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Research Article | Volume 16 Issue 2 (Jul-Dec, 2024) | Pages 53 - 55
A Study of Patterns of Various Dermal Fungal Infections and Factors Associated in Pregnant Women: A Prospective Study
 ,
1
Assistant Professor, Department of Obstetrics and Gynecology, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India
2
Associate Professor, Department of Obstetrics and Gynecology, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India
Under a Creative Commons license
Open Access
Received
Nov. 6, 2024
Revised
Nov. 15, 2024
Accepted
Nov. 25, 2024
Published
Dec. 11, 2024
Abstract

Background and objective: Tropical nations are where cutaneous fungal infections are most prevalent in pregnant women. These infections tend to recur and are persistent. They have an impact on a person's social and physical lives. Therefore, it is essential to accurately diagnose and treat the active disease. To research health care center's variables and patterns of different cutaneous fungal infections in pregnant women. Methodology: 110 Pregnant women attending OBG Department Presented with Dermatology lesions were included in a prospective study. Pretested questionnaires were used to gather information on sociodemographics and cleanliness. After a clinical examination, each patient's diagnosis and infection type were determined. Data was examined using the proper statistical tests. Results: Tinea corporis was the most prevalent infection (54%). Trunks were the most often affected site (55%). The majority of patients (24%) were between the ages of 21 and 30, with 22% being between the ages of 11 and 20. The most often impacted groups were housewives (25%) and unskilled workers (29%). Conclusion: The study underscores the importance of understanding the demographic, socioeconomic, and hygiene-related factors associated with dermal fungal infections to develop effective prevention and treatment strategies pregnant women.

Keywords
INTRODUCTION

Skin fungal infections are extremely prevalent in the pregnant women. Tropical nations like India have higher rates of these illnesses because of environmental variables like humidity and heat. Among the risk factors are socioeconomic circumstances such as poverty, overcrowding, and inadequate personal cleanliness [1,2]. According to the World Health Organization (WHO), 20–25% of pregnant women globally have superficial mycotic infections. Numerous investigations have been conducted worldwide to examine the frequency, risk factors, and management of various fungal infections of the skin. Dermatophytic and non-dermatophytic skin infections are the two categories. Also referred to as tinea, dermatophytic superficial fungal infections impact keratinized tissues. The superficial fungal diseases that are not dermatophytic include tinea versicolor, tinea nigra, and others [3-5]. Originally believed to be caused by parasites that resembled worms, the term tinea from Latin for worm or grub. These infections are frequently referred to by their place of involvement. Common skin conditions include tinea corporis, tinea cruris, tinea unguum, tinea capitis, tinea barbae, and tinea manuum. Tinea infections can be prevented by maintaining proper personal cleanliness, keeping the skin cool and dry at all times, and not sharing clothes, towels, or hair accessories. In order to identify the different patterns and characteristics linked to cutaneous fungal infections, this study was carried out since fungal infections have an impact on social and quality of life in pregnant women [6-8].

MATERIAL AND METHODS

This study was conducted at Department of Obstetrics and Gynecology and Dermatology, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India from April 2010 to March 2011. 110 Pregnant women attending OBG Department Presented with Dermatology lesions made up the study population. Over the course of the trial, 110 patients in all were examined.

 

Inclusion criteria:

Pregnant women with a clinical diagnosis of a fungal infection of the skin

 

Exclusion criteria:

Individuals who have not consented to the study. The hospital's ethical committee gave its approval for this study. After informing the patients about the trial, their written agreement was obtained. Using a pretested questionnaire, data was gathered. The information contains sociodemographic information such as age, sex, occupation, and socioeconomic status, as well as information about hygiene practices such as the number of family members, the number of rooms shared per capita, the sources of water, the use of soap, and the wiping of body parts. Every patient who came in had a clinical examination. Every pregnant women who was found to have a cutaneous fungal infection was forwarded for microbiological testing. Appropriate statistical tests were used to analyze the data.

RESULTS

Table 1: Pregnant women allocation based on the involvement site

Sr. no

Site of involvement

No of patients

Percentage

1

Face

04

3.6%

2

Finger/ toe

02

1.8%

3

Groin

07

6.3%

4

Leg/arm

12

10.9%

5

Palm/ plantar surface

17

15.45%

6

Scalp

14

12.7%

7

Trunk

54

49%

 

Table 2: Pregnant women distribution based on the length of the current illness

Sr. no

Duration of present illness

No of patients

Percentage

1

< 1 month

20

18%

2

1 month- 6 months

33

30%

3

6 months – 12 months

29

26.3%

4

>12 months

28

25.4%

 

Table 3: Pregnant women are distributed based on their personal hygiene habits.

Sr no.

Variables

No of patients

Percentage

1

Sources of water

 

 

2

Piped water

56

50.9%

3

Tube well

25

22.7%

4

Pond

21

19.1%

5

well

08

7.2%

6

Bath per day

 

 

7

Once

70

63.7%

8

Twice

28

25.4%

9

Thrice

07

6.3%

10

Four times

05

4.5%

11

Regular use of soap

 

 

12

Yes

58

52.7%

13

No

52

47.3%

14

Wiping of wet body parts

 

 

15

Yes

60

54.5%

16

No

50

45.5%

DISCUSSION

The most prevalent infection was tinea corporis (54%), followed by pityriasis versicolor (18%). Tinea capitis was observed in 10% of individuals. The average age of the pregnant women was 28.31 ± 2.3 years. Kar et al. and Belurkar et al [8,9]. observed analogous results, identifying tinea corporis as the predominant infection among all fungal infections. A research in Bijapur revealed that tinea corporis (35.4%) was the most prevalent clinical disease, followed by tinea cruris (16.8%) and tinea capitis (16.7%). The most often affected place was the trunk (52%), followed by the palm/plantar surface (15%). The majority of pregnant women experienced a length of sickness ranging from 1 to 6 months (30%). In our investigation, we discovered that 68% of patients reported a history of prior infection, whereas 32% had no such history. Of the total 110 patients, 20% had family members impacted by the same virus[9,10]. The frequency of the virus spread by contact is higher among family members. Comparable outcomes were observed in the study conducted by Krishnendu Das et al. Factors frequently associated with fungal infections include individuals aged 21-30 years, unskilled laborers and homemakers, those from a moderate socioeconomic status, and inadequate hygiene practices. Similarly, Krishenendu Das et al. identified that the middle-aged demographic, those from poorer socioeconomic backgrounds, occupations associated with water, and inadequate hygienic conditions were prevalent risk factors [11,12]. 

CONCLUSION

The study states the importance of understanding the demographic, socioeconomic, and hygiene-related factors associated with dermal fungal infections to develop effective prevention and treatment strategies in pregnant women.

 

Funding support: Nil

Conflict of interest: None

REFERENCES
  1. Narasimhalu CRV, M Kalyani and Somendar S . A Cross-Sectional, Clinico-Mycological Research Study of Prevalence, Aetiology, Speciation and Sensitivity of Superficial Fungal Infection in Indian Patients. J Clin Exp Dermatol , 7: 324
  2. WHO (2005): Epidemiology and management of common skin diseases in children in developing World Health Organization, Geneva. WHO/FCH/CAH/05.
  3. Prevalence of superficial fungal infections among sports- active individuals: results from the Achilles survey, a review of the Venereology, 15: 312-316.
  4. Drake LA, Dinehart SM, Farmer ER, Goltz RW, Graham GF, Hardinsky M.K, Lewis CW, Pariser DM, Skouge JW, Webster SB, Whitaker DC, Butler B, Lowery BJ, Elewski BE, Elgart ML, Jacobs PH, Lesher JL, Scher Jr. RK Guidelines of care for superficial mycotic infections of the skin: tinea corporis, tinea cruris, tinea faciei, tinea manuum, and tinea pedis. J Am Acad Dermatol, 34: 282-286.
  5. English MP, Wethered RR, Duncan Ethel HL Studies in the Epidemiology of Tinea Pedis. VIII: Fungal Infection in a Long-stay Hospital Br Med J,
  6. Brooks GF, Carroll KC, Butel JS, Morse SA Jawetz, Melnick,Adelberg’s Medical Microbiology, 24th Edition, New York: Mc Graw Hill
  7. Caputo R, Boulle K De, Rosso J Del, Nowicki R 3: 136-139.
  8. Chandar J Text Book of Medical Mycology. Second Edition. New Delhi: Meheta Publisher
  9. Kar PK, Mushtaqali GS, Raval RC, Bilimoria FE, Shah BH 1990. Mycological study of tinea corporis and tinea cruris in Indian J Dermatol, 35: 115-117.
  10. Belurkar DD, Bharmal RN, Kartikeyan S, Vadhavkar RS A Mycological Study of Dermatophytoses in Thane. Bombay Hospital Journal. (http:// www.bhj.org/journal/2004 4602 april/index.htm)
  11. Peerapur BV, Inamdar AC, et Clinicomycological study of dermatophytosis in Bijapur. Indian Journal of Medical Microbiology, 2004; 22: 273-274.
  12. Krishnendu Das, Sukumar Basak and Subha A Study on Superficial Fungal Infection from West Bengal: A Brief Report. J Life Sci, 1(1): 51-55 (2009).
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