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2011, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2011; 9 (3)

Clinico-etiological correlation and factors associated with onychomycosis

Ríos YJM, Ríos CM

Language: Spanish
References: 29
Page: 221-227
PDF size: 131.16 Kb.


ABSTRACT

Background: Onychomycosis (OMC) is an important public health problem, it can predispose to other infections and also cause systemic infections in immunocompromised hosts. It is also a cosmetic problem with physical, psychosocial and occupational limitations. There is little information about the ethiologic agents of onychomycosis in Panama and its clinical correlation.
Objective: To determine the clinical and ethiological correlation associated factors with the development of onychomycosis in hospitalized patients at the Complejo Hospitalario Dr. Arnulfo Arias Madrid during 2009.
Material and method: Descriptive, prospective, longitudinal, randomized and open study with a representative sample of 203 hospitalized patients. A detailed clinical history of each patient was written and nail samples were taken for direct mycological exam and culture.
Results: 203 patients with clinical characteristics of OMC were studied. 75.37% of the patients had distal and lateral subungueal OMC, and 78.82% wore closed shoes made with synthetic materials. 42.11% of the direct mycological exams, and 53.20% of the cultures were positive. Yeasts were isolated in 41.67%, dermatophytes in 39.81%, and non dermatophytes molds in 18.52%. Trichophyton rubrum was the most common isolated agent (31.48%).
Conclusion: The direct mycological exam and the culture confirm the diagnosis of OMC, but we assumed there may be some false negative results. Yeasts, dermatophytes and molds were isolated from the patients with OMC of our hospital. Trichophyton rubrum was the most frequent agent.


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