KAP survey in patients of dermatophytosis in a tertiary care hospital: a cross-sectional study

Authors

  • Preeyati Chopra Department of Dermatology, Government Medical College, Patiala, Punjab, India https://orcid.org/0000-0001-7663-3881
  • Shayna Aulakh Department of Dermatology, Government Medical College, Patiala, Punjab, India https://orcid.org/0000-0002-1726-2352
  • Seema Goel Department of Dermatology, Government Medical College, Patiala, Punjab, India
  • Dimple Chopra Department of Dermatology, Government Medical College, Patiala, Punjab, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20232034

Keywords:

Dermatophytosis, KAP survey, KOH, Quackery, Steroid abuse, Tinea

Abstract

Background: Dermatophytes are a group of fungi with the capacity to invade keratinized tissue. Along with etiological factors, the clinical and epidemiological patterns has shown changing trend, leading to epidemic state of dermatophytosis. This could be attributed to inadequate knowledge and substandard practices followed by patients of dermatophytosis.

Methods: A cross-sectional observational survey of patients with dermatophytosis who visited the outpatient department of dermatology at a tertiary healthcare facility over a period of two months to assess knowledge, attitude and practices regarding dermatophytosis management was performed.

Results: A total of two hundred and twenty-seven (227) patients were recruited in during 2-month study period. The male:female ratio was 0.82:1. Fifty two percent respondents were from a rural background. Fifteen percent of respondents had cattles as pets. Majority of the respondents preferred wearing loose clothes (79%), 89% wore cotton as the material of cloth and 35% preferred wearing closed footwear. Seventy two percent were unaware of the infective nature of disease and 84% of the treatment of this condition 11.45% were hesitant to take oral treatment for the same. More than half of the patients gave a history of self-medication, and 27% of the patients gave a history of receiving steroid injections.

Conclusions: This study concluded that there is an extensive knowledge gap in this subset of the population, which lead to faulty and substandard practices, such as self-treating, steroid abuse and visiting quacks before considering registered dermatologists for treatment purposes.

Metrics

Metrics Loading ...

References

Summerbell IW. The dermatophytes. Clin Microbiol Rev. 1995;8:240-59.

Rashidian S, Falahati M, Kordbacheh P, Mahmoudi M, Safara M, Tafti HS, et al. A study on etiologic agents and clinical manifestations of dermatophytosis in Yazd, Iran. Curr Med Mycol. 2015;1(4):20.

Adefemi SA, Odeigah LO, Alabi KM. Prevalence of dermatophytosis among primary school children in Oke-Oyi community of Kwara state. Niger J Clin Pract. 2011;14(1).

Zhan P, Liu W. The changing face of dermatophytic infections worldwide. Mycopathologia. 2017;182(1-2):77-86.

Verma S, Madhu R. The great Indian epidemic of superficial dermatophytosis: an appraisal. Indian J Dermatol. 2017;62(3):227.

Dogra S, Uprety S. The menace of chronic and recurrent dermatophytosis in India: is the problem deeper than we perceive? Indian Dermatol Online J. 2016;7(2):73.

Verma SB, Panda S, Nenoff P, Singal A, Rudramurthy SM, Uhrlass S, et al. The unprecedented epidemic-like scenario of dermatophytosis in India: I. Epidemiology, risk factors and clinical features. Indian J Dermatol Venereol Leprol. 2021;87(2):154-75.

Patro N, Panda M, Jena A. The menace of superficial dermatophytosis on the quality of life of patients attending referral hospital in eastern India: a cross-sectional observational study. Indian Dermatol Online J. 2019;10(3):262.

Pathania S, Rudramurthy SM, Narang T, Saikia UN, Dogra S. A prospective study of the epidemiological and clinical patterns of recurrent dermatophytosis at a tertiary care hospital in India. Indian J Dermatol Venereol Leprol. 2018;84(6):678-84.

Rudramurthy SM, Shankarnarayan SA, Dogra S, Shaw D, Mushtaq K, Paul RA, et al. Mutation in the squalene epoxidase gene of trichophyton interdigitale and trichophyton rubrum associated with allylamine resistance. Antimicrob Agents Chemother. 2018;62(5).

Dutta B, Rasul ES, Boro B. Clinico-epidemiological study of tinea incognito with microbiological correlation. Indian J Dermatol Venereol Leprol. 2017;83(3):326-31.

Lakshmanan A, Ganeshkumar P, Raam Mohan S, Hemamalini M, Madhavan R. Epidemiological and clinical pattern of dermatomycoses in rural India. Indian J Med Microbiol. 2015;33:S134-6.

Poudyal Y, Joshi SD. Medication Practice of Patients with Dermatophytosis. JNMA J Nepal Med Assoc. 2016;55(203):7-10.

Saha I, Podder I, Chowdhury S, Bhattacharya S. Clinico-mycological profile of treatment-naïve, chronic, recurrent and steroid-modified dermatophytosis at a tertiary care centre in eastern India: an institution-based cross-sectional study. Indian Dermatol Online J. 2021;12(5):714.

Debnath C, Mitra T, Kumar A, Samanta I. Detection of dermatophytes in healthy companion dogs and cats in eastern India. Iran J Vet Res. 2016;17(1):20.

Paryuni AD, Indarjulianto S, Widyarini S. Dermatophytosis in companion animals: a review. Vet World. 2020;13(6):1174.

Ossowski B, Duchmann U. Effect of domestic laundry processes on mycotic contamination of textiles. Hautarzt Zeitschrift Dermatol Venerol Verwandte Gebiete. 1997;48(6):397-401.

Hammer TR, Mucha H, Hoefer D. Infection risk by dermatophytes during storage and after domestic laundry and their temperature-dependent inactivation. Mycopathologia. 2011;171(1):43-9.

Nigam PK, Saleh D. Tinea Pedis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.

Kara Polat A, Akın Belli A, Göre Karaali M, Koku Aksu AE. The attitudes, behaviors, and opinions about non-pharmacological agents in patients with tinea pedis. Dermatol Ther. 2020;33(6):e14041.

Farida F. Effect of health counselling on tinea pedis on farmers attitudes in prevention of Tinea Pedis in Sukodono village, Karangrejo district, Tulungagung regency, 2017. J Glob Res Public Health. 2019;4(1):75-7.

Downloads

Published

2023-06-29

How to Cite

Chopra, P., Aulakh, S., Goel, S., & Chopra, D. (2023). KAP survey in patients of dermatophytosis in a tertiary care hospital: a cross-sectional study. International Journal Of Community Medicine And Public Health, 10(7), 2441–2446. https://doi.org/10.18203/2394-6040.ijcmph20232034

Issue

Section

Original Research Articles