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Published on: March 22, 2024
[Tinea corporis]
1Gesundheitsamt im Bezirksamt Spandau von Berlin, Berlin. g.widders@ba-spandau.berlin.de
Abstract:
Between February 2011 and April 2012, an outbreak caused 55 episodes of Tinea corporis in a Berlin kindergarten. According to the case definition Tinea corporis was confirmed in 2 cases, 16 cases were dermatologically probable, 24 cases were suspicious, whereas 13 cases were viewed as improbable. 48% (n=32/67) of all children had at least one episode of disease. Of those aged 4-6 years 76% (n=29/38) were affected, compared with 10% (n=3/29) of those younger than 4 years. Despite comprehensive hygienic measures being taken, the outbreak could not be quickly controlled. To stop the outbreak the immediate cooperation of public health service and medical staff, kindergarten employees, parents and children was necessary. The timely involvement of dermatologists along with a uniform treatment approach turned out to be of major importance. The recommended long treatment duration over several weeks affected adherence to treatment. Overall, the extended treatment in the kindergarten of affected skin areas of children proved to be the most effective measure for the control of the outbreak.
Insights
An outbreak of Tinea corporis (ringworm) in a Berlin kindergarten affected nearly half of the children, particularly those aged 4-6 years. Extended treatment of affected skin areas proved most effective for control.
Area of Science:
- Dermatology
- Epidemiology
- Public Health
Context:
- A Berlin kindergarten experienced a significant outbreak of Tinea corporis between February 2011 and April 2012.
- The outbreak involved 55 episodes, with 48% of all children affected, predominantly those aged 4-6 years.
Purpose:
- To describe the epidemiology and control measures of a Tinea corporis outbreak in a kindergarten setting.
- To evaluate the effectiveness of different interventions in managing the outbreak.
Summary:
- The outbreak confirmed 2 cases, with 16 probable, 24 suspicious, and 13 improbable cases of Tinea corporis.
- Despite hygienic measures, the outbreak persisted, necessitating cooperation among public health services, medical staff, kindergarten employees, parents, and children.
- Timely dermatological involvement and a uniform treatment approach were crucial. Extended treatment of affected skin areas within the kindergarten was the most effective control measure, although long treatment duration impacted adherence.
Impact:
- Highlights the challenges in controlling superficial fungal infections in childcare settings.
- Emphasizes the importance of a multi-faceted approach involving healthcare professionals, educators, and parents for outbreak management.
- Demonstrates that prolonged, localized treatment, despite adherence issues, can be effective in curbing widespread Tinea corporis transmission.
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