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Abstract

Dermatophytosis is a common cutaneous mycosis worldwide whose prevalence in Brazil is still unknown. This systematic review has estimated the burden of dermatophytoses from updated literature data reported in the general Brazilian population. We used the following databases: Web of Science, Medline/PubMed, Embase, The Cochrane Library and Scopus for studies published between 2011 and 2020. Original articles with an emphasis on prevalence data for dermatophytosis in the Brazilian population, and diagnosed by culture exam or molecular biology were eligible. We also assessed the methodological quality of the studies. A total of 24 articles met the inclusion criteria and were reviewed. The occurrence of dermatophytoses found in the studies ranged from 4–88.50 %. The pooled prevalence of dermatophytosis for the population studies was 25 % (95 % CI: 24.7–25.3 %). The size of the samples used in the studies ranged from 45 to 36 446 participants, and ages ranged up to 98 years old. The populations studied involved mostly women. The presence of (toenail and fingernail) and were the most frequent dermatophytosis, and we observed a predominance of , and . The studies were primarily conducted in patient groups with suspected mycoses and were not entirely representative of the general population. Yet we believe that in the future, more collaborative strategies would improve both diagnostic capacity and epidemiological methodologies, associating the prevalence of dermatophytosis with social and environmental risk factors. This review helps to better understand future epidemiological trends in Brazil and the world.

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2021-02-03
2024-03-29
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References

  1. Coulibaly O, L'Ollivier C, Piarroux R, Ranque S. Epidemiology of human dermatophytoses in Africa. Med Mycol 2018; 56:145–161 [View Article][PubMed]
    [Google Scholar]
  2. Huang C, Peng Y, Zhang Y, Li R, Wan Z et al. Deep dermatophytosis caused by Trichophyton rubrum . Lancet Infect Dis 2019; 19:1380 [View Article][PubMed]
    [Google Scholar]
  3. Rouzaud C, Lanternier F, Puel A. Primary immunodeficiencies and dermatophytosis. In Springer C. editor Immunogenetics of Fungal Diseases Springer International Publishing; 2017 pp 121–133
    [Google Scholar]
  4. Narang T, Bhattacharjee R, Singh S, Jha K, Kavita MR. Quality of life and psychological morbidity in patients with superficial cutaneous dermatophytosis. Mycoses 2019; 62:680–685 [View Article][PubMed]
    [Google Scholar]
  5. Costa MC, Pereira de Sá N, Johann S, Santos DA. Social, environmental and microbiologic aspects of endemic mycoses in Brazil. New Microbes New Infect 2019; 29:100496 [View Article][PubMed]
    [Google Scholar]
  6. Zhan P, Liu W. The changing face of dermatophytic infections worldwide. Mycopathologia 2017; 182:77–86 [View Article][PubMed]
    [Google Scholar]
  7. Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses 2008; 51 Suppl 4:2–15 [View Article][PubMed]
    [Google Scholar]
  8. Araya S, Tesfaye B, Fente D. Epidemiology of dermatophyte and non-dermatophyte fungi infection in Ethiopia. Clin Cosmet Investig Dermatol 2020; 13:291–297 [View Article][PubMed]
    [Google Scholar]
  9. McGowan J, Sampson M, Salzwedel DM, Cogo E, Foerster V et al. PRESS peer review of electronic search strategies: 2015 guideline statement. J Clin Epidemiol 2016; 75:40–46 [View Article][PubMed]
    [Google Scholar]
  10. Pihet M, Le Govic Y, Le GY. Reappraisal of conventional diagnosis for dermatophytes. Mycopathologia 2017; 182:169–180 [View Article][PubMed]
    [Google Scholar]
  11. Bramer WM, Rethlefsen ML, Kleijnen J, Franco OH. Optimal database combinations for literature searches in systematic reviews: a prospective exploratory study. Syst Rev 2017; 6:245 [View Article][PubMed]
    [Google Scholar]
  12. Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc 2015; 13:147–153 [View Article][PubMed]
    [Google Scholar]
  13. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg 2014; 12:1495–1499 [View Article][PubMed]
    [Google Scholar]
  14. Jacob MCM, Araújo de Medeiros MF, Albuquerque UP. Biodiverse food plants in the semiarid region of Brazil have unknown potential: a systematic review. PLoS One 2020; 15:e0230936 [View Article][PubMed]
    [Google Scholar]
  15. Rothman KJ, Greenland S, Lash TL. Modern epidemiology. In Rothman KJ, Greenland S, Lash TL. (editors), 3rd ed. United States: Lippincott Williams & Wilkins; 2012 p 776 p
  16. Seebacher C, Bouchara JP, Mignon B. Updates on the epidemiology of dermatophyte infections. Mycopathologia 2008; 166:335–352 [View Article][PubMed]
    [Google Scholar]
  17. Shimoyama H, Sei Y. 2016 epidemiological survey of Dermatomycoses in Japan. Med Mycol J 2019; 60:75–82 [View Article][PubMed]
    [Google Scholar]
  18. Cai W, Lu C, Li X, Zhang J, Zhan P et al. Epidemiology of superficial fungal infections in Guangdong, southern China: a retrospective study from 2004 to 2014. Mycopathologia 2016; 181:387–395 [View Article][PubMed]
    [Google Scholar]
  19. Verma S, Madhu R. The great Indian epidemic of superficial dermatophytosis: an appraisal. Indian J Dermatol 2017; 62:227–236 [View Article][PubMed]
    [Google Scholar]
  20. Zamani S, Sadeghi G, Yazdinia F, Moosa H, Pazooki A et al. Epidemiological trends of dermatophytosis in Tehran, Iran: a five-year retrospective study. J Mycol Med 2016; 26:351–358 [View Article][PubMed]
    [Google Scholar]
  21. Mazza M, Refojo N, Davel G, Lima N, Dias N et al. Epidemiology of dermatophytoses in 31 municipalities of the province of Buenos Aires, Argentina: a 6-year study. Rev Iberoam Micol 2018; 35:97–102 [View Article][PubMed]
    [Google Scholar]
  22. Carrascal-Correa DF, Zuluaga A, González A. Species distribution of the main aetiologic agents causing skin dermatophytosis in Colombian patients: a 23-year experience at a mycological reference center. Mycoses 2020; 63:494–499 [View Article][PubMed]
    [Google Scholar]
  23. Ameen M. Epidemiology of superficial fungal infections. Clin Dermatol 2010; 28:197–201 [View Article][PubMed]
    [Google Scholar]
  24. de Hoog GS, Dukik K, Monod M, Packeu A, Stubbe D et al. Toward a novel multilocus phylogenetic taxonomy for the dermatophytes. Mycopathologia 2017; 182:5–31 [View Article][PubMed]
    [Google Scholar]
  25. Nenoff P, Krüger C, Schaller J, Ginter-Hanselmayer G, Schulte-Beerbühl R et al. Mycology - an update part 2: dermatomycoses: clinical picture and diagnostics. J Dtsch Dermatol Ges 2014; 12:749–777 [View Article][PubMed]
    [Google Scholar]
  26. Gnat S, Nowakiewicz A, Zięba P. Taxonomy of dermatophytes – the classification systems may change but the identification problems remain the same. Postępy Mikrobiol - Adv Microbiol 2019; 58:49–58 [View Article]
    [Google Scholar]
  27. Hayette MP, Dermatophytosis SR. Trends in epidemiology and diagnostic approach. Curr Fungal Infect Rep 2015; 9:164–179
    [Google Scholar]
  28. Chollet A, Cattin V, Fratti M, Mignon B, Monod M. Which fungus originally was Trichophyton mentagrophytes? historical review and illustration by a clinical case. Mycopathologia 2015; 180:1–5 [View Article][PubMed]
    [Google Scholar]
  29. Nascimento M do DSB, Leitão VMS, Neto da Silva MAC, Maciel LB, Filho Muniz WE, Muniz Filho WE et al. Eco-epidemiologic study of emerging fungi related to the work of babaçu coconut breakers in the state of Maranhão, Brazil. Rev Soc Bras Med Trop 2014; 47:74–78 [View Article][PubMed]
    [Google Scholar]
  30. Roberts DT. Prevalence of dermatophyte onychomycosis in the United Kingdom: Results of an omnibus survey. Br J Dermatol 1992; 126 Suppl 39:23–27 [View Article][PubMed]
    [Google Scholar]
  31. Gray RM, Champagne C, Waghorn D, Ong E, Grabczynska SA et al. Management of a Trichophyton tonsurans outbreak in a day-care center. Pediatr Dermatol 2015; 32:91–96 [View Article][PubMed]
    [Google Scholar]
  32. da Silva BCM, Paula CR, Auler ME, Ruiz LdaS, Dos Santos JI et al. Dermatophytosis and immunovirological status of HIV-infected and AIDS patients from Sao Paulo city, Brazil. Mycoses 2014; 57:371–376 [View Article][PubMed]
    [Google Scholar]
  33. Costa JEF, Neves RP, Delgado MM, Lima-Neto RG, Morais VMS et al. Dermatophytosis in patients with human immunodeficiency virus infection: clinical aspects and etiologic agents. Acta Trop 2015; 150:111–115 [View Article][PubMed]
    [Google Scholar]
  34. Filho AMS, Ventura CG, Criado PR, Del Negro GB, Freitas RS et al. Hemodialysis and kidney transplantation as predisposing conditions to onychomycosis. Nephron 2017; 137:38–46 [View Article][PubMed]
    [Google Scholar]
  35. de Freitas RS, Neves PS, Charbel CE, Criado PR, Nunes RS et al. Investigation of superficial mycosis in cutaneous allergy patients using topical or systemic corticosteroids. Int J Dermatol 2017; 56:e194–e198 [View Article][PubMed]
    [Google Scholar]
  36. Sabadin CS, Benvegnú SA, da Fontoura MMC, Saggin LMF, Tomimori J et al. Onychomycosis and tinea pedis in athletes from the state of Rio grande do Sul (Brazil): a cross-sectional study. Mycopathologia 2011; 171:183–189 [View Article][PubMed]
    [Google Scholar]
  37. Bentine LLM, Bonfietti LX, Szeszs MW, de Souza Carvalho Melhem M. Onychomycoses in a military population in Brazil. Current Fungal Infection Reports 11 2017 pp 171–175 [View Article]
    [Google Scholar]
  38. Sigurgeirsson B, Baran R. The prevalence of onychomycosis in the global population - A literature study. J Eur Acad Dermatol Venereol 2014; 28:1480–1491 [View Article]
    [Google Scholar]
  39. Gupta AK, Mays RR, Versteeg SG, Shear NH, Piguet V. Update on current approaches to diagnosis and treatment of onychomycosis. Expert Rev Anti Infect Ther 2018; 16:929–938 [View Article][PubMed]
    [Google Scholar]
  40. Liu X, Tan J, Yang H, Gao Z, Cai Q et al. Characterization of skin microbiome in tinea pedis. Indian J Microbiol 2019; 59:422–427 [View Article][PubMed]
    [Google Scholar]
  41. Sakka N, Shemer A, Barzilai A, Farhi R, Daniel R. Occult tinea pedis in an Israeli population and predisposing factors for the acquisition of the disease. Int J Dermatol 2015; 54:146–149 [View Article][PubMed]
    [Google Scholar]
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