Epidemiological characteristic of nails, skin of the feet and hands mycoses in the Perm region

Introduction. Mycoses of the skin and their derivatives are one of the most common groups of fungal infections. Lesion to the nails and skin of the feet and hands occupies a leading place in the structure of this pathology. These diseases are characterized by a long course and often ineffective therapy. Onychomycosis and fungal infections of the skin of the feet and hands are characterized by certain epidemiological features and have a diverse etiology. Aim. To study of the epidemiological characteristic of mycoses of the nails, skin of the feet and hands according to the data of the Regional Clinical Dermatovenerological Dispensary of Perm over a ten-year period to optimize the detection and further treatment of this pathology Materials and methods. For the study, statistical data from the Regional Clinical Dermatovenerological Dispensary in Perm were used. Data were analyzed for the period 2012–2021 to assess the dynamics of the prevalence of mycoses of the skin and nails of the feet and hands, their etiological structure. Cases recorded during direct patient contact were taken into account. For laboratory confirmation of mycoses, a culture method was used. Results and discussion. The number of cases of mycoses of the skin and nails of the feet and hands for the period from 2012 to 2021 was analyzed. It was established that the share of this pathology in the structure of superficial mycoses averaged 49.9%. There was no significant dynamics in the number of recorded cases of fungal infection of this location during the analyzed period. This pathology was more often observed in females than in males throughout the study period. The most significant etiological factors were representatives of Trichophyton spp., Candida spp., as well as molds. There has been a change in the etiological structure of mycoses of the nails, skin of the feet and hands over the observed period: there is a tendency towards a decrease in the proportion of dermatophytes and an increase in the proportion of yeast fungi. Conclusion. The relevance of the studied group of mycoses was confirmed using the example of the Perm region. The main cause of fungal infections of the nails and skin of the feet and hands were representatives of dermatophytes and Candida spp . It is recommended to focus on identifying this pathology in males during preventive examinations due to the low frequency of their visits to medical specialists.