Epidemiology of Superficial Fungal Infections in Portugal: 3-Year Review (2014-2016)

• Autor(a) principal: Rato, Margarida
• Data de Publicação: 2018
• Outros Autores: Costin, Adelina, Furtado, Constança, Sousa, Cristina, Toscano, Cristina, Veríssimo, Cristina, Trindade, Felicidade, Tavares Almeida, Filipa, da Cunha Velho, Glória, Catorze, Goreti, Raposo, Inês, Selada, Joana, A Ferreira, João, Batista, Judite, Santos, Luis, Sereijo, Manuel, Silva, Manuela, Apetato, Margarida, Sanches, Maria, Costa-Silva, Miguel, L Filipe, Paulo, Santos, Paulo, D. Fonseca, Pedro, Mascarenhas, Rosa, Bajanca, Rui, Lopes, Virginia, Lewis, Viviana, Duarte, Maria da Luz, Galhardas, Célia, Anes, Margarida
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.29021/spdv.76.3.910
• topic: Dermatomycoses/epidemiology; Fungi; Mycoses/epidemiology; Portugal; Dermatomicoses/epidemiologia; Fungos; Micoses/epidemiologia; Portugal

Introduction: Superficial fungal infections are the most frequent infectious dermatoses and their incidence continues to increase. Dermatophytes are the principal agents presenting, however, a variable geographic distribution.Material and Methods: This study aimed to characterize the epidemiology of superficial fungal infections diagnosed in Dermatology departments/ units of the Portuguese National Health System between January 2014 and December 2016, through a retrospective analysis of the results of positive cultures performed during this period.Results: A total of 2375 isolates from 2319 patients were studied. The most frequently isolated dermatophyte was Trichophyton rubrum (53.6%), which was also the main cause of glabrous skin tinea (52.4%) and of onychomycosis (51.1%). In relation to tinea capitis, Microsporum audouinii was the most prevalent agent globally (42.6%), followed by Trichophyton soudanense (22.1%). While in the Lisbon metropolitan area these dermatophytes were the main causative agents, in the North and Center regions of Portugal, Microsporum canis was the most frequent agent (58.5%). Yeasts were the main agents isolated from onychomycosis of the hands (76.7%).Conclusion: The results of this study are globally in agreement with the scientific literature. Trichophyton rubrum is the most frequent dermatophyte overall. As for tinea capitis, in the Lisbon metropolitan area, the imported anthropophilic species assume particular importance.