Toewebs as a source of Gram-negative bacilli |
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Authors: | W. C. Noble Y. M. Hope G. Midgley M. K. Moore S. Patel Z. Virani E. Lison |
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Affiliation: | 1. Skin Infection Unit, Institute of Dermatology, London, UK;2. Medical Department, British Nuclear Fuels, UK;1. Laboratory Sciences and Services Division (LSSD), International Centre for Diarrhoeal Disease Research, (icddr,b), Bangladesh;2. Paul G. Allen School for Global Animal Health, Washington State Univerisity, Pullman, WA, USA;3. University of Houston College of Pharmacy, Houston, TX, USA;4. Nutrition and Clinical Sciences Division (NCSD), International Centre for Diarrhoeal Disease Research, (icddr,b), Bangladesh |
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Abstract: | The prevalence of Gram-negative bacilli on the toewebs was 8% in normal students, 24% in hospital outpatients with suspected Tinea pedis, 41% in industrial workers wearing protective clothing and 58% in coal miners. Prevalence was greatest in those exposed to wet working conditions. In miners, the presence of Gram-negative bacilli was related to symptoms of itching/soreness and cracking/fissuring, and was negatively related to malodour, but this latter trend was reversed in outpatients and in industrial workers. The feet are a source of many 'enteric' and 'environmental' bacilli and could contribute to infection elsewhere than in the toewebs themselves. |
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