Epidemiology, therapy and prevention of superficial skin mycoses

• Published in: Marine Micropaleontology
• Main Authors: E. V. Svirshchevskaya, E. V. Matushevskaya, M. A. Ivanova, E. V. Vladimirova, Yu I. Matushevskaya, Е. В. Свирщевская, Е. В. Матушевская, М. А. Иванова, Е. В. Владимирова, Ю. И. Матушевская
• Other Authors: This work is funded by Akrikhin JSC (Russia), Работа выполнена при финансовой поддержке компании АО «Акрихин» (Россия)
• Format: Article in Journal/Newspaper
• Language: Russian
• Published: REMEDIUM GROUP Ltd. 2024
• Subjects: грибковые заболевания; topical therapy; epidemiological studies; sertaconazole; Acrimicol; топическая терапия; эпидемиологические исследования; сертаконазол; Акримиколь; nenets; Yamalo Nenets
• Online Access: https://www.med-sovet.pro/jour/article/view/8241; https://doi.org/10.21518/ms2024-156

Smooth skin mycoses are common all over the world and occur in 20-30% of the population. Currently, with climate change, the distribution areas of pathogenic fungi are changing, which is observed all over the world. In this paper, the analysis of changes in the epidemiological regions of the spread of mycoses of the feet and hands, microsporia, trichophytia and onychomycosis in Russia is carried out. The most disadvantaged federal districts have been identified. The incidence of mycoses of the feet and hands, as well as onychomycosis, is increased in the Northwestern, Central, Ural and Far Eastern districts. At the same time, infections in the Far Eastern District are localized mainly in the Khabarovsk Territory, but not in the Yamalo-Nenets District. Microsporia is common in the Volga and North Caucasian districts. The incidence of trichophytia is increased in the Siberian, Far Eastern and, especially, in the North Caucasus (10 times higher than the national average) districts. In recent years, the incidence of microsporia has significantly decreased in the Southern and Far Eastern districts. At the moment, the Southern District is the most prosperous in terms of epidemiology of all types of superficial skin mycoses. In the North Caucasian district, it is necessary to find out the cause of highly increased trichophytia. First of all, this may be due to aquaphilic pathogens. The article provides recommendations for the treatment and prevention of mycoses of smooth skin. The main drug in the treatment of superficial skin mycoses is sertaconazole. The hydrophobic nature of the drug makes it possible to obtain effective topical products based on it (creams, gels, shampoos, candles). Several sertaconazole-based drugs have been developed in Russia, for example, Acrimicol cream, recommended for the treatment and prevention of mycoses of smooth skin and multicolored lichen. Микозы гладкой кожи распространены по всему миру и встречаются у 20–30% населения. В настоящее время с изменением климата меняются ареалы ...