Benedict Kaitlin, Wu Karen, Gold Jeremy A W
Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
J Fungi (Basel). 2022 Aug 9;8(8):831. doi: 10.3390/jof8080831.
Tinea, a dermatophyte fungal infection, is a common outpatient complaint that is easily misdiagnosed by visual inspection. Antifungal-drug-resistant tinea is an emerging global public health problem, with several cases reported in the United States. We analyzed data from a Spring 2022 web-based survey of healthcare provider attitudes and practices. Among 1500 healthcare providers, only 20.1% reported typically using diagnostic testing for tinea, and 19.5% reported clinical experience with drug-resistant tinea. Drug-resistant tinea may be more widespread than previously recognized. However, the low frequency of diagnostic testing indicates potential misunderstanding or misdiagnosis of drug-resistant tinea and missed opportunities to detect drug-resistant cases.
癣是一种皮肤癣菌真菌感染，是常见的门诊疾病主诉，通过目视检查很容易误诊。耐抗真菌药的癣是一个新出现的全球公共卫生问题，美国已报告了多起病例。我们分析了2022年春季一项基于网络的医疗服务提供者态度和做法调查的数据。在1500名医疗服务提供者中，只有20.1%的人报告通常会对癣进行诊断检测，19.5%的人报告有耐抗真菌药癣的临床经验。耐抗真菌药的癣可能比之前认为的更为普遍。然而，诊断检测的低频率表明可能存在对耐抗真菌药癣的误解或误诊，以及发现耐药病例的机会错失。
