Fungal skin infections in children

Barts Health NHS Trust, London.
Nursing standard: official newspaper of the Royal College of Nursing 11/2012; 27(11):52-4, 56, 58. DOI: 10.7748/ns2012.
Source: PubMed


Fungal skin infections have increased in prevalence over the past 30 years. The pathogenic fungi that cause these infections can be classified into dermatophytes and yeasts. Dermatophytes cause infections of keratinised tissue, such as hair, skin and nails. Yeasts can cause superficial infections or more deep-seated infections in people who are immunocompromised. Fungal skin infections are a common problem in children and can be uncomfortable and upsetting. However, the availability of effective treatment options has also increased.

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    • "The most common fungal infections in infants and children are mucocutaneous candidiasis, pityriasis versicolor, tinea corporis, tinea pedis, and tinea capitis [27]. Candida colonization has a considerable prevalence among paediatric and neonatal patients [31–35]. Preterm newborns in the paediatric ICU where besides vaginal delivery, low birth weight, and low gestational, age can be considered as risk factor for colonization [36]. "
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    ABSTRACT: From 1997 to 2009, 1,862 dermatology, gynaecology, and paediatrics (DGP) associated clinical yeast isolates were analysed for species occurrence, specimen origin and type, (multi-) resistance pattern, and testing period. The top seven of the isolated DGP-associated species remained the same as compared to total medical wards, with Candida albicans (45%) as most frequent pathogen. However, the DGP wards and DGP ICUs showed species-specific profiles; that is, the species distribution is clinic-specific similar and however differs in their percentage from ward to ward. By applying the “one fungus one name” principle, respectively, the appropriate current taxonomic species denominations, it has been shown that no trend to emerging species from 1998 to 2008 could be detected. In particular the frequently isolated non- Candida albicans species isolated in the DGP departments have already been detected in or before 1997. As yeasts are part of the cutaneous microbiota and play an important role as opportunistic pathogens for superficial infections, proper identification of the isolates according to the new nomenclature deems to be essential for specific and calculated antifungal therapy for yeast-like DGP-related infectious agents.
    International Journal of Microbiology 12/2013; 2013(5874):703905. DOI:10.1155/2013/703905