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The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy
Acta clinica Croatica, 57 (2018), 4; 726-735. https://doi.org/10.20471/acc.2018.57.04.15
Mendek, Sanja; Lugović-Mihić, Liborija; Ferček, Iva; Japundžić, Iva; Abram, Maja

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Mendek, S., Lugović Mihić, L., Ferček, I., Japundžić, I. & Abram, M. (2018). The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy. Acta clinica Croatica, 57. (4), 726-735. doi: 10.20471/acc.2018.57.04.15

Mendek, Sanja, et al. "The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy." Acta clinica Croatica, vol. 57, no. 4, 2018, pp. 726-735. https://doi.org/10.20471/acc.2018.57.04.15

Mendek, Sanja, Liborija Lugović Mihić, Iva Ferček, Iva Japundžić and Maja Abram. "The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy." Acta clinica Croatica 57, no. 4 (2018): 726-735. https://doi.org/10.20471/acc.2018.57.04.15

Mendek, S., et al. (2018) 'The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy', Acta clinica Croatica, 57(4), pp. 726-735. doi: 10.20471/acc.2018.57.04.15

Mendek S, Lugović Mihić L, Ferček I, Japundžić I, Abram M. The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy. Acta clinica Croatica [Internet]. 2018 [cited 2024 May 02];57(4):726-735. doi: 10.20471/acc.2018.57.04.15

S. Mendek, L. Lugović Mihić, I. Ferček, I. Japundžić and M. Abram, "The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy", Acta clinica Croatica, vol. 57, no. 4, pp. 726-735, 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:244401. [Accessed: 02 May 2024]

Metadata
Title (english)The Prevalence of Onychomycosis in the Zagreb Area – the Role of Sabouraud Agar without Cycloheximide in Diagnosis and Therapy
AuthorSanja Mendek
AuthorLiborija Lugović-Mihić
AuthorIva Ferček
AuthorIva Japundžić
AuthorMaja Abram
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Microbiology and Parasitology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Basic Medical Sciences
Abstract (english)
Mycological analysis is considered the gold standard in the diagnosis of very common fungal diseases of nails. Th e purpose of the article is to present the prevalence of onychomycosis obtained by using direct microscopic examination (DME) and cultivation on Sabouraud media without cycloheximide. The quantitative retrospective research was conducted on 2706 patients of both sexes (mostly middle-aged to elderly) with various toenail lesions, who had undergone mycological analyses in the Mycological Laboratory of our Department of Dermatovenereology in 2013 and 2014. Analysis of the results obtained revealed that there were 35.4% of positive DME results ; of these, there were 39.2% of dermatophytes, 59.1% of yeasts and 1.7% of molds. The percentage of dermatophytes (Trichophyton spp.) was twice as high in men as in women. A considerable percentage (12%) of mixed isolates was also observed. Particularly worrisome was the high percentage (one-third) of suppressed and insufficiently developed dermatophytes (a possible indicator of inappropriate preparation of patients for mycological analysis). Cultivation on culture media without cycloheximide requires frequent inspections because of the fast-growing molds while not allowing sporulation for a great number of dermatophytes. However, it has certain advantages, i.e. it offers an insight into the wide range of the present fungi. As part of the biofilm, they can be potentially pathogenic in dystrophic nails under certain circumstances because, according to our results, the percentage of dermatophytes does not change substantially with aging ; however, what does change is the percentage of molds, yeasts and mixed isolates.
Keywords (english)
Languageenglish
Publication typeProfessional paper - Professional paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 57, no. 4, pp. 726-735
p-ISSN0353-9466
DOIhttps://doi.org/10.20471/acc.2018.57.04.15
URN:NBNurn:nbn:hr:184:244401
Publication2018
Document URLhttp://bib.irb.hr/999305
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2022-03-11 15:47:23