Article:
Clinicomycological profile and antifungal sensitivity pattern of commonly used azoles in dermatophytosis

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorMathur, Mahesh
dc.contributor.authorShrestha, Shrujana
dc.creator.affiliationDepartment of Dermatology,College of Medical Sciences- Teaching Hospital, Bharatpur, Nepal.
dc.creator.affiliationDepartment of Dermatology,College of Medical Sciences- Teaching Hospital, Bharatpur, Nepal.
dc.date.accessioned2026-10-01T06:06:06Z
dc.date.available2026-10-01T06:06:06Z
dc.date.issued2015
dc.description.abstractAbstract Introduction: Dermatophytosis is a common superficial fungal infection of the skin, hair and nails caused by Trichophyton, Microsporum and Epidermophyton dermatophytic species. Identification of causative dermatophytic species tend to vary with time and place and antifungal sensitivity is of epidemiological concern as well as significant for the treatment with precision at the current scenario of increasing antifungal resistance. To study clinicomycological profile and antifungal sensitivity pattern of commonly used azoles in dermatophytosis. Methods: The prospective analysis of 145 clinically suspected cases of dermatophytosis was conducted from January 2014 to January 2015 at Department of Dermatology of COMS, Bharatpur, Chitwan, Nepal. Cases were evaluated and data recorded as per proforma. Samples were collected for microscopy and culture from skin, hair and nail. Antifungal sensitivity pattern was evaluated by standard disk diffusion technique. Results: Maximum numbers of cases with dermatophytosis were observed between June to September with male to female ratio of 1.4:1. The youngest patient was 3 years and the oldest was 76 years. Tinea corporis (25.5%) was the dominant clnical type observed. Overall direct microscopy (KOH) positivity and culture positivity was 64.8% and 57.2% respectively. Predominant species of dermatophyte isolated was T. mentagrophyte (23.4%). Out of five antifungals used in our study, fluconazole and ketoconazole were found 100% resistant. Conclusions: This study highlighted the increasing resistance of the antifungals, which is responsible for the treatment failure in dermatophye infections. Keywords: Antifungal resistance; Dermatophyte; Epidemiology.
dc.identifier.doihttps://doi.org/10.31729/jnma.2771
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7940
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectAntifungal resistance
dc.subjectDermatophyte
dc.subjectEpidemiology
dc.titleClinicomycological profile and antifungal sensitivity pattern of commonly used azoles in dermatophytosis
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage112
oaire.citation.startPage108
relation.isJournalIssueOfPublication9310ef88-c5b8-41fa-a2c1-77bada91af00
relation.isJournalIssueOfPublication.latestForDiscovery9310ef88-c5b8-41fa-a2c1-77bada91af00
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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