Modern aspects of progression of onychomycoses of feet in the Krasnodar region

Aim: to study clinical epidemiologic peculiarities of progression of onychomycosis of feet in the Krasnodar region for the period from 2015 to 2017 Material and Methods: cultural study of subunguial content of 56 patients ill with onycho-mycosis of feet, analysis of annual reports of the State Clinical Dermatovenerologic Dispensary of the Ministry of Public Health of the Krasnodar region for the last 3 years, 298 out-patient medical records, questionnaire of 68 patients with the given disease. Results. An increase in the treatment of patients with onychomycosis in the polyclinic department of the dispensary was noted. The main causative agents are Trichophyton dermatophytes. A nail plate is destroyed more often by the normotrophic type from a distal lateral border. People over 50 are more susceptible to the disease. They request medical assistance mainly in case of progression of profound clinical forms of onychomycosis. Cosmetic defect of the nail is the main noted motif for visiting a doctor. Considerable part of patients, who had undergone the questionnaire, did not worry about possibility to infect other people. In most cases wrong shoes and nonobservance of personal hygiene caused progression of onychomycosis. Dermatomycosis and chronic allergodermathosis were registered more often from the co-morbidity More than 1/3 of patients had been taking antimycotic medications on their own initiative before visiting a doctor. Conclusion. Obtained data allow characterizing a modern patient with onychomycosis as an unapparent circulator of fungal infection. The findings of the study can help a practitioner in development of the most effective preventive measures and choice of optimal therapeutic tactics.