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THE PREVALENCE OF DERMATOPHYTOSIS AND ONYCHOMYCOSIS AT A TERTIARY CARE HOSPITAL
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In recent years, fungi have been emerging more common infection in immunocompromised patients of tertiary care centers. The retrospective analysis for a period three years was undertaken to know the prevalence of dermatophytosis and onychomycosis at a tertiary care Hospital. The samples were collected from the clinically suspected cases. The direct microscopy with potassium hydroxide (KOH) was done to visualize the presence of fungal elements and Gram staining was done for any suspected yeast infection. Fungal culture of all samples were inoculated on two different culture media; one sabourauds dextrose agar (SDA) and the other SDA with chloramphenicol and cycloheximide. A total of 200 clinical samples suspected fungal etiology were included for a period of three years. Skin scraping accounts 150(75%) followed by nail clipping 50 (25%). Trichophyton species 20(28%) was the predominant fungal isolate and followed by Aspergillus niger 10(14%) and others accounts less percentage. The wet mount preparation of KOH can be used as a screening test for presumptive diagnosis of fungal infections. Laboratory confirmation should be undertaken and fungal infection must be ruled out before prescribing corticosteroids and antibacterial agents.ddd