关键词: 手癣, 足癣, 基层医生, 现状调查

Abstract: Objectives To investigate the present management of tinea manus and tinea pedis in Chinese primary medical institutions, to analysis the related factors of current condition and provide corresponding measures and strategies. Methods A nationwide online survey was carried out during early 2020. Doctors worked in primary medical institutions of 19 different districts were investigated with a questionnaire. Results Finally 729 doctors completed and submitted the questionnaires. 1About 20% of the primary care physicians showed insufficient understanding of the correlative pathogenic factors of tinea manus and pedis, and about 50% of them had misunderstandings in the affected tissue localization.2Lacking fully conception about the importance of differential diagnosis, less than half of these doctors performed fungal microscopic examination during their management of suspected tinea manus and tinea pedis.3These doctors could recommend topical antifungal drugs correctly, the selection rate of miconazole nitrate cream was more than 80% among the commonly used azoles and acrylamides.4There were 10.70% of those doctors who still recommended topical glucocorticoids wrongly. Conclusions The basic knowledge and standard diagnosis and treatment of tinea manus and tinea pedis need to be improved in primary care physicians. The regularly continue education and routine guidance in differential diagnosis, medical application also might be urgent needs in those doctor group.

Key words: tinea manus, tinea pedis, primary care physicians, survey