Disinfection trials with terbinafine-susceptible and terbinafine-resistant dermatophytes

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Background: Treatment of tinea pedis and onychomycosis is complicated by high rates of reinfection and the emergence of terbinafine-resistant strains of Trichophyton spp. Effective disinfection of contaminated socks is an important measure. Appropriate washing reduces the risk of reinfection and is paramount in treating tinea pedis and onychomycosis. Objectives: The aim of this study was to describe the effect of commonplace disinfection methods using socks pieces inoculated with terbinafine-resistant or terbinafine-susceptible isolates of Trichophyton spp. Methods: Sock pieces were inoculated with seven terbinafine-resistant isolates of Trichophyton spp. with known mutations in the SQLE-gene (T. rubrum (n = 3), T. interdigitale (n = 1) and T. indotineae (n = 3)) and six terbinafine-susceptible isolates of Trichophyton spp. (T. rubrum (n = 3) and T. interdigitale (n = 3)). Methods of disinfection included soaking in a quaternary ammonium (QAC) detergent (0.5, 2 and 24 h), freezing at −20°C (0.5, 12 and 24 h), domestic and steam washing (both at 40°C with detergent). Sock pieces were cultured for 4 weeks following disinfection. The primary end point was no growth at the end of week 4. Results: Soaking in a QAC-detergent for 24 h procured at disinfectant rate of 100% (13/13), whilst soaking in 0.5 and 2 h had a disinfectant rate of 46.2% (6/13) and 84.6% (11/13), respectively. Domestic washing (40°C with detergent) produced a disinfectant rate of 7.7% (1/13). Freezing at −20°C (0.5, 12 and 24 h) and steam washing (40°C with detergent) had no disinfectant properties. Conclusions: Soaking in a QAC-detergent for 24 h effectively disinfected sock pieces contaminated with dermatophytes.

OriginalsprogEngelsk
BogserieMycoses
Vol/bind65
Udgave nummer7
Sider (fra-til)741-746
Antal sider6
ISSN0933-7407
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
The authors would like to thank Birgit Brandt and Karin Jørgensen for their help pertaining to all aspects of the laboratory work and Rasmus Krøger Hare for ITS sequencing. The authors would also like to express their appreciation to GRUNDIG NORDIC and Electrolux for donation of washing machines. Statens Serum Institut funded laboratory material. All other expenses were covered by the Dept. of Dermatology, Zealand University Hospital, Roskilde, Research Fund.

Funding Information:
This project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant No. 814078.

Publisher Copyright:
© 2022 Wiley-VCH GmbH.

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