A 10-year survey of dermatomycoses in Uberaba, southeast Brazil
DOI:
https://doi.org/10.18554/acbiobras.v7i2.7965Keywords:
dermatomicoses, dermatófitos, epidemiologia, fungos filamentosos não dermatófitos, candidíase superficial.Abstract
As infecções fúngicas superficiais, conhecidas como dermatomicoses, estão entre as principais patologias dermatológicas e afetam aproximadamente 25% da população mundial. Conhecer a epidemiologia e promover o diagnóstico dessas micoses é essencial para a administração adequada do tratamento. Foram coletadas 2.325 amostras de pele, unhas e cabelos de todos os pacientes atendidos em um laboratório clínico privado na cidade de Uberaba - Minas Gerais - com suspeita clínica de dermatomicose entre agosto de 2012 e julho de 2022 e identificadas por meio de metodologia clássica e pelo sistema VITEK®2 YST ID. Das amostras coletadas, 1.327 (57,10%) foram positivas para fungos, sendo a maioria de amostras de unhas (61,64%), seguidas por amostras de pele dos pés (14,92%) e do corpo (11,75%). Destas, a maioria era de pacientes entre 31 e 40 anos (18,23%), e a maioria das amostras de couro cabeludo foi obtida de pacientes com até 10 anos de idade (91,66%). Os fungos mais frequentes foram dermatófitos (48,61%), seguidos por leveduras (28,79%) e fungos filamentosos não dermatófitos (FNDF) (22,61%), e as espécies mais comuns foram Trichophyton rubrum (41,22%), Candida parapsilosis (13,34%), Candida albicans (7,69%) e Aspergillus sp. (6,63%). Os dados aqui encontrados corroboram os resultados da maioria dos estudos encontrados na literatura e ressaltam a importância de se conhecer a prevalência dos agentes etiológicos dessas micoses para que o tratamento correto possa ser administrado e, consequentemente, casos de prescrição empírica, recidiva e resistência antifúngica possam ser evitados.
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