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儿童足癣患病率的系统评价

Systematic Review of the Prevalence of Tinea Pedis in Children.

作者信息

Stenderup Joanna Elisabeth Bjerg, Goandal Noor Fatima, Saunte Ditte Marie Lindhardt

机构信息

Department of Dermatology, Zealand University Hospital, Roskilde, Denmark.

Department of Clinical Medicine, Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Pediatr Dermatol. 2025 May-Jun;42(3):539-551. doi: 10.1111/pde.15947. Epub 2025 Apr 14.

DOI:10.1111/pde.15947
PMID:40229202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12118529/
Abstract

BACKGROUND/OBJECTIVES: Tinea pedis, commonly known as athlete's foot, is a fungal infection that affects the skin of the feet. While there is extensive research on the prevalence of tinea pedis in adults, data regarding prevalence in children are limited. Therefore, it is important to gain information about epidemiology and prevalence in pediatric patients to prevent and treat this condition in children.

METHODS

A comprehensive search across PubMed and Embase was conducted for studies published up to October 10, 2024. Inclusion criteria were studies reporting on the prevalence of tinea pedis in children (0-19 years) with a study population of a minimum of 100 children. A total of 29 studies met the inclusion criteria and were analyzed to determine prevalence patterns, diagnostic methods, and etiological agents.

RESULTS

The included studies revealed prevalence rates varying from 0.03% to 15.6%. The most common diagnostic methods were clinical examination, microscopy, and culture. The main etiological agents were dermatophytes, specifically Trichophyton rubrum.

CONCLUSIONS

This systematic review reveals heterogeneous studies with variations among countries when reporting the prevalence of tinea pedis in children of up to 15.6%. Healthcare professionals should increase awareness of recognizing tinea pedis and consider it a potential diagnosis within the pediatric population.

摘要

背景/目的:足癣,俗称运动员脚,是一种影响足部皮肤的真菌感染。虽然对成人足癣的患病率已有广泛研究,但关于儿童患病率的数据有限。因此,获取儿科患者的流行病学和患病率信息对于预防和治疗儿童这种疾病很重要。

方法

对截至2024年10月10日发表的研究在PubMed和Embase上进行了全面检索。纳入标准是报告儿童(0至19岁)足癣患病率且研究人群至少有100名儿童的研究。共有29项研究符合纳入标准,并进行分析以确定患病率模式、诊断方法和病原体。

结果

纳入的研究显示患病率从0.03%到15.6%不等。最常见的诊断方法是临床检查、显微镜检查和培养。主要病原体是皮肤癣菌,特别是红色毛癣菌。

结论

这项系统评价揭示了各国在报告15.6%以下儿童足癣患病率时存在异质性研究。医疗保健专业人员应提高对足癣的认识,并将其视为儿科人群中的潜在诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de9/12118529/73431be53115/PDE-42-539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de9/12118529/5617eb98fd23/PDE-42-539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de9/12118529/da9e549c3d60/PDE-42-539-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de9/12118529/73431be53115/PDE-42-539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de9/12118529/5617eb98fd23/PDE-42-539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de9/12118529/da9e549c3d60/PDE-42-539-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de9/12118529/73431be53115/PDE-42-539-g001.jpg

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本文引用的文献

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Dermatophyte Infections Worldwide: Increase in Incidence and Associated Antifungal Resistance.全球皮肤癣菌感染:发病率上升及相关的抗真菌耐药性
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Risk factors for the development of tinea pedis and onychomycosis: Real-world evidence from a single-podiatry center, large-scale database in Japan.足癣和甲真菌病发展的危险因素:来自日本单一足病中心、大规模数据库的真实世界证据。
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足癣:最新综述。
Drugs Context. 2023 Jun 29;12. doi: 10.7573/dic.2023-5-1. eCollection 2023.
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Skin of color in dermatopathology: does color matter?皮肤病理学中的有色人种皮肤:肤色重要吗?
Hum Pathol. 2023 Oct;140:240-266. doi: 10.1016/j.humpath.2023.04.012. Epub 2023 May 3.
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Systematic review of the prevalence of onychomycosis in children.儿童甲真菌病患病率的系统评价。
Pediatr Dermatol. 2022 Nov;39(6):855-865. doi: 10.1111/pde.15100. Epub 2022 Sep 21.
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Consensus for the Treatment of Tinea Pedis: A Systematic Review of Randomised Controlled Trials.足癣治疗的共识:随机对照试验的系统评价
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