Related Experiment Video
Updated: Apr 22, 2026
Development of Metarhizium anisopliae as a Mycoinsecticide: From Isolation to Field Performance
Published on: July 30, 2017
Implantation mycoses: A nationwide survey on diagnostic and treatment modalities in Nepal
Niraj Parajuli1,2, Usha Kiran3, Rushma Shrestha1,2
1Department of Dermatology and Venereology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Abstract:
Implantation mycoses (IM) are a group of fungal diseases which occur after a transcutaneous trauma. The World Health Organization has listed some of the IM, namely sporotrichosis, chromoblastomycosis and eumycetoma as one of the Skin Neglected Tropical Diseases targeted for control by 2030. There are no robust data on IM from Nepal since these diseases are not a part of routine disease surveillance. In this study, an online and in-person survey was conducted using a standard set of questionnaires among the registered dermatologists of Nepal. For this survey sporotrichosis, chromoblastomycosis and mycetoma were included. A total of 56 dermatologists responded to this survey. The result showed that sporotrichosis was the most diagnosed IM (46/56, 82.15%) whereas mycetoma was the least common (21/56, 37.5%). This study further explored the availability of the various diagnostics and treatment modalities among these IM in Nepal. It also showed a lack of uniformity in treatment modalities and in the availability of diagnostics as well as treatment options across the country. It showed that the diagnostics and treatment options were more in the capital as compared to rest of the country.
Insights
Implantation mycoses (IM) are fungal infections following skin trauma. This study surveyed Nepal dermatologists, finding sporotrichosis most common, but diagnostics and treatments vary widely across the country.
Area of Science:
- Medical Mycology
- Dermatology
- Public Health
Background:
- Implantation mycoses (IM) are fungal diseases following skin trauma.
- Sporotrichosis, chromoblastomycosis, and mycetoma are WHO-listed Skin Neglected Tropical Diseases.
- Limited data exists on IM prevalence and management in Nepal.
Purpose of the Study:
- To assess the diagnostic and treatment landscape of IM in Nepal.
- To identify disparities in IM care across different regions of Nepal.
Main Methods:
- An online and in-person survey was conducted among registered dermatologists in Nepal.
- Standardized questionnaires were used to gather data on IM diagnosis and treatment.
- The survey included sporotrichosis, chromoblastomycosis, and mycetoma.
Main Results:
- A total of 56 dermatologists responded to the survey.
- Sporotrichosis was the most frequently diagnosed IM (82.15%), while mycetoma was the least common (37.5%).
- Significant lack of uniformity in diagnostic and treatment modalities was observed nationwide.
Conclusions:
- There is a notable variation in the availability of diagnostics and treatments for IM across Nepal.
- Diagnostic and treatment options are more concentrated in the capital compared to other regions.
- Addressing these disparities is crucial for effective control of IM as Neglected Tropical Diseases.
