Academic Unit of Health, Education and Health Center, Federal University of Campina Grande, Cuité, Brazil.
Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.
J Med Microbiol. 2021 Mar;70(3). doi: 10.1099/jmm.0.001321. Epub 2021 Feb 1.
Dermatophytosis is a common cutaneous mycosis worldwide whose prevalence in Brazil is still unknown. This systematic review has estimated the burden of dermatophytoses from updated literature data reported in the general Brazilian population. We used the following databases: Web of Science, Medline/PubMed, Embase, The Cochrane Library and Scopus for studies published between 2011 and 2020. Original articles with an emphasis on prevalence data for dermatophytosis in the Brazilian population, and diagnosed by culture exam or molecular biology were eligible. We also assessed the methodological quality of the studies. A total of 24 articles met the inclusion criteria and were reviewed. The occurrence of dermatophytoses found in the studies ranged from 4-88.50 %. The pooled prevalence of dermatophytosis for the population studies was 25 % (95 % CI: 24.7-25.3 %). The size of the samples used in the studies ranged from 45 to 36 446 participants, and ages ranged up to 98 years old. The populations studied involved mostly women. The presence of (toenail and fingernail) and were the most frequent dermatophytosis, and we observed a predominance of , and . The studies were primarily conducted in patient groups with suspected mycoses and were not entirely representative of the general population. Yet we believe that in the future, more collaborative strategies would improve both diagnostic capacity and epidemiological methodologies, associating the prevalence of dermatophytosis with social and environmental risk factors. This review helps to better understand future epidemiological trends in Brazil and the world.
皮肤癣菌病是一种全球性的常见皮肤真菌感染，其在巴西的流行情况尚不清楚。本系统评价根据 2011 年至 2020 年期间在巴西普通人群中报告的最新文献数据，估算了皮肤癣菌病的负担。我们使用了以下数据库：Web of Science、Medline/PubMed、Embase、The Cochrane Library 和 Scopus，检索了关于巴西人群中皮肤癣菌病患病率的研究。入选标准为强调巴西人群中皮肤癣菌病患病率数据的原始文章，且这些研究通过培养检查或分子生物学进行诊断。我们还评估了研究的方法学质量。共有 24 篇文章符合纳入标准并进行了综述。研究中发现的皮肤癣菌病发生率范围为 4-88.50%。人群研究中皮肤癣菌病的总患病率为 25%（95%CI：24.7-25.3%）。研究中使用的样本量从 45 到 36446 名参与者不等，年龄最大可达 98 岁。所研究的人群主要为女性。（趾甲和指甲）和 最为常见的皮肤癣菌病，我们观察到 、 和 的发病率较高。这些研究主要在疑似真菌感染的患者群体中进行，不完全代表普通人群。然而，我们相信未来更多的合作策略将提高诊断能力和流行病学方法学，将皮肤癣菌病的患病率与社会和环境风险因素联系起来。本综述有助于更好地了解巴西和全球未来的流行病学趋势。
