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Published on: August 22, 2012
Epidemiology of tinea capitis among school-age children in Meiganga, Cameroon
F A Kechia1, E A Kouoto1, T Nkoa1
1Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
Insights
Scalp ringworm (Tinea capitis) affects 8.1% of school children in Cameroon, with boys and younger children more susceptible. Communal living and specific fungal species like T. soudannense are key factors.
Area of Science:
- Mycology
- Dermatology
- Epidemiology
Background:
- Tinea capitis (TC), or scalp ringworm, is a significant global health issue, particularly prevalent in Africa.
- Understanding its epidemiology in specific regions is crucial for effective public health interventions.
Purpose of the Study:
- To determine the epidemiological profile of Tinea capitis among school-aged children in Cameroon's savanna zone.
- To identify prevalent fungal species and risk factors associated with TC in this population.
Main Methods:
- Cross-sectional study involving examination of 4601 school children for TC lesions.
- Collection and culturing of pathologic specimens from suspected lesions.
- Analysis of demographic data, clinical manifestations, and identified fungal isolates.
Main Results:
- A prevalence of 8.1% for Tinea capitis was observed, with a higher proportion in boys (63.7%) than girls (36.3%).
- The most frequent clinical manifestation was small plaques of alopecia (59.26%). Communal living was identified as a significant risk factor.
- Trichophyton soudannense (56.8%) was the most prevalent fungal isolate, followed by T. rubrum (29.2%).
Conclusions:
- Tinea capitis is a common infection among school children in the savanna zone of Cameroon, with distinct epidemiological patterns.
- Targeted interventions focusing on communal living and addressing T. soudannense are recommended for controlling scalp ringworm in this region.
Abstract:
Tinea capitis (TC) commonly called scalp ringworm is a worldwide concern and a public health problem in Africa. This study aimed at determining the epidemiologic profile of TC among school-aged children in the savanna zone of Cameroon. All children present at school during this study period, August 2011-July 2012, were examined for signs suggestive of TC. Children not registered at school were excluded from the study. Pathologic specimens were taken from suspected head lesions and cultured. Amongst the 4601 children, average age 10.7±0.16 years, 377 presented with suggestive TC lesions giving a prevalence of 8.1%. The proportion of boys with TC was (63.7%) higher than in girls (36.3%) (P≤0.05). TC manifestations varied; small plaques of alopecia 59.26% were the most frequent. Communal living was the most incriminated risk factor. Three hundred and thirty six isolates were obtained in culture. The prevalence was significantly higher (P<0.05) in age range between 8 and 12 years, followed by that between 13 and 15. The most prevalent isolate was T. soudannense 56.8%, followed by T. rubrum 29.2%. Only 6.0% of the isolates belonged to the genus Microsporum.
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