Evidence-based management of dermatophytosis in India today

Introduction: Dermatophyte infection has become extremely resistant and widespread in all parts of India during the past decade. A change in the major causative organism has been identified to be a major factor behind the change in the character of the infection. The epidemiological shift has been a...

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Main Authors: Aparajita Ghosh, Saumya Panda
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Apollo Medicine
Subjects:
Online Access:http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2023;volume=20;issue=1;spage=32;epage=37;aulast=Ghosh
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author Aparajita Ghosh
Saumya Panda
author_facet Aparajita Ghosh
Saumya Panda
author_sort Aparajita Ghosh
collection DOAJ
description Introduction: Dermatophyte infection has become extremely resistant and widespread in all parts of India during the past decade. A change in the major causative organism has been identified to be a major factor behind the change in the character of the infection. The epidemiological shift has been accompanied by large scale antifungal resistance. This review aims to take a look at the current status of evidence regarding the effectiveness of major antifungal molecules, with particular reference to the current epidemic-like scenario of resistant dermatophytosis in India. Methods: We have searched and included the relevant literature on “Dermatophytosis” from the PubMed, Scopus, and Google Scholar. Results: The current situation has also brought into focus the glaring lack of evidence-based guidelines for the management of dermatophytosis. The guidelines available previously had mostly been based on the western literature with the scarcity of studies from tropical countries such as India. Conclusion: The current guidelines of the management of dermatophytosis have lost their relevance in the present scenario and need to be replaced. However, without adequate studies we do not have robust data to formulate the new guidelines.
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spelling doaj.art-1b709838357e48799f31258b82ccba8d2023-03-21T07:25:18ZengWolters Kluwer Medknow PublicationsApollo Medicine0976-00162213-36822023-01-01201323710.4103/am.am_171_22Evidence-based management of dermatophytosis in India todayAparajita GhoshSaumya PandaIntroduction: Dermatophyte infection has become extremely resistant and widespread in all parts of India during the past decade. A change in the major causative organism has been identified to be a major factor behind the change in the character of the infection. The epidemiological shift has been accompanied by large scale antifungal resistance. This review aims to take a look at the current status of evidence regarding the effectiveness of major antifungal molecules, with particular reference to the current epidemic-like scenario of resistant dermatophytosis in India. Methods: We have searched and included the relevant literature on “Dermatophytosis” from the PubMed, Scopus, and Google Scholar. Results: The current situation has also brought into focus the glaring lack of evidence-based guidelines for the management of dermatophytosis. The guidelines available previously had mostly been based on the western literature with the scarcity of studies from tropical countries such as India. Conclusion: The current guidelines of the management of dermatophytosis have lost their relevance in the present scenario and need to be replaced. However, without adequate studies we do not have robust data to formulate the new guidelines.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2023;volume=20;issue=1;spage=32;epage=37;aulast=Ghoshantifungal susceptibility testevidence-based managementitraconazoleluliconazolemiconazoleterbinafinetrichophyton indotinaeupper limit of wild typevoriconazole
spellingShingle Aparajita Ghosh
Saumya Panda
Evidence-based management of dermatophytosis in India today
Apollo Medicine
antifungal susceptibility test
evidence-based management
itraconazole
luliconazole
miconazole
terbinafine
trichophyton indotinae
upper limit of wild type
voriconazole
title Evidence-based management of dermatophytosis in India today
title_full Evidence-based management of dermatophytosis in India today
title_fullStr Evidence-based management of dermatophytosis in India today
title_full_unstemmed Evidence-based management of dermatophytosis in India today
title_short Evidence-based management of dermatophytosis in India today
title_sort evidence based management of dermatophytosis in india today
topic antifungal susceptibility test
evidence-based management
itraconazole
luliconazole
miconazole
terbinafine
trichophyton indotinae
upper limit of wild type
voriconazole
url http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2023;volume=20;issue=1;spage=32;epage=37;aulast=Ghosh
work_keys_str_mv AT aparajitaghosh evidencebasedmanagementofdermatophytosisinindiatoday
AT saumyapanda evidencebasedmanagementofdermatophytosisinindiatoday