Manisa'da Retrospektif Onikomikoz Çalışması: 2003-2010

Objective: This study performed to detect agents of onychomycosis in Manisa and evaluate tests of mycologic diagnosis. Material and Methods: 3518 persons clinically prediagnosed with onychomycosis who presented to the mycology laboratory within the 7- year period were reviewed retrospectively for the outcomes of direct microscopic examination and culture, and analysed statistically. Results: Growth on cultures were detected in 940 patients. The sensitivity and specificity of direct microscopic examination using culture as a gold standard were found 87.7% and 52.2% respectively. The positive and negative predictive values were calculated 40.1% and 92% respectively and the concordance in both tests was 61.7%. Trichopyhton rubrum was the agent most frequently isolated on culture. Conclusion: It was concluded that only clinical pre-diagnosis and direct microscopic examination alone cannot be sufficient and culture is also required