title: Tinea capitis outbreak among paediatric refugee population, an evolving healthcare challenge.
abstract: Outbreaks of tinea capitis (TC) represent a major medical and economic burden. Population migrations have become a phenomenon of increasing relevance for medical conditions management. Given the recent massive arrival of immigrants, we sought to determine epidemiologic trends for TC among paediatric populations at the Tel Aviv Medical Center. We conducted a retrospective study of all TC cases diagnosed between 2010 and 2014 in a paediatric dermatology unit of a tertiary medical centre, serving as a referral centre for the paediatric refugee population from the great Tel Aviv area. Epidemiologic, clinical and treatment data including effectiveness and safety were reviewed. In all, 145 children met the inclusion criteria. Trend analyses showed increases in TC rates over the study period. Incidence rates were higher in boys than in girls. Children of African origin had the highest TC incidence rates as compared with other ethnic groups. Trichophyton violaceum and Microsporum audouinii were the predominant causative organisms. Treatment with griseofulvin was satisfactory in all cases. There was a significant increase in TC incidence rates in the Tel Aviv area over the study period. TV and MA were the predominant organisms. These trends may be a result of poor living conditions and crowded school premises.
authors.affiliation: Pediatric Dermatology Unit, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: Jacob
authors.initials: J
authors.lastname: Mashiah
authors.affiliation: Pediatric Dermatology Unit, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: Ana
authors.initials: A
authors.lastname: Kutz
authors.affiliation: Infectious Disease Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Ronen
authors.initials: R
authors.lastname: Ben Ami
authors.affiliation: Tel Aviv District Health Office, Ministry of Health, Tel Aviv, Israel.
authors.forename: Mihal
authors.initials: M
authors.lastname: Savion
authors.affiliation: Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Ilan
authors.initials: I
authors.lastname: Goldberg
authors.affiliation: Pediatric Dermatology Unit, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: Tamar
authors.initials: T
authors.lastname: Gan Or
authors.affiliation: Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: Omri
authors.initials: O
authors.lastname: Zidan
authors.affiliation: Pediatric Dermatology Unit, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Eli
authors.initials: E
authors.lastname: Sprecher
authors.affiliation: Pediatric Dermatology Unit, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: Avikam
authors.initials: A
authors.lastname: Harel
mesh_terms: D002648:Child; D002675:Child, Preschool; D003441:Crowding; D004196:Disease Outbreaks; D005260:Female; D006118:Griseofulvin / Q000627:therapeutic use; D006197:Hair / Q000382:microbiology; D006801:Humans; D015994:Incidence; D007223:Infant; D007557:Israel / Q000453:epidemiology; D008297:Male; D008864:Microsporum / Q000302:isolation & purification; D011203:Poverty / Q000208:ethnology; D012036:Refugees; D012189:Retrospective Studies; D012867:Skin / Q000382:microbiology; D014006:Tinea Capitis / Q000188:drug therapy / Q000453:epidemiology* / Q000208:ethnology / Q000382:microbiology; D014249:Trichophyton / Q000302:isolation & purification
chemical_list: D006118:Griseofulvin
keywords: Microsporum audouinii; Tinea capitis; Trichophyton violaceum; immigration; outbreak