Aims: To document a nosocomial outbreak of Trichophyton tonsurans infection in a long stay ward.
Method: Retrospective review of mycology cultures taken from patients and staff during 1993-5 and clinical examination of both patients and staff.
Results: Thirty-three mycology samples from 13 patients and staff, cultured T tonsurans during the period 1993-5. Twenty-two patients and staff were examined; 4 had mycology confirmed T tonsurans (2 scalp, 2 fingernail). Treatment with terbinafine 250 mg/day for 2 months resulted in clinical clearance (only 1 positive culture in 16 months follow-up).
Summary: T tonsurans is emerging as an important pathogen which may cause nosocomial infections.
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