PRACTICE Causes, risks and prevention of tinea pedis Athlete‘s foot – an underestimated fungal infection in everyday life and sport Trichophyton rubrum and Trichophyton interdigitale are considered to be the main causes of athlete‘s foot. In addition to domestic bathrooms, swimming pools, communal showers and gym changing rooms are the most common sources of infection [1, 2]. The infection can spread through micro-injuries to the skin if the immune system is weakened. Moist spaces between the toes and occlusive footwear can also promote infection [1]. Competitive athletes, such as triathletes, swimmers, footballers and marathon runners, as well as recreational athletes, are therefore at particular risk of developing tinea pedis [1, 4]. Complications in vulnerable groups If left untreated, athlete‘s foot can become chronic and spread to the toenails, resulting in long-lasting onychomycosis (a fungal nail infection) [1]. For immunocompromised individuals or patients with diabetes mellitus, tinea pedis can lead to bacterial soft tissue infections (e.g. erysipelas caused by Streptococcus pyogenes). In people with diabetes, athlete‘s foot is also a relevant risk factor for the development of diabetic foot syndrome [2]. Preventive measures Professional associations such as the German Dermatological Society recommend various preventive measures to avoid infection [5]. These include wearing shoes designed for use in public baths, thoroughly drying the feet (especially between the toes) and using suitable prophylactic products (e.g. for disinfecting shoes) to prevent new infections and recurrence of athlete‘s foot [1, 5]. Athlete‘s foot (tinea pedis) is one of the most common skin fungal infections worldwide. It is estimated that around 3% of the population is affected, with men being affected more often than women [1]. It is particularly prevalent among athletes, with up to half showing symptoms [1-3]. The infection can be persistent, but appropriate measures can help to prevent it [1]. References 1. Leung A et al. (2023) Drugs Context 12: 2023-5. https://doi.org/10.7573/ dic.2023-5-1 2. Nenoff P, Krüger C (2012) Akt Dermatol 38: 347-359. http://dx.doi.org/ 10.1055/ s-0032-1310255 3. Field L, Adams B (2008) Int J Dermatol 47; 485-492. https://doi.org/10.1111/ j.1365-4632.2008.03443.x 4. Auger P, Marquis G, Attye A (1993) Mycoses 36(1-2): 35-41. 5. Deutsche Dermatologische Gesellschaft e. V. (Hg.) (2008) AWMF Leitlinie 013002: Tinea der freien Haut. Letzte Überarbeitung: 10/2008. This refreshing foot spray has a double effect: it cools your feet and provides prophylactic protection against athlete‘s foot*. It‘s easy to use: simply spray evenly onto your feet to ensure complete coverage, then leave to dry for 30 seconds. No residue is left behind. Sterillium® feet can also be used on shoes. Whether you‘re playing sports, enjoying your leisure time, working or travelling, Sterillium® feet will keep your feet fresh, protected and cared for, and can help prevent athlete‘s foot. Sterillium® feet – protection where you need it most * Prophylaxis through the properties of the ingredients ** Test material compatibility in advance on an inconspicuous area. Do not use on patent leather shoes. Only use inside the shoe. 26
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