Knowledge of dermatophytosis among medical officers at the primary care level in Sri Lanka

Background: Chronic and recurrent Dermatophytosis has become a significant health problem in Sri Lanka. Widespread usage of steroids, inadequate doses, and durations of antifungals are contributing significantly to this problem. This scenario questions the adequacy of knowledge in primary care physicians in the management of dermatophytosis.
Objectives: The study was planned to identify the level of understanding and knowledge on dermatophytosis and its management among medical officers at the primary care level.
Methods: A total of 482 medical officers completed the questionnaire, which consisted of five domains containing five statements each (a total of 25 items). 
Results: The median knowledge score was 14 (IQR 5), and the mean score was 13.28 ± 4.34 out of a maximum of 25. A score of more than 20/ 25 was achieved by 3.1 %, and scores below 10/25 were observed in 15.5%. The percentage of correct responses for questions assessing clinical features, management, and oral antifungal therapy was below 50%. 
Conclusion: This study shows inadequate knowledge of dermatophytosis at the primary care level. Education of medical officers on proper management of dermatophytosis should be taken as a priority to overcome recalcitrant dermatophytosis in Sri Lanka.