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Updated: Aug 30, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
[Prevention of dermatophytoses]
Ryuji Maruyama1, Kunitaro Fukuyama, Takuro Katoh
1Division of Dermatology, Nakano General Hospital, 4-59-16 Chuo, Nakano-ku, Tokyo 164-8607, Japan.
Abstract:
Preventive measures against tinea pedis were discussed based on our mycological studies using foot-press method and house dust cultures. 1) Untreated patients with tinea pedis frequently disseminate pathogenic fungi into the environment, but dissemination could be easily controlled by simple application of antifungal agents. 2) A high proportion of dermatophytes disseminated in house dust perished naturally within a month under dry conditions, while under moist conditions they survived several months or more. Therefore, humid areas such as the floor and carpet of a bathroom should be cleaned or washed regularly. 3) Adhesion of dermatophytes onto healthy feet usually happens in public spaces where people enter without shoes. Wearing socks cannot prevent dermatophyte adhesion. Cleaning the feet by wiping with a towel or washing with soap seemed to be an effective prophylactic measure after stepping into such spaces.
Insights
Preventing athlete's foot (tinea pedis) involves controlling fungal spread with antifungals and regular cleaning of humid areas. Washing feet after visiting public spaces effectively prevents fungal adhesion.
Area of Science:
- Mycology
- Dermatology
- Environmental Health
Context:
- Tinea pedis (athlete's foot) is a common fungal infection.
- Fungal dissemination from infected individuals and environmental reservoirs poses a public health concern.
- Understanding fungal survival in the environment is crucial for developing effective prevention strategies.
Purpose:
- To investigate the environmental dissemination of pathogenic fungi causing tinea pedis.
- To evaluate the efficacy of antifungal agents in controlling fungal spread.
- To determine the survival rates of dermatophytes in house dust under varying humidity conditions.
- To identify effective prophylactic measures against dermatophyte adhesion to healthy feet.
Summary:
- Untreated tinea pedis patients frequently shed pathogenic fungi, but antifungal treatment significantly reduces environmental contamination.
- Dermatophytes in house dust exhibit reduced survival under dry conditions, whereas moist environments promote prolonged survival, necessitating regular cleaning of humid areas like bathrooms.
- Dermatophyte adhesion to feet commonly occurs in public, shoe-free areas, and while socks offer no protection, thorough foot cleaning post-exposure is an effective preventive measure.
Impact:
- Provides evidence-based recommendations for preventing the spread of tinea pedis.
- Highlights the importance of environmental hygiene in managing fungal infections.
- Informs public health guidelines for reducing athlete's foot transmission in community settings.
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