Ostalo
Frequency of onychomycoses in chronic renal failure patients undergoing hemodialysis at a referral hospital in Porto Alegre, Brazil
Flávia M Lamb
; Graduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Gran
Cheila DO Stopiglia
; Graduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Gran
Gerson Vetoratto
; Division of Mycology of Complexo Hospitalar Santa Casa de Porto Alegre, Porto Al
João C Goldani
; Division of Nephrology of Complexo Hospitalar Santa Casa de Porto Alegre, Porto
Maria L Scroferneker
; Graduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Gran
Sažetak
Onychomycosis is one of the most frequent infections affecting
the fingernails or the toenails and it is caused mainly by dermatophytes. The
aim of the study was to assess the frequency of onychomycoses in hemodialysis
patients and to relate sex, age, duration of hemodialysis and causes
of renal failure to the development of nail disorders. The study included 100
patients with chronic renal failure undergoing hemodialysis. The patients
underwent detailed clinical examination of the toenails and those with any
kind of clinical finding had nail scraping for mycological testing. In the study
population, the frequency of onychomycosis was 39%. The most commonly
isolated fungi were dermatophytes (69.23%), Candida spp. (15.38%) and
nondermatophyte molds (15.38%). T. interdigitale was the most prevalent
fungus followed by Candida ssp. and T. rubrum. The risk of onychomycosis
increases by 1.9% for each additional year in age and diabetic patients
are 88% more likely to develop onychomycosis than nondiabetic ones. The
duration of hemodialysis treatment and sex were not associated with the
development of onychomycosis. In conclusion, in hemodialysis patients,
the frequency of onychomycosis was higher in those at advanced age and
with diabetes.
Ključne riječi
dermatophytes; onychomycosis; renal failure; hemodialysis; diabetes mellitus
Hrčak ID:
101615
URI
Datum izdavanja:
10.5.2013.
Posjeta: 1.374 *