ArticleFrontiers in fungal biology2026
Epidemiology and fungal species distribution of onychomycosis and other superficial mycoses in the coastal city of Ningbo, China.
Article in Frontiers in fungal biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Superficial fungal infections (SFIs) are among the most common skin diseases worldwide; however, the pathogenic species of SFIs vary among geographical areas. The purpose of this study was to evaluate the epidemiologic profile of superficial fungal infections with a focus on onychomycosis in the Department of Laboratory Medicine of Ningbo First Hospital. Methods: A total of 1309 patients with superficial mycoses who visited our hospital between March 2023 and October 2024 were selected. Scraping of the lesion was performed via a sterilization scraper. A portion of each sample was used for direct examination, and the other portion was used for cultivation. For the culture results, microscopic morphology and automatic rapid microbial matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) were used as a routine examination. For fungi that routine examinations couldn't identify, further sequencing of the rDNA-ITS region was carried out for atypical strains to the species level. Results: Patients were between 1 year and 93 years old, and the peak incidence was in the 21-30 years age group. More superficial mycoses were found in women (63.94%) than in men (36.06%). The causative agents identified were: dermatophytes (32.85%), yeasts (49.20%) and non-dermatophyte molds (NDM) (17.95%). Positive cultures of dermatophytes were obtained from 430 patients: Conclusion: Our study revealed that nails constituted the largest source of SFIs in Ningbo, and women were more likely to have onychomycosis than men were. Moreover, we found that
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