Identificação de espécies fúngicas nas onicomicoses do idoso institucionalizado

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dc.contributor.authorVasconcellos, Cidia
dc.contributor.authorPereira, Carolina Queiroz Moreira
dc.contributor.authorSouza, Marta Cristina
dc.contributor.authorPelegrini, Andrea
dc.contributor.authorFreitas, Roseli Santos
dc.contributor.authorTakahashi, Juliana Possato [UNESP]
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:29:04Z
dc.date.available2014-05-27T11:29:04Z
dc.date.issued2013-05-01
dc.description.abstractBACKGROUND: Superficial fungal infections are caused by dermatophytes, yeasts or filamentous fungi. They are correlated to the etiologic agent, the level of integrity of the host immune response, the site of the lesion and also the injured tissue. OBJECTIVE: The purpose of this study is to isolate and to identify onychomycosis agents in institutionalized elderly (60 years old +). METHODS: The identification of the fungi relied upon the com-bined results of mycological examination, culture isolation and micro cultures observation under light microscopy from nail and interdigital scales, which were collected from 35 elderly with a clinical suspicion of onychomycosis and a control group (9 elderly with healthy interdigital space and nails). Both groups were insti-tutionalized in two nursing homes in Sao Bernardo do Campo, SP, Brazil. RESULTS: The nail scrapings showed 51.40% positivity. Of these, dermatophytes were found in 44.40% isolates, 27.78% identified as Trichophyton rubrum and 5.56% each as Trichophyton tonsurans, Trichophyton mentagrophytes and Microsporum gypseum. The second more conspicuous group showed 38.89% yeasts: 16.67% Candida guilliermondii, 11.11% Candida parapsilosis, 5.56% Candida glabrata, and 5.56% Trichosporon asahii. A third group displayed 16.70% filamen-tous fungi, like Fusarium sp, Aspergillus sp and Neoscytalidium sp (5.56% each). The interdigital scrapings pre-sented a positivity rate of 14.29%. The agents were coincident with the fungi that caused the onychomycosis. In the control group, Candida guilliermondii was found at interdigital space in one person. CONCLUSION: Employing a combination of those identification methods, we found no difference between the etiology of the institutional-ized elderly onychomycosis from that reported in the literature for the general population. © 2013 by Anais Brasileiros de Dermatologia.en
dc.description.affiliationUniversity of São Paulo Medical School (FMUSP) The Institute of Medical Assistance to the State Public Server (IAMSPE) University of the City of São Paulo, UNICID
dc.description.affiliationDepartment of Dermatology The University of São Paulo Medical School (FMUSP), São Paulo, SP
dc.description.affiliationFederal University of Sao Paulo (UNIFESP) Fleury Medical Diagnoses, São Paulo SP
dc.description.affiliationDepartment of Communicable Diseases The Federal University of Sao Paulo Medical School (UNIFESP) Fleury Medical Diagnoses, São Paulo SP
dc.description.affiliationTechnician of the Medical Mycology Laboratory of Tropical Medicine Institute University of Sao Paulo, Sao Paulo SP
dc.description.affiliationSão Paulo State University Fleury Medical Diagnoses, São Paulo SP
dc.description.affiliationUnespSão Paulo State University Fleury Medical Diagnoses, São Paulo SP
dc.format.extent377-380
dc.identifierhttp://dx.doi.org/10.1590/abd1806-4841.20131884
dc.identifier.citationAnais Brasileiros de Dermatologia, v. 88, n. 3, p. 377-380, 2013.
dc.identifier.doi10.1590/abd1806-4841.20131884
dc.identifier.file2-s2.0-84879568479.pdf
dc.identifier.issn0365-0596
dc.identifier.issn1806-4841
dc.identifier.scieloS0365-05962013000300377
dc.identifier.scopus2-s2.0-84879568479
dc.identifier.urihttp://hdl.handle.net/11449/75280
dc.language.isoeng
dc.language.isopor
dc.relation.ispartofAnais Brasileiros de Dermatologia
dc.relation.ispartofjcr0.884
dc.relation.ispartofsjr0,520
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectArthrodermataceae
dc.subjectFungi
dc.subjectHealth of institutionalized elderly
dc.subjectOnychomycosis
dc.subjectaged
dc.subjectArthroderma gypseum
dc.subjectCandida glabrata
dc.subjectCandida parapsilosis
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdermatophyte
dc.subjectfemale
dc.subjectfungus identification
dc.subjecthuman
dc.subjectmale
dc.subjectmicroscopy
dc.subjectnail dystrophy
dc.subjectonychomycosis
dc.subjectPichia guilliermondii
dc.subjectTrichophyton mentagrophytes
dc.subjectTrichophyton rubrum
dc.subjectTrichosporon asahii
dc.subjectyeast
dc.titleIdentificação de espécies fúngicas nas onicomicoses do idoso institucionalizadopt
dc.title.alternativeIdentification of fungi species in the onychomycosis of institutionalized elderlyen
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/abd/paboutj.htm

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