Implantation mycoses: A nationwide survey on diagnostic and treatment modalities in Nepal.

Implantation mycoses (IM) are a group of fungal diseases which occur after a transcutaneous trauma. The World Health Organization has listed some of the IM, namely sporotrichosis, chromoblastomycosis and eumycetoma as one of the Skin Neglected Tropical Diseases targeted for control by 2030. There are no robust data on IM from Nepal since these diseases are not a part of routine disease surveillance. In this study, an online and in-person survey was conducted using a standard set of questionnaires among the registered dermatologists of Nepal. For this survey sporotrichosis, chromoblastomycosis and mycetoma were included. A total of 56 dermatologists responded to this survey. The result showed that sporotrichosis was the most diagnosed IM (46/56, 82.15%) whereas mycetoma was the least common (21/56, 37.5%). This study further explored the availability of the various diagnostics and treatment modalities among these IM in Nepal. It also showed a lack of uniformity in treatment modalities and in the availability of diagnostics as well as treatment options across the country. It showed that the diagnostics and treatment options were more in the capital as compared to rest of the country.