Asymptomatic Dermatophyte Carriers in the Households of Children With Tinea Capitis

Pomeranz, Albert J.; Sabnis, Svapna; McGrath, Gloria J.; Esterly, Nancy B.

doi:10.1001/archpedi.153.5.483

Cited by 66 publications

(67 citation statements)

References 14 publications

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“…What is not clear though is why T. tonsurans has spread so rapidly and whether this organism can spread with greater ease than others. There is evidence to show that in closed communities T. tonsurans infection of other skin sites can spread with ease 18 . The reason for the increase may be simply due to a combination of factors, such as greater virulence of some organisms, reduced awareness in the community and by primary care physicians.…”

Section: Discussionmentioning

confidence: 99%

Tinea capitis in Europe: new perspective on an old problem

Hay

Robles

Midgley

et al. 2001

Acad Dermatol Venereol

116

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A survey of tinea capitis conducted under the auspices of the European Confederation of Medical Mycology showed that laboratories contributing to a voluntary scheme for reporting have recently been seeing a different pattern of scalp ringworm. The survey was conducted among 92 medical mycology laboratories across 19 European countries by postal questionnaire comparing the years 1987 with 1997. The survey shows an overall increase in the numbers of cases caused by anthropophilic infections, which, in 1997, were the dominant causes of scalp infection; the greatest increase was seen in laboratories covering urban populations and in African Caribbean children living in Europe. While the commonest infection remains Microsporum canis, the largest overall increase has been in Trichophyton tonsurans, which in 1997 was the second commonest cause of infection overall and the commonest in urban populations. The pattern of change is not uniform in Europe and while some cities have reported large increases in T. tonsurans others, e.g. in France, have seen more cases of infection due to T. soudanense and M. audouinii. While these figures do not necessarily reflect changes in the underlying prevalence of infection, the trends are important to recognize as the control measures for anthropophilic tinea capitis differ from those used in zoophilic infections. In particular there is a need for an increased level of surveillance and more advice on control given to primary care physicians, dermatologists and school health authorities.

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Section: Discussionmentioning

confidence: 99%

Tinea capitis in Europe: new perspective on an old problem

Hay

Robles

Midgley

et al. 2001

Acad Dermatol Venereol

116

View full text Add to dashboard Cite

show abstract

“…The study concluded that treatment of carriers with sporicidal shampoo should be considered, since carriers may act as reservoirs for infection -or may develop active disease. The high prevalence of sharing beds and combs may be an important factor in the spread of the disease (9). Other studies have determined that carrier rate may increase to as high as 44% for the siblings of index cases (10).…”

Section: Resultsmentioning

confidence: 99%

Combs and Hair-trimming Tools as Reservoirs for Dermatophytes in Juvenile Tinea Capitis

Winge¹,

Chryssanthou²,

Wahlgren³

2009

Acta Derm Venerol

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“…With Trichophyton tinea capitis it has been suggested that the entire family should be treated with a sporicidal shampoo, such as ketoconazole shampoo, to reduce the carrier stage 73–78 . It remains to be seen whether the concomitant use of oral terbinafine with a sporicidal shampoo will become the preferred treatment modality in the infected child, or whether monotherapy with terbinafine will be considered sufficient, with the use of the shampoo being recommended for any carrier such as siblings, adult contacts and classmates.…”

Section: Discussionmentioning

confidence: 99%

The efficacy and safety of terbinafine in children

Gupta

Adamiak

Cooper

2003

Acad Dermatol Venereol

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Terbinafine is an allylamine antifungal agent that has been effective and safe in the treatment of superficial and some deep mycotic infections in adults. An increasing amount of data is available where terbinafine has been used in the paediatric population to treat superficial fungal infections, in particular tinea capitis. The data suggest that terbinafine is effective and safe using treatment regimens that involve short duration therapy, leading to an increased compliance and providing a cost-effective means of treating paediatric superficial fungal infections such as tinea capitis. Terbinafine has been approved for the treatment of tinea capitis in many countries worldwide, and provides good efficacy rates for Trichophyton tinea capitis using shorter regimens than the gold standard griseofulvin. The adverse events profile for children is similar to that in adults with few adverse effects associated with its use. The evidence favours the use of terbinafine in the treatment of superficial infections in children.

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Asymptomatic Dermatophyte Carriers in the Households of Children With Tinea Capitis

Abstract: To determine the prevalence of the carrier state in household contacts in children with tinea capitis, the duration of the carrier state, factors associated with carriage, and the proportion of carriers who develop clinical disease.

Cited by 66 publications

References 14 publications

Tinea capitis in Europe: new perspective on an old problem

Tinea capitis in Europe: new perspective on an old problem

Combs and Hair-trimming Tools as Reservoirs for Dermatophytes in Juvenile Tinea Capitis

The efficacy and safety of terbinafine in children

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