title: Management and follow-up survey of Trichophyton tonsurans infection in a university judo club.
abstract: The prevalence of Trichophyton tonsurans infection of the scalp in members of a university judo club (combat sport) was investigated over a 3.5-year period using a questionnaire survey and an assay based on fungal culture by the hairbrush method. In November 2002, 11 (35%) of 31 athletes were found to be positive for T. tonsurans infection by the hairbrush method and provided treatment with oral and topical antifungal agents according to a prescribed protocol. All the infected subjects became culture-negative following this treatment. We continued to conduct screening examinations every year in the month of April, when new university enrolment occurs. During three-and-a-half years of follow-up, there have been no outbreaks of the infection among the members of the university judo club. There were some positive culture results among the newly enrolled students, but these cases also became culture-negative with treatment. No re-infection has been noted after graduation among the club members who had been educated about and treated for the infection. Our findings indicate that the spread of T. tonsurans infection in sports clubs can be controlled by regular mass screening examination, therapy and measures at regular intervals to prevent the infection.
authors.affiliation: Seminar of Judo, School of Health and Sports Science, Juntendo University, Chiba, Japan. hirose@sakura.juntendo.ac.jp
authors.forename: Nobuyoshi
authors.initials: N
authors.lastname: Hirose
authors.forename: Morio
authors.initials: M
authors.lastname: Suganami
authors.forename: Yumi
authors.initials: Y
authors.lastname: Shiraki
authors.forename: Masataro
authors.initials: M
authors.lastname: Hiruma
authors.forename: Hideoki
authors.initials: H
authors.lastname: Ogawa
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use*; D003881:Dermatomycoses; D019468:Disease Management; D004196:Disease Outbreaks; D005260:Female; D006197:Hair / Q000382:microbiology; D006801:Humans; D017053:Infection Control; D007564:Japan / Q000453:epidemiology; D008297:Male; D016139:Martial Arts; D008403:Mass Screening; D015995:Prevalence; D013177:Sports; D019876:Sports Equipment; D011795:Surveys and Questionnaires; D014006:Tinea Capitis / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D014249:Trichophyton / Q000302:isolation & purification*; D014495:Universities
chemical_list: D000935:Antifungal Agents