Dermatology, Adrology and STDs Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.
Mycoses. 2018 May;61(5):321-325. doi: 10.1111/myc.12743. Epub 2018 Jan 23.
Most superficial mycotic infections of human skin are due to dermatophytes. Children are frequently affected due to different predisposing factors, particularly overcrowding in classrooms. This study aimed to estimate the prevalence of dermatophytes infections and their related risk factors among school children in Menoufia Governorate, Egypt. Six public primary and preparatory schools were randomly selected and their pupils (n = 3464) were asked to complete a predesigned questionnaire covering both personal data and suspected risk factors for superficial dermatophyte infections. The children were also examined for dermatological diseases. Any suspected lesions were biopsied for mycological examination. The prevalence of clinically suspected dermatophytes infections was 1.41%, whereas the prevalence of culture confirmed cases was 0.98%. The most common clinical type was tinea capitis with a prevalence of 1.01%. Microsporum canis was the only isolated organism from the suspicious lesions with a 69.4% positivity rate. A higher prevalence was observed among boys, low socio-economic pupils and those with a family history of dermatophyte infections. Pet contact and sharing towels and caps among pupils were significant risk factors. Dermatophyte infection is still prevalent among basic school pupils. Fortunately, it is related to preventable risk factors. We recommend regular screening and use of educational health programmes for kids to control it.
大多数人类皮肤浅部真菌感染是由皮肤癣菌引起的。由于不同的诱发因素，特别是教室过度拥挤，儿童经常受到影响。本研究旨在评估埃及明亚省小学生皮肤癣菌感染及其相关危险因素的流行情况。随机选择了六所公立小学和预备学校，并要求其学生（n=3464）填写一份预先设计的问卷，涵盖个人数据和浅部皮肤癣菌感染的可疑危险因素。还对儿童进行了皮肤病检查。任何可疑病变均进行活检进行真菌学检查。临床疑似皮肤癣菌感染的患病率为 1.41%，而培养确诊病例的患病率为 0.98%。最常见的临床类型是头癣，患病率为 1.01%。从可疑病变中仅分离出小孢子菌，阳性率为 69.4%。男孩、社会经济地位较低的学生以及有皮肤癣菌感染家族史的学生中，发病率较高。与宠物接触以及学生之间共用毛巾和帽子是重要的危险因素。皮肤癣菌感染在小学生中仍然很普遍。幸运的是，它与可预防的危险因素有关。我们建议对儿童进行定期筛查并使用教育保健计划来控制它。
