Related Experiment Videos
Tinea capitis in Europe: new perspective on an old problem
1Department of Infection and Immunity, St Johnś Institute of Dermatology (KCL), St Thomas' Hospital, London, UK. rod.hay@kcl.ac.uk
Summary
A survey on tinea capitis (scalp ringworm) revealed a significant rise in human-to-human fungal infections, particularly Trichophyton tonsurans, becoming dominant in urban areas and among African Caribbean children in Europe.
Area of Science:
- Medical Mycology
- Dermatology
- Infectious Disease Epidemiology
Background:
- Tinea capitis, a fungal infection of the scalp, presents varying etiological patterns across Europe.
- Previous understanding of tinea capitis prevalence was based on older data, potentially not reflecting current trends.
Purpose of the Study:
- To investigate changes in the causative agents of tinea capitis in Europe between 1987 and 1997.
- To identify shifts in infection patterns, particularly concerning anthropophilic versus zoophilic fungi.
Main Methods:
- A postal questionnaire survey was distributed to 92 medical mycology laboratories across 19 European countries.
- Data from 1987 and 1997 were compared to analyze trends in tinea capitis diagnoses.
Main Results:
- An overall increase in anthropophilic tinea capitis infections was observed, becoming dominant by 1997.
- Trichophyton tonsurans showed the largest increase, becoming the second most common cause overall and the most prevalent in urban settings.
- Increased rates were noted in urban populations and among African Caribbean children residing in Europe.
Conclusions:
- The epidemiology of tinea capitis in Europe has shifted towards anthropophilic species, notably Trichophyton tonsurans.
- Control strategies for tinea capitis need to adapt to the rise of anthropophilic infections.
- Enhanced surveillance and updated guidance for healthcare professionals are crucial for managing these changing trends.