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Dermatophyte resistance - on the rise.

Ivan R Bristow1, Lovleen Tina Joshi2

  • 1AECC University College, Parkwood Campus, Parkwood Road, Bournemouth, BH5 2DF, UK. mail@ibristow.com.

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|October 4, 2023
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Summary

New dermatophyte strains resistant to terbinafine are spreading globally. Urgent research and practice changes are needed to manage this growing antifungal resistance crisis.

Keywords:
DermatophyteDrug resistanceInfectionTerbinafine

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Area of Science:

  • Medical Mycology
  • Antimicrobial Resistance

Background:

  • Dermatophytes are fungi thriving on keratinized tissues of humans and animals.
  • Emerging dermatophyte strains exhibit resistance to terbinafine and other antifungal drugs.
  • Reports of resistant strains originated in Asia and have spread worldwide.

Discussion:

  • Mechanisms driving this emerging antifungal resistance remain largely unknown.
  • The global dissemination of resistant dermatophyte strains poses a significant public health concern.
  • Current management strategies may be inadequate against these resilient fungal infections.

Key Insights:

  • Identification of novel antifungal resistance mechanisms in dermatophytes is critical.
  • Understanding the epidemiology of resistant dermatophyte spread is essential for control.
  • Development of new diagnostic and therapeutic approaches is urgently required.

Outlook:

  • Further research into dermatophyte resistance is vital for effective treatment.
  • Clinical practice must adapt to address the challenge of antifungal drug resistance.
  • Global collaboration is necessary to contain and manage the spread of resistant infections.