Evaluation of the association of superficial dermatophytosis and athletic activities with special reference to its prevention and control

Bassiri-Jahromi, Shahindokht; Sadeghi, Golnar; Paskiaee, Farnoosh Asghari

doi:10.1111/j.1365-4632.2009.04383.x

Cited by 8 publications

(4 citation statements)

References 36 publications

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“…Wrestling and judo are the main contact sports with the most exposure to dermatophyte infection which cause close skin‐to‐skin contact facilitating the spread of dermatophytes between team members . Therefore, it is of utmost importance to understand the prevention strategies by identifying the sources of infection and patterns of transmission.…”

Section: Introductionmentioning

confidence: 99%

Molecular epidemiology of Tinea gladiatorum in contact sports in northern Iran

Kermani

Moosazadeh

Hedayati

et al. 2020

Mycoses

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Summary Background Tinea gladiatorum as the major health concern among combat athletes and the most common cause of a decrease in the quality of their sports activities. Objectives This study aimed to determine the molecular epidemiology of tinea gladiatorum in contact sports in Mazandaran Province, Northern Iran. Materials/Methods In total, 631 suspected athletes out of 4240 ones were screened for tinea gladiatorum in this cross‐sectional study from May 2018 to February 2019. The infection was confirmed by direct microscopy and culture tests. The causative agents were identified by polymerase chain reaction‐restriction fragment length polymorphism method on ITS rDNA region. The indoor environmental factors were evaluated in 81 sports halls in terms of temperature (°C), humidity (%), density (m2/athletes) and the number of ventilators. Results Tinea gladiatorum was confirmed in 6.5% (278/4240) of the athletes. Tinea corporis was the most common type of tinea (192/278; 69.0%), and 175 cases (27.7%) had more than one type of tinea. Moreover, Trichophyton tonsurans (192/203; 94.5%) was the most aetiological agent in all athletes followed by Microsporum canis (6/203; 2.9%), Trichophyton rubrum (2/203; 0.9%) and Trichophyton interdigitale (1/203; 0.4%). There was no significant association between the prevalence of tinea gladiatorum and the indoor environmental factors. Conclusion T. tonsurans is the most common agent of tinea gladiatorum in Northern Iran. Since no positive culture of dermatophyte was obtained from mats, it seems that skin‐to‐skin contact would be the most probable mode of transmission among wrestlers. Accordingly, periodical checkups should be considered by health care providers.

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Section: Introductionmentioning

confidence: 99%

Molecular epidemiology of Tinea gladiatorum in contact sports in northern Iran

Kermani

Moosazadeh

Hedayati

et al. 2020

Mycoses

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“…Tinea gladiatorum (TG; trichophytosis gladiatorum; tinea gladiatorum) is the most widespread fungal skin infection among contact sports athletes and the second most common skin infection in this group in general, after herpes gladiatorum (HSV infection) [ 1 , 2 ]. Specific factors such as skin-to-skin contact during training and competition, exposure to mechanical trauma (abrasions and cuts), and often asymptomatic course of the disease may increase the risk of contamination and local outbreaks [ 3 , 4 ]. According to a study conducted by Iranian scientists [ 5 ], the most frequently identified pathogen causing TG was Trichophyton tonsurans ( T. tonsurans ) (92%) followed by Trichophyton rubrum ( T. rubrum ) (3.36%) and Trichophyton mentagrophytes ( T. mentagrophytes ) (1.89%).…”

Section: Introductionmentioning

confidence: 99%

“…According to a study conducted by Iranian scientists [ 5 ], the most frequently identified pathogen causing TG was Trichophyton tonsurans ( T. tonsurans ) (92%) followed by Trichophyton rubrum ( T. rubrum ) (3.36%) and Trichophyton mentagrophytes ( T. mentagrophytes ) (1.89%). Kohl et al [ 4 ], during the evaluation of association of superficial dermatophytosis and athletic activities, reported that in 84% of the studied wrestling teams in the USA during the 1998–1999 season, at least one athlete was diagnosed to be a T. tonsurans carrier. T. tonsurans is a strongly transmissible, ubiquitous anthropophilic dermatophyte fungus that originated in South-East Asia and Australia.…”

Section: Introductionmentioning

confidence: 99%

Tinea Gladiatorum: Epidemiology, Clinical Aspects, and Management

Zalewski

Goldust

Szepietowski

2022

JCM

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Tinea gladiatorum (TG) is a fungal skin infection that occurs among wrestlers and other contact sport athletes with a varied prevalence rate. The most common causative factor responsible as well for local outbreaks of the infection is an anthropophilic dermatophyte species—Trichophyton tonsurans (T. tonsurans). The purpose of this study was to gather current data about TG, including epidemiology, possible diagnosing methods, clinical features, treatment approaches, and potential prevention techniques. We also performed a systematic review of studies describing TG incidence. The prevalence of the disease varied from 2.4% up to 100%. That wide range of variability forces medical practitioners to update knowledge about TG and points to the fact that it still may be a diagnostic and therapeutic challenge. Spreading awareness among athletes and trainers is one of the most important preventive steps.

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“…Treatment is topical (e.g., azoles, allylamines, ciclopirox olamine) for localized lesions and systemic (e.g., azoles, terbinafine) for more diffuse lesions and hair infection. 1,2 According to the 2010 position statement of the National Athletic Trainers' Association, active fungal lesions must be treated topically for a minimum of 72 hours or adequately covered before competition. Failure to follow these recommendations is considered grounds for disqualification.…”

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confidence: 99%