Introduction: A variety of dermatophytes, yeasts, and saprophytic filamentous fungi are the common causes of superficial-cutaneous and mucosal infections in humans, especially in tropical regions which affect the skin, hair, nails, and mucosa. In the present study, the frequency of fungal elements in outpatients referred to Semnan Health Center was investigated.
Materials and Methods: In this descriptive cross-sectional study conducted in 2022-2023, 81 participants with suspected fungal infections referred to the Semnan Health Center, Semnan, Iran were examined. Demographic characteristics of the participants were recorded. Specimens were taken from the patients’ affected area, and clinical samples were examined by direct microscopy and culture.
Results: A total of 81 participants enrolled in the study, 66 samples were positive included 42 yeast agents, 26 hyphae and arthroconidia, four cases of simultaneous yeast, hyphae and arthroconidia, and two cases of opportunistic hyphae. The most frequent fungal infections were dermatophytosis, onychomycosis, candidiasis, and Malassezia, respectively. In addition, a significant association was observed between the type of disease and the type of sample taken (p<0.001). There was no significant association between the prevalence of fungal agents and the age and sex of the subjects (p˃0.05). Conclusion: the high prevelance of fungal agents especially yeast indicates the importance of species-level identification to select appropriate antifungal treatment. The findings of this study emphasize the importance of early detection and timely intervention in superficial and mucosal fungal infections to prevent chronicity, recurrence, and the spread of infection within the community. These results can play a significant role in improving healthcare management, enhancing public awareness, and developing effective strategies. |
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