Infect Dis J. 2002 Sep;21(9):851-4. doi: 10.1097/00006454-200209000-00013.
In recent years we have seen an increasing number of children in Israel with tinea pedis.
To determine the prevalence of tinea pedis in 5- to 14-year-old schoolchildren in a comprehensive epidemiologic population-based study.
A total of 1148 children, ages 5 to 14 years, from 7 schools with different socioeconomic backgrounds from the Jerusalem area were examined for the presence of tinea pedis. Scrapings from suspected lesions of fungal infection were sent to a mycologic laboratory for KOH microscopy and fungal identification. Information on the children's background and predisposing factors (regarding living conditions, hygiene, etc.) were provided by means of questionnaires filled out by each child.
Of the 1148 children examined, 29.6% exhibited erythema and scaling, but only 6.9% of these were mycologically positive for tinea pedis. was the main causative agent (68%) of tinea pedis. The prevalence of tinea pedis increased with age, hyperhidrosis and particularly repeated foot washing (a 3.2 higher rate in children who washed their feet twice a day those who did not wash daily).
The prevalence of tinea pedis in children has increased in recent decades in Israel and should be considered in the differential diagnosis of dermatologic diseases affecting the feet. Washing habits have a significant effect on tinea pedis in children.
近年来，我们发现以色列患足癣的儿童数量不断增加。
在一项基于人群的全面流行病学研究中，确定5至14岁学童中足癣的患病率。
对来自耶路撒冷地区7所具有不同社会经济背景学校的1148名5至14岁儿童进行足癣检查。将疑似真菌感染病变的刮屑送至真菌学实验室进行氢氧化钾显微镜检查和真菌鉴定。通过每个孩子填写的问卷提供有关孩子背景和诱发因素（关于生活条件、卫生等）的信息。
在接受检查的1148名儿童中，29.6%表现出红斑和脱屑，但其中只有6.9%在真菌学上被确诊为足癣。是足癣的主要病原体（68%）。足癣的患病率随年龄、多汗症尤其是反复洗脚而增加（每天洗脚两次的儿童患病率比不每天洗脚的儿童高3.2倍）。
近几十年来，以色列儿童足癣的患病率有所增加，在影响足部的皮肤病鉴别诊断中应予以考虑。洗手习惯对儿童足癣有显著影响。
