Prevention of fungal infections

Definition

A fungal infection is an infection that is caused by a fungus, an organism that lives by absorbing nutrients from its environment. Fungi include mildews, molds, mushrooms, rusts, smuts, or yeasts. Common fungal infections are athlete’s foot, jock itch, ringworm, and vaginal yeast infection.

Types of Fungal Infections

Athlete’s foot, also known as tinea pedis, is a fungal infection of the foot. There are several types of fungi that can cause athlete’s foot. The most common is Trichophyton rubrum.

Jock itch, also known as tinea cruris, is a fungal infection of the groin area. More than one fungus can cause jock itch, but the most common is T. rubrum.

Ringworm of the body, also known as tinea corporis, is a fungal infection of the skin. There are several types of fungi that can cause ringworm.

Vaginal yeast infection, also known as candidiasis or vaginitis, is an overgrowth of yeast cells that causes inflammation of the vagina. It is caused by the fungus Candida.

Prevention of Fungal Infections

Athlete’s foot is spread through contact with infected skin or contaminated surfaces, such as shower floors, locker room floors, swimming pools, towels, and shoes. The fungi that cause athlete’s foot are normally found on the skin, but they can cause infection if given a warm, moist environment in which to grow. The following measures can help prevent the spread of athlete’s foot: Avoid walking barefoot in public showers, locker rooms, or pool areas; wash feet daily with soap and water, and dry thoroughly; wear shoes that are well ventilated, such as sandals, when possible; alternate shoes daily to give each pair time to air out; avoid borrowing shoes from others; and wear cotton socks to absorb moisture.

Jock itch is spread by direct person-to-person contact during sexual intercourse or by contact with contaminated items (fomites), such as towels or clothing. The fungi that cause jock itch are normally found on the skin, but they can cause infection if given a warm, moist environment in which to grow. The following measures can help prevent the spread of jock itch: Avoid sharing towels, washcloths, or clothing; wear clean, loose-fitting clothes; keep the genital area clean and dry; and avoid having sexual intercourse with someone who has jock itch until the infection has completely cleared.

Ringworm is spread by person-to-person contact, contact with infected animals, contact with infected objects, and contact with contaminated soil. The fungi that cause ringworm are normally found on the skin, but can cause infection if given a warm, moist environment in which to grow. The following measures can help prevent the spread of ringworm: Avoid sharing personal items, such as towels, washcloths, or clothing; wear clean, loose-fitting clothes; avoid animals that have patches of missing fur; avoid walking barefoot in public showers, locker rooms, or pool areas; shower with soap and water after participating in contact sports; and keep skin clean and dry.

Vaginal yeast infection can be spread through oral-genital sexual contact. It also can be caused by the use of antibiotics, by increased estrogen levels, by uncontrolled diabetes, and by an impaired immune system. The fungi that cause vaginal yeast infection are normally found in the vagina, but they can cause infection if given a warm, moist environment in which to grow. The following measures can help prevent the spread of vaginal yeast infection: Avoid using douches, feminine sprays, or scented tampons or pads; wear cotton underwear and loose-fitting clothing; remove wet clothing as soon as possible; and avoid hot tubs and hot baths. If prone to vaginal yeast infections and before taking antibiotics, a woman should ask her doctor or other healthcare provider about using preventive antifungal medications.

Impact

Athlete’s foot is more prevalent in men than in women. According to the National Library of Medicine in 2022, between 3 percent and 15 percent of the population are affected by athlete's foot. The incidence and prevalence of jock itch are unknown. It is most common in adolescent boys and men, particularly athletes.

According to the World Health Organization, no specific statistics are available on the incidence and prevalence of ringworm, but it is believed to be a frequent problem in most countries, particularly where hygiene is poor. Statistics from the Centers for Disease Control and Prevention in 2024 stated that up to 25 percent of people may experience ringworm at some point in their lifetime.

Bibliography

"Clinical Overview of Ringworm and Fungal Nail Infections." Centers for Disease Control, 15 July 2024, www.cdc.gov/ringworm/hcp/clinical-overview/index.html. Accessed 4 Feb. 2025.

"Overview: Athlete's Foot." National Library of Medicine, 2 Dec. 2022, www.ncbi.nlm.nih.gov/books/NBK279549/. Accessed 4 Feb. 2025.

Richardson, Malcolm D., and David W. Warnock. Fungal Infection: Diagnosis and Management. New ed. Malden, Mass.: Wiley-Blackwell, 2010.

Stewart, Elizabeth Gunther, and Paula Spencer. The V Book: A Doctor’s Guide to Complete Vulvovaginal Health. New York: Bantam Books, 2002.