Mycological profile of dermatomycoses in Macedonian patients

Dermatomycoses are among the most common skin conditions that present a major public health problem. The aim of this study was to retrospectively analyse the mycological profile of dermatomycoses during a 6-year period (2017-2022). Specimens from 674 patients (384 nails 244 skin scrapings and 46 h...

Full description

Saved in:
Bibliographic Details
Main Authors: Gordana Mirchevska, Emel Dauti Jahja, Sanja Kostova-Ilieva, Nadica Krsteva, Aleksandra Kacarska, Marija Kostovska-Micevska, Elena Trajkovska-Dokic, Zorica Zafirovik
Format: Article
Language:English
Published: University Ss Cyril and Methodius in Skopje, Faculty of Pharmacy and Macedonian Pharmaceutical Association 2025-12-01
Series:Makedonsko Farmacevtski Bilten
Subjects:
Online Access:http://bulletin.mfd.org.mk/volumes/Volume%2071_2/71_2_005.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849316977969987584
author Gordana Mirchevska
Emel Dauti Jahja
Sanja Kostova-Ilieva
Nadica Krsteva
Aleksandra Kacarska
Marija Kostovska-Micevska
Elena Trajkovska-Dokic
Zorica Zafirovik
author_facet Gordana Mirchevska
Emel Dauti Jahja
Sanja Kostova-Ilieva
Nadica Krsteva
Aleksandra Kacarska
Marija Kostovska-Micevska
Elena Trajkovska-Dokic
Zorica Zafirovik
author_sort Gordana Mirchevska
collection DOAJ
description Dermatomycoses are among the most common skin conditions that present a major public health problem. The aim of this study was to retrospectively analyse the mycological profile of dermatomycoses during a 6-year period (2017-2022). Specimens from 674 patients (384 nails 244 skin scrapings and 46 hair specimens) with dermatomycoses were examined. The specimens were evaluated with conventional mycological methods at the Institute of Microbiology and Parasitology, Skopje. Forty-seven percent of the samples were found to be culture positive. Samples from females were positive more frequently (192/317) than in males (125/317). The commonest age group was 11-20 years. The most prevalent etiological agents were non-dermatophyte molds56% (178/317), followed by yeasts in 30% (96/317), and dermatophytes in 13.6% (43/317). Almost 61% percent of the positive findings originated from nail specimens (192/317), 38% from skin scrapings (121/317), and 1.3% from hair specimens (4/317). Onychomycoses were caused by non-dermatophyte molds in 67% (128/192). Yeasts were identified in nail samples in 30% (57/192). Dermatophytes were agents of onychomycoses in 3.7% (7/192). Skin infections were caused by non-dermatophyte molds in 41.3% (50/121). Yeasts were identified in skin scrapings in 32% (39/121). Dermatophytes caused skin infections in 26.4% (32/121). Only 4 hair specimens were positive for dermatophytes. Our study reflects an increasing role of non-dermatophyte fungi as a causative agent of dermatomycoses, replacing dermatophytes. Clinicians’ awareness that molds can be contaminants of specimens, along with request for consecutive specimens can help in etiological diagnosis of dermatomycoses, leading to successful treatment and prevention of disease recurrence.
format Article
id doaj-art-416df0c1275e43b19496ebcdec3894d9
institution Kabale University
issn 1409-8695
1857-8969
language English
publishDate 2025-12-01
publisher University Ss Cyril and Methodius in Skopje, Faculty of Pharmacy and Macedonian Pharmaceutical Association
record_format Article
series Makedonsko Farmacevtski Bilten
spelling doaj-art-416df0c1275e43b19496ebcdec3894d92025-08-20T03:51:24ZengUniversity Ss Cyril and Methodius in Skopje, Faculty of Pharmacy and Macedonian Pharmaceutical AssociationMakedonsko Farmacevtski Bilten1409-86951857-89692025-12-01712435110.33320/maced.pharm.bull.2025.71.02.005Mycological profile of dermatomycoses in Macedonian patientsGordana Mirchevska0Emel Dauti Jahja1Sanja Kostova-Ilieva2Nadica Krsteva3Aleksandra Kacarska4Marija Kostovska-Micevska5Elena Trajkovska-Dokic6Zorica Zafirovik7Institute of Microbiology and Parasitology, Faculty of Medicine, Ss. Cyril and Methodius University in, Skopje, “50 Divizija” 6, 1000 Skopje, Republic of North MacedoniaInstitute of Microbiology and Parasitology, Faculty of Medicine, Ss. Cyril and Methodius University in, Skopje, “50 Divizija” 6, 1000 Skopje, Republic of North MacedoniaInstitute of Microbiology and Parasitology, Faculty of Medicine, Ss. Cyril and Methodius University in, Skopje, “50 Divizija” 6, 1000 Skopje, Republic of North MacedoniaInstitute of Microbiology and Parasitology, Faculty of Medicine, Ss. Cyril and Methodius University in, Skopje, “50 Divizija” 6, 1000 Skopje, Republic of North MacedoniaInstitute for the Public Health of the Republic of North Macedonia, “50 Divizija” 6, 1000 Skopje, Republic of North MacedoniaInstitute of Microbiology and Parasitology, Faculty of Medicine, Ss. Cyril and Methodius University in, Skopje, “50 Divizija” 6, 1000 Skopje, Republic of North MacedoniaInstitute of Microbiology and Parasitology, Faculty of Medicine, Ss. Cyril and Methodius University in, Skopje, “50 Divizija” 6, 1000 Skopje, Republic of North MacedoniaUniversity Clinic for Dermatology, Clinical Campus Mother Theresa, “Vodnjanska 17”, 1000 Skopje, Republic of North MacedoniaDermatomycoses are among the most common skin conditions that present a major public health problem. The aim of this study was to retrospectively analyse the mycological profile of dermatomycoses during a 6-year period (2017-2022). Specimens from 674 patients (384 nails 244 skin scrapings and 46 hair specimens) with dermatomycoses were examined. The specimens were evaluated with conventional mycological methods at the Institute of Microbiology and Parasitology, Skopje. Forty-seven percent of the samples were found to be culture positive. Samples from females were positive more frequently (192/317) than in males (125/317). The commonest age group was 11-20 years. The most prevalent etiological agents were non-dermatophyte molds56% (178/317), followed by yeasts in 30% (96/317), and dermatophytes in 13.6% (43/317). Almost 61% percent of the positive findings originated from nail specimens (192/317), 38% from skin scrapings (121/317), and 1.3% from hair specimens (4/317). Onychomycoses were caused by non-dermatophyte molds in 67% (128/192). Yeasts were identified in nail samples in 30% (57/192). Dermatophytes were agents of onychomycoses in 3.7% (7/192). Skin infections were caused by non-dermatophyte molds in 41.3% (50/121). Yeasts were identified in skin scrapings in 32% (39/121). Dermatophytes caused skin infections in 26.4% (32/121). Only 4 hair specimens were positive for dermatophytes. Our study reflects an increasing role of non-dermatophyte fungi as a causative agent of dermatomycoses, replacing dermatophytes. Clinicians’ awareness that molds can be contaminants of specimens, along with request for consecutive specimens can help in etiological diagnosis of dermatomycoses, leading to successful treatment and prevention of disease recurrence. http://bulletin.mfd.org.mk/volumes/Volume%2071_2/71_2_005.pdfdermatomycosesmoldsyeastsdermatophytes
spellingShingle Gordana Mirchevska
Emel Dauti Jahja
Sanja Kostova-Ilieva
Nadica Krsteva
Aleksandra Kacarska
Marija Kostovska-Micevska
Elena Trajkovska-Dokic
Zorica Zafirovik
Mycological profile of dermatomycoses in Macedonian patients
Makedonsko Farmacevtski Bilten
dermatomycoses
molds
yeasts
dermatophytes
title Mycological profile of dermatomycoses in Macedonian patients
title_full Mycological profile of dermatomycoses in Macedonian patients
title_fullStr Mycological profile of dermatomycoses in Macedonian patients
title_full_unstemmed Mycological profile of dermatomycoses in Macedonian patients
title_short Mycological profile of dermatomycoses in Macedonian patients
title_sort mycological profile of dermatomycoses in macedonian patients
topic dermatomycoses
molds
yeasts
dermatophytes
url http://bulletin.mfd.org.mk/volumes/Volume%2071_2/71_2_005.pdf
work_keys_str_mv AT gordanamirchevska mycologicalprofileofdermatomycosesinmacedonianpatients
AT emeldautijahja mycologicalprofileofdermatomycosesinmacedonianpatients
AT sanjakostovailieva mycologicalprofileofdermatomycosesinmacedonianpatients
AT nadicakrsteva mycologicalprofileofdermatomycosesinmacedonianpatients
AT aleksandrakacarska mycologicalprofileofdermatomycosesinmacedonianpatients
AT marijakostovskamicevska mycologicalprofileofdermatomycosesinmacedonianpatients
AT elenatrajkovskadokic mycologicalprofileofdermatomycosesinmacedonianpatients
AT zoricazafirovik mycologicalprofileofdermatomycosesinmacedonianpatients