{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T02:39:23Z","timestamp":1772678363094,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,13]],"date-time":"2018-12-13T00:00:00Z","timestamp":1544659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Superficial fungal infections are common. It is important to confirm the clinical diagnosis by mycological laboratory methods before initiating systemic antifungal treatment, especially as antifungal sensitivity and <jats:italic>in\u00a0vitro<\/jats:italic> susceptibility may differ between different genera and species. For many years, the gold standard for diagnosis of superficial fungal infections has been direct fungal detection in the clinical specimen (microscopy) supplemented by culturing. Lately, newer molecular based methods for fungal identification have been developed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study was initiated to focus on the current usage of mycological diagnostics for superficial fungal infections by dermatologists. It was designed to investigate whether it was necessary to differentiate between initial diagnostic tests and those used at treatment follow\u2010up in specific superficial fungal infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online questionnaire was distributed among members of the <jats:styled-content style=\"fixed-case\">EADV<\/jats:styled-content> mycology Task Force and other dermatologists with a special interest in mycology and nail disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The survey was distributed to 62 dermatologists of whom 38 (61%) completed the whole survey, 7 (11%) partially completed and 17 (27%) did not respond. Nearly, all respondents (82\u2013100%) said that ideally they would use the result of direct microscopy (or histology) combined with a genus\/species directed treatment of onychomycosis, dermatophytosis<jats:italic>, Candida\u2010<\/jats:italic> and <jats:italic>Malassezia<\/jats:italic>\u2010related infections. The majority of the dermatologists used a combination of clinical assessment and direct microscopy for treatment assessment and the viability of the fungus was considered more important at this visit than when initiating the treatment. Molecular based methods were not available for all responders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The available diagnostic methods are heterogeneous and their usage differs between different practices as well as between countries. The survey confirmed that dermatologists find it important to make a mycological diagnosis, particularly prior to starting oral antifungal treatment in order to confirm the diagnose and target the therapy according to genus and species.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.15361","type":"journal-article","created":{"date-parts":[[2018,11,23]],"date-time":"2018-11-23T16:00:46Z","timestamp":1542988846000},"page":"421-427","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["A survey among dermatologists: diagnostics of superficial fungal infections \u2013 what is used and what is needed to initiate therapy and assess efficacy?"],"prefix":"10.1111","volume":"33","author":[{"given":"D.M.L.","family":"Saunte","sequence":"first","affiliation":[{"name":"Department of Dermatology Zealand University Hospital Roskilde Denmark"},{"name":"Health Sciences Faculty University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.M.","family":"Piraccini","sequence":"additional","affiliation":[{"name":"Dermatology Department of Experimental, Diagnostic and Specialty Medicine University of Bologna Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.Y.","family":"Sergeev","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology Sechenov University Moscow Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Prohi\u0107","sequence":"additional","affiliation":[{"name":"Department of Dermatovenerology University Clinical Center of Sarajevo Sarajevo Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9733-9742","authenticated-orcid":false,"given":"B.","family":"Sigurgeirsson","sequence":"additional","affiliation":[{"name":"Department of Dermatology Faculty of Medicine University of Iceland Reykjavik Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Rodr\u00edguez\u2010Cerdeira","sequence":"additional","affiliation":[{"name":"Department of Dermatology Meixoeiro hospital and University of Vigo Vigo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.C.","family":"Szepietowski","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Faergemann","sequence":"additional","affiliation":[{"name":"Department of Dermatology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Arabatzis","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medical School Aristotle University Thessaloniki Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Pereiro","sequence":"additional","affiliation":[{"name":"Dermatolog\u00eda Faculty of Medicine University of Santiago de Compostela A Coru\u00f1a Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Skerlev","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology Zagreb University School of Medicine and Zagreb University Hospital Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Lecerf","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Brugmann Universit\u00e9 Libre de Bruxelles Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Schmid\u2010Grendelmeier","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital of Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Nenoff","sequence":"additional","affiliation":[{"name":"Laboratory for Medical Microbiology M\u00f6lbis Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.J.","family":"Nowicki","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology &amp; Allergology Medical University of Gdansk Gdansk Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Emtestam","sequence":"additional","affiliation":[{"name":"Section\u00a0of Infectious Diseases &amp; Dermatology Department of Medicine Huddinge Karolinska Instituttet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.J.","family":"Hay","sequence":"additional","affiliation":[{"name":"Department of Dermatology Kings College Hospital NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1203475417733461"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1099\/00222615-46-12-1043"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-015-9898-x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-016-0080-x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/mmy\/myx084"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01640-16"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e32834f5f6e"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-016-0038-z"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2012.07964_suppl.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-6968.1996.tb08040.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2005.01281.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annder.2008.05.004"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2007.01422.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02072-06"},{"key":"e_1_2_7_16_1","first-page":"378","article-title":"Terbinafine resistance conferred by multiple copies of the salicylate 1\u2010monooxygenase gene in Trichophyton rubrum","volume":"56","author":"Santos HL","year":"2018","journal-title":"Med Mycol"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12772"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.02522-17"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30316-X"}],"container-title":["Journal of the European Academy of Dermatology and Venereology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjdv.15361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.15361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jdv.15361","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.15361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T18:51:10Z","timestamp":1694717470000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.15361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,13]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/jdv.15361"],"URL":"https:\/\/doi.org\/10.1111\/jdv.15361","archive":["Portico"],"relation":{},"ISSN":["0926-9959","1468-3083"],"issn-type":[{"value":"0926-9959","type":"print"},{"value":"1468-3083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,13]]},"assertion":[{"value":"2018-07-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}