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Emerging antifungal treatment failure of dermatophytosis in Europe: take care or it may become endemic

D M L Saunte, M Pereiro-Ferreirós, C Rodríguez-Cerdeira, A Y Sergeev, M Arabatzis, A Prohić, B M Piraccini, P Lecerf, P Nenoff, L P Kotrekhova, P P Bosshard, V Padovese, J C Szepietowski, B Sigurgeirsson, R J Nowicki, P Schmid-Grendelmeier, R J Hay

99 Citations (Scopus)

Abstract

BACKGROUND: Dermatophytosis is a world-wide distributed common infection. Antifungal drug resistance in dermatophytosis used to be rare, but unfortunately the current Indian epidemic of atypical widespread recalcitrant and terbinafine-resistant dermatophytosis is spreading and has sporadically been reported in Europe.

OBJECTIVES: To explore the occurrence of clinical and mycological proven antifungal drug resistance in dermatophytes in Europe.

METHODS: A standardized questionnaire was distributed through the EADV Task Force of Mycology network to dermatologists in Europe.

RESULTS: Representatives from 20 countries completed the questionnaires of which 17 (85 %) had observed clinical and/or mycological confirmed antifungal resistance, two countries published cases of antifungal resistance and one country had no known cases.

CONCLUSIONS: This pilot study confirms that both clinical and mycological antifungal resistance exist in Europe.

Original languageEnglish
JournalJournal of the European Academy of Dermatology and Venereology : JEADV
Volume35
Issue number7
Pages (from-to)1582-1586
Number of pages5
ISSN0926-9959
DOIs
Publication statusPublished - Jul 2021
Externally publishedYes

Keywords

  • Antifungal Agents/therapeutic use
  • Europe
  • Humans
  • Pilot Projects
  • Tinea/drug therapy
  • Treatment Failure

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