title: Onychomycosis and other superficial fungal infections of the foot in the elderly: a pan-European survey.
abstract: BACKGROUND
  The escalating ageing population in the western world has led to an increased incidence of superficial fungal infections. The most common infections include onychomycosis, tinea pedis and tinea cruris. With the increasing life expectancy, the prevalence of onychomycosis and other superficial fungal infections is likely to increase further without adequate prevention and treatment.
  
  
  OBJECTIVE
  To study the prevalence of foot mycoses in Europe.
  
  
  METHODS
  The Achilles project represents a survey of 90,085 subjects from 16 European countries.
  
  
  RESULTS
  Approximately half of the total screened population had evidence of fungal foot infection, with tinea pedis and onychomycosis affecting one quarter of these individuals. Advancing age showed an unfavourable effect on the prevalence of these infections.
  
  
  CONCLUSIONS
  As the number of aged people in developed countries continues to increase, skin diseases will constitute a greater pharmaco-economic concern of worldwide healthcare. Better recognition by clinicians and patients of mycotic foot disease will help prevent direct morbidity and further complications.
authors.affiliation: Department of Dermatopathology, University of Liège, Belgium. Gerald.Pierard@ulg.ac.be
authors.forename: G
authors.initials: G
authors.lastname: Piérard
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001230:Aspergillus / Q000302:isolation & purification; D002175:Candida / Q000302:isolation & purification; D005060:Europe / Q000453:epidemiology; D005260:Female; D005533:Foot Dermatoses / Q000453:epidemiology* / Q000382:microbiology; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D014009:Onychomycosis / Q000453:epidemiology* / Q000382:microbiology; D015995:Prevalence; D014249:Trichophyton / Q000302:isolation & purification