AmericanGent
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Tinea pedis is the term used for a dermatophyte infection of the soles of the feet and the interdigital spaces. Tinea pedis is most commonly caused by Trichophyton rubrum, a dermatophyte initially endemic only to a small region of Southeast Asia and in parts of Africa and Australia. Interestingly, tinea pedis was not noted in these areas then, possibly because these populations did not wear occlusive footwear. The colonization of the T rubrum –endemic regions by European nations helped to spread the fungus throughout Europe. Wars with accompanying mass movements of troops and refugees, the general increase in available means of travel, and the rise in the use of occlusive footwear have all combined to make T rubrum the world's most prevalent dermatophyte.
oc·clude (ŏ-klūd')
1. To close, plug, obstruct, or bring together.
2. To enclose, as in an occluded virus.
.The first reported case of tinea pedis in the United States was noted in Birmingham, Alabama, in the 1920s. World War I troops returning from battle may have transported T rubrum to the United States
A hot, humid, tropical environment (remember my reference to "jungle environment?) and prolonged use of occlusive footwear, with the resulting complications of hyperhidrosis and maceration, are risk factors for all types of tinea pedis. Certain activities, such as swimming and communal bathing, may also increase the risk of infection.
Tinea pedis is more common in some families, and certain people may have a genetic predisposition to the infection. A defect in cell-mediated immunity may predispose some individuals to develop tinea pedis, but this is not certain.
Occlusive footwear promotes infection by creating warm, humid, macerating environments where dermatophytes thrive. Therefore, patients should try to minimize foot moisture by limiting the use of occlusive footwear and should discard shoes that may be contributing to recurrence of the infection.
[COLOR=FF0000]Oldshoes are often sources of reinfection and should be disposed of or treated with antifungal powders.[/COLOR]
Patients should be cautioned to wear protective footwear at communal pools and baths and should attempt to keep their feet dry by limiting occlusive footwear. When occlusive footwear is worn, wearing cotton socks and adding a drying powder with antifungal action in the shoes may be helpful.
The grand narrative of twentieth-century medicine is the conquering of acute infectious diseases and the rise in chronic, degenerative diseases. The history of fungal infections does not fit this picture; indeed, it runs against it - this book charts the path of fungal infections from the mid nineteenth century to the dawn of the twenty-first century, both in Britain and the United States. It examines how fungal infections became more prevalent and serious over the century, a rise that was linked to the increased incidence of chronic diseases and to social, technological and medical 'progress'. In 1900, conditions such as ringworm, athlete's foot and thrush were minor, external and mostly chronic conditions – irritating, but mostly self-limiting. In the subsequent decades, these infections remained very common, but were better controlled by antifungal drugs. However, by the year 2000 doctors were faced by a growing number of serious and life-threatening fungal infections, such as invasive aspergillosis and systemic candidiasis. These infections principally affect patients who have benefited from medical advances, such as antibiotic treatment and transplantation, and those with immuno-compromised conditions.
The organisms that cause athlete's foot thrive in damp, close environments created by thick, tight shoes that can pinch the toes together and create warm, moist areas in between. Damp socks increase the risk. The infection isn't found as often in areas of the world where shoes aren't worn. Warm, humid settings that promote heavy sweating favor its spread.Dr. Eddy's Clinic Integrated Medicine - Web Journal
. http://nail-fungus.co.uk/category/remediestreatments/However, it is believed that fungal infections are the result of our modern society, bearing in mind that during the 19th century, this was a very rare condition and there were no specific toenail fungus cure
I'm all for leather soles, though I'll stick with Dainite for snow, ice, and rain. I'm pretty sure the occlusive footwear referred to in the literature you cited refers to stuff like rubber work boots which are made entirely out of synthetic materials (some actually specifying occlusive footwear as such). The soles themselves might make a difference, but not a big one and not one which those articles are referring to. Leather uppers, on the other hand, probably make a huge difference. The rise in foot infections probably has more to do with the decline of sandals and cotton socks and the rise of tennis shoes than it does with the decline of leather soles.
As far as used shoes, if one takes the proper precautions (sanitizing it, putting in new insoles, etc), I doubt the risk of infection is significantly higher than the risk one would experience simply from wearing and sweating in shoes.
Doesn't change the fact that they are still someone else's shoes. So, you know, ewww.
As far as used shoes, if one takes the proper precautions (sanitizing it, putting in new insoles, etc),
When I was first in this business (and didn't know any better), I "inherited" a beautiful, almost new pair of moccasins by virtue of them being left for repair and never picked up. They were just my size, they fit me perfectly and I was poor as a church mouse. They were one of only a few pair of shoes that I have ever had in my adult life that I didn't make....and the only pair that weren't brand new.
Despite having gone through the jungles of SE Asia with no ill effects, within a year of "adopting" those moccasins, I developed a toenail infection. At one point in time it threatened to spread to all my toe nails and even the nails of my hands. I spent months and months on strong anti-fungals...at some risk to my liver...before it went into remission. I have never gotten rid of it entirely, however. The original toenail is still infected. That's probably 35 years ago now.
Easy there. I know you've beefed with a number of folks (or they've beefed with you, w/e), hence the defensiveness, but we've never interacted before, so don't jump all over me for how others have handled your advice in the past.
Clearly, I meant insole as in insert/insole (the Dr. Scholls type stuff). They are commonly referred to as such, and I have no qualms with continuing to do so. I don't know much about the nature of leather, but some reading suggests that while anti-bacterials work, anti-fungals are a trickier matter. So there's that. Regardless, there's no call for such harshness of tone.
As far as what you've linked, I had read through it. It's clearly talking about this kind of stuff:
And not
"Occlusive footwear" in medical literature discussing bacterial and fungal foot infections consistently refers to rubber work boots (or boots with steel cap toes).
As far as what I want to believe: I imagine rubber vs leather soles do make a difference. Just not as much difference as you make it out to be. And that's fine. I don't buy used shoes (because it's gross), and I prefer leather to Dainite weather permitting.
The way in which socioeconomic or cultural changes impact things outside of their respective spheres is neat. Exploring how the introduction of synthetics--both in footwear and in socks--has affected trends in podiatric infections is interesting. My initial comment was intended primarily to be a remark on this rather than a direct refutation to your previous post. I understand that to you footwear is an art, and one rapidly being lost. But not every disagreement (a slight one at that) is an attack on you or your art.
Easy there. I know you've beefed with a number of folks (or they've beefed with you, w/e), hence the defensiveness, but we've never interacted before, so don't jump all over me for how others have handled your advice in the past.
Clearly, I meant insole as in insert/insole (the Dr. Scholls type stuff). They are commonly referred to as such, and I have no qualms with continuing to do so. I don't know much about the nature of leather, but some reading suggests that while anti-bacterials work, anti-fungals are a trickier matter. So there's that. Regardless, there's no call for such harshness of tone.
"Occlusive footwear" in medical literature discussing bacterial and fungal foot infections consistently refers to rubber work boots (or boots with steel cap toes).
As far as what I want to believe: I imagine rubber vs leather soles do make a difference. Just not as much difference as you make it out to be. And that's fine. I don't buy used shoes (because it's gross), and I prefer leather to Dainite weather permitting.
My initial comment was intended primarily to be a remark on this rather than a direct refutation to your previous post. I understand that to you footwear is an art, and one rapidly being lost. But not every disagreement (a slight one at that) is an attack on you or your art.
2011 Sep;48(9):1101-8. doi: 10.1016/j.ijnurstu.2011.02.005. Epub 2011 Mar 2.
pages 13–16, September 2005
Lots of information about risk factors, footwear barely mentioned and not a word about used shoes
Abstract2000;43(1-2):45-50.
Adhesion of dermatophytes to healthy feet and its simple treatment.
Watanabe K, Taniguchi H, Katoh T.
Author information
I am a risk averse type. If I believed the risk of harming my feet was significant, I would not do it. How to investigate this risk?
With all due respect, expert opinion is what one refers to when there is no science. In this case, there is science on the subject.
Though another article referred to occlusive footwear as anything not sandals. The phrase "occlusive footwear" either doesn't appear much in literature or is I'll defined :/
I stumbled upon tons of literature dealing with pediatric infections and the military. I'm guessing it's a big concern for them.
I could only speculate as to your motivations, but it's clearly something you care quite a bit about.
Author informationAre placebo-controlled trials of creams for athlete's foot still justified?
Crawford F, Harris R, Williams HC.
Author informationThe effect of domestic laundry processes on fungal contamination of socks.
Amichai B, Grunwald MH, Davidovici B, Farhi R, Shemer A.
I can find no scientific reports of the risk of developing tinea pedis or onychomycosis from wearing used shoes. Of course, that does not mean it cannot occur. However, the risk factors have been carefully studied by a number of groups for many years and used shoes so far have not hit the radar as a concern.
Note that I did NOT say that one cannot find assertions on the internet that wearing used shoes can cause foot infections. I am just saying that I cannot find any scientific evidence that such assertions are true. That being the case, I cannot consider this to be a significant reason to avoid such shoes. If anyone is aware of EVIDENCE on this subject (not opinion) I would love to be pointed in that direction.