Online ISSN: 2515-8260

A Clinico-Mycological and Therapeutic Study of Recurrent Dermatophytic Infections and Determining the Right Dose and Duration of Systemic Antifungals

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Dr Puneet Singh Soodan, Dr Avneet Kaur, Dr Nikita Soodan

Abstract

Aim: To analyse clinico-mycological and therapeutic study of recurrent dermatophytic infections and determining the right dose and duration of systemic antifungals. Material and methods: This randomized controlled trial was conducted at the department of DVL, Acharya Shri Chander College of Medical Sciences, Jammu from January 2021 - May 2021 among 90 patients with superficial cutaneous fungal infection coming to the dermatology OPD. Selected 90 patients were assigned to a trial group and given the standard dose of the drug i.e. Tab. Itraconazole (100mg OD), Tab. Griseofulvin (250mg BD) and Tab. Terbinafine (250mg OD). Evaluation was done by clinical assessment in terms of clinical score. The clinical signs and symptoms assessed were scaling, erythema, and pruritus. Results: Tinea corporis was the principal dermatophytic lesion accounted for 93.33% of the study subjects. Pruritus, Erythema, scaling and total scores reduced significantly in all the drugs i.e. Griseofulvin, Itraconazole and Terbinafine. However reduction was reported more in Itraconazole drug in our study. Complete clinical cure was reported in 3.33%, 70% and 26.67% of the subjects in Itraconazole drug at 1st visit (3w), 2nd visit (6w) and 3rd visit (9w) respectively. No cure was reported in Griseofulvin and Terbinafine drug at 1st visit (3w). 23.33%, 76.67% and 6.67%, 43.33% of the subjects in Griseofulvin and Terbinafine drug were completely cured at 2nd visit (6w) and 3rd visit (9w) respectively. Conclusion: Itraconazole was found to be the best drug for the treatment of dermatophytes among the tested antifungals.

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