Hernández CS, Sánchez-Cárdenas CD, Vega-Sánchez DC, Peralta Ó, Frías-De-León MG, Martínez-Herrera E, Arenas-Guzmán R

Language: Spanish
References: 17
Page: 232-236
PDF size: 111.00 Kb.

ABSTRACT

Introduction: worldwide, superficial mycoses are the fourth most common cause of disease. It is important to understand the evolution, epidemiology and prevalence of dermatophytosis in children to obtain an early diagnosis, to offer the correct treatment and to reduce their transmission
Objective: to determine the epidemiology of superficial fungal infections from January 2016 till July 2017 in children from the General Hospital Dr. Manuel Gea González.
Methods: observational, descriptive, retrospective and cross-sectional study. We review the patients’ records with superficial mycoses who were treated in the Mycology Section from January 2016 till July 2017. All patients (0 to 15 years of age) with a positive direct KOH exam were included and were classified by sex and age. A distinction was made among the comorbidities and their relationship to their mycoses. Descriptive statistics and frequencies were performed with their confidence intervals with the IBM SPSS Statistics Visor v23 program.
Results: of 1 136 patients, 52 (4.6%) with suspected superficial mycoses in children were included; 28 (54%) patients with positive direct examination, with a mean age of nine years (± 4.5 SD). The most affected age groups were schoolchildren (39%, 95% CI: 21-57%) followed by adolescents (36%, 95% CI: 18-54%). The most common superficial mycosis was onychomycosis (57%, 95% CI: 38-75%), where the most affected group was schoolchildren and adolescents in the same frequency (41%), followed by tinea (25%, 95% CI: 9-41%) where the most affected age group were schoolchildren (50%). Two cases of pityriasis versicolor were found in the trunk in children aged one and 15. Also two cases of othomycosis and one case of diaper candidiasis.
Conclusion: superficial mycoses are common in the pediatric population. Onychomycosis is the most frequently seen. Therefore, pediatricians should be aware of the clinical features to diagnose and treat these mycoses and offer better care to their patients.

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