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Molecular Characterization and In Vitro Antifungal Susceptibility of 316 Clinical Isolates of Dermatophytes in Iran

Overview of attention for article published in Mycopathologia, September 2015
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Title
Molecular Characterization and In Vitro Antifungal Susceptibility of 316 Clinical Isolates of Dermatophytes in Iran
Published in
Mycopathologia, September 2015
DOI 10.1007/s11046-015-9941-y
Pubmed ID
Authors

Saham Ansari, Mohammad T. Hedayati, Kamiar Zomorodian, Keyvan Pakshir, Hamid Badali, Abdollah Rafiei, Mostafa Ravandeh, Seyedmojtaba Seyedmousavi

Abstract

Dermatophytosis is a common mycotic infection of the skin, nail, and hair, associated with major public health concern worldwide. Various species of dermatophytes show significant differences in susceptibility to antifungals. Here, we present the antifungal susceptibility of a large collection of molecularly identified dermatophyte isolates obtained from tropical region of south of Iran. A total of 9485 patients clinically suspected to have cutaneous fungal infections were examined. Dermatophytosis was confirmed in 1502 cases by direct microscopy and culture. Three hundred and sixteen isolates recovered in culture were identified to species level using PCR sequencing of ITS region and RFLP. Tinea corporis was the most prevalent type of clinical manifestation (35.2 %), followed by tinea cruris (17 %), tinea capitis (12.8 %), tinea pedis (11.3 %), tinea manuum (11 %), tinea unguium (6.9 %), and tinea barbae (5.8 %). Trichophyton interdigitale was the most common isolate (49.36 %), followed by Trichophyton rubrum (18.98 %), Epidermophyton floccosum (13.29 %), Microsporum canis (9.17 %), Arthroderma benhamiae (T. anamorph of A. benhamiae; 5.38 %), and Trichophyton tonsurans (3.79 %). Overall, irrespective of the geographical region, terbinafine was the most potent antifungal against all isolates, with an MIC range of 0.002-0.25 μg/mL, followed by itraconazole (0.004-0.5 μg/mL), griseofulvin (0.125-8 μg/mL), and fluconazole (4-128 μg/mL). Analysis of our data revealed a significant increase in the frequency of A.benhamiae, which definitely warrants further investigation to explore source of this infection in south of Iran. Moreover, terbinafine was the most effective antifungal against all isolates, in vitro.

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Geographical breakdown

Country Count As %
Unknown 58 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 11 19%
Student > Master 8 14%
Student > Bachelor 6 10%
Student > Ph. D. Student 6 10%
Student > Postgraduate 4 7%
Other 9 16%
Unknown 14 24%
Readers by discipline Count As %
Medicine and Dentistry 11 19%
Biochemistry, Genetics and Molecular Biology 9 16%
Immunology and Microbiology 6 10%
Agricultural and Biological Sciences 5 9%
Veterinary Science and Veterinary Medicine 4 7%
Other 5 9%
Unknown 18 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 September 2015.
All research outputs
#20,291,881
of 22,828,180 outputs
Outputs from Mycopathologia
#881
of 1,074 outputs
Outputs of similar age
#225,531
of 268,597 outputs
Outputs of similar age from Mycopathologia
#11
of 21 outputs
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