Prevalence of toenail onychomycosis among diabetics at a primary care facility in Malaysia

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5 Citations (Scopus)

Abstract

Onychomycosis increases the risk of developing secondary bacterial infection and cellulitis if left untreated. The aim of this study was to determine the prevalence of onychomycosis among diabetics and its associated factors. A cross sectional study using universal sampling of all type 1 and 2 diabetic patients attending a primary care facility of the Universiti Kebangsaan Malaysia (UKM) from January to March 2011 was conducted. Samples were taken from clinically abnormal nails and from the first right toenail in the absence of nail abnormalities and cultured for fungal elements. A total of 151 diabetics participated in the study. The mean patient age was 60.7 ± 9.1 years. A total of 123 nail samples (81.5%) were culture positive for fungal elements. A positive correlation was found between onychomycosis and increasing age (p=0.011) and clinically abnormal nails (p< 0.05). There were no significant correlations with gender, ethnic group, duration of diabetes, types of diabetes or glycemic control. The prevalence of onychomycosis among diabetics in our study was high.

Original languageEnglish
Pages (from-to)479-483
Number of pages5
JournalSoutheast Asian Journal of Tropical Medicine and Public Health
Volume44
Issue number3
Publication statusPublished - May 2013

Fingerprint

Onychomycosis
Malformed Nails
Malaysia
Nails
Primary Health Care
Cellulitis
Coinfection
Ethnic Groups
Bacterial Infections
Cross-Sectional Studies

Keywords

  • Diabetes
  • Fungal infection
  • Malaysia
  • Onychomycosis
  • Toenail

ASJC Scopus subject areas

  • Infectious Diseases
  • Public Health, Environmental and Occupational Health

Cite this

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title = "Prevalence of toenail onychomycosis among diabetics at a primary care facility in Malaysia",
abstract = "Onychomycosis increases the risk of developing secondary bacterial infection and cellulitis if left untreated. The aim of this study was to determine the prevalence of onychomycosis among diabetics and its associated factors. A cross sectional study using universal sampling of all type 1 and 2 diabetic patients attending a primary care facility of the Universiti Kebangsaan Malaysia (UKM) from January to March 2011 was conducted. Samples were taken from clinically abnormal nails and from the first right toenail in the absence of nail abnormalities and cultured for fungal elements. A total of 151 diabetics participated in the study. The mean patient age was 60.7 ± 9.1 years. A total of 123 nail samples (81.5{\%}) were culture positive for fungal elements. A positive correlation was found between onychomycosis and increasing age (p=0.011) and clinically abnormal nails (p< 0.05). There were no significant correlations with gender, ethnic group, duration of diabetes, types of diabetes or glycemic control. The prevalence of onychomycosis among diabetics in our study was high.",
keywords = "Diabetes, Fungal infection, Malaysia, Onychomycosis, Toenail",
author = "Leelavathi Muthupalani and Muhammad, {Noor Azimah} and Kharuddin, {N. F.} and Khaithir, {Tzar Mohd Nizam}",
year = "2013",
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T1 - Prevalence of toenail onychomycosis among diabetics at a primary care facility in Malaysia

AU - Muthupalani, Leelavathi

AU - Muhammad, Noor Azimah

AU - Kharuddin, N. F.

AU - Khaithir, Tzar Mohd Nizam

PY - 2013/5

Y1 - 2013/5

N2 - Onychomycosis increases the risk of developing secondary bacterial infection and cellulitis if left untreated. The aim of this study was to determine the prevalence of onychomycosis among diabetics and its associated factors. A cross sectional study using universal sampling of all type 1 and 2 diabetic patients attending a primary care facility of the Universiti Kebangsaan Malaysia (UKM) from January to March 2011 was conducted. Samples were taken from clinically abnormal nails and from the first right toenail in the absence of nail abnormalities and cultured for fungal elements. A total of 151 diabetics participated in the study. The mean patient age was 60.7 ± 9.1 years. A total of 123 nail samples (81.5%) were culture positive for fungal elements. A positive correlation was found between onychomycosis and increasing age (p=0.011) and clinically abnormal nails (p< 0.05). There were no significant correlations with gender, ethnic group, duration of diabetes, types of diabetes or glycemic control. The prevalence of onychomycosis among diabetics in our study was high.

AB - Onychomycosis increases the risk of developing secondary bacterial infection and cellulitis if left untreated. The aim of this study was to determine the prevalence of onychomycosis among diabetics and its associated factors. A cross sectional study using universal sampling of all type 1 and 2 diabetic patients attending a primary care facility of the Universiti Kebangsaan Malaysia (UKM) from January to March 2011 was conducted. Samples were taken from clinically abnormal nails and from the first right toenail in the absence of nail abnormalities and cultured for fungal elements. A total of 151 diabetics participated in the study. The mean patient age was 60.7 ± 9.1 years. A total of 123 nail samples (81.5%) were culture positive for fungal elements. A positive correlation was found between onychomycosis and increasing age (p=0.011) and clinically abnormal nails (p< 0.05). There were no significant correlations with gender, ethnic group, duration of diabetes, types of diabetes or glycemic control. The prevalence of onychomycosis among diabetics in our study was high.

KW - Diabetes

KW - Fungal infection

KW - Malaysia

KW - Onychomycosis

KW - Toenail

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