Influence of occupational activity on cutaneous infections caused by pathogenic agents in Alto Grande, Cascol Parish, 2023

  • Walter Enrique Pin Baque Universidad Estatal del Sur de Manabí. Instituto de Posgrado. Maestría en Ciencias del Laboratorio Clínico. Jipijapa-Manabí. Ecuador https://orcid.org/0000-0002-0790-6695
  • José Manuel Piguave-Reyes Pontificia Universidad Católica del Ecuador. Laboratorio Clinico. Sede Santo Domingo. Santo Domingo-Santo Domingo de los Tsáchilas. Ecuador https://orcid.org/0000-0002-6181-0555
Keywords: agriculture, dermatitis, occupational, livestock farming, infections, skin diseases

Abstract

Skin infections represent a significant health burden, especially in rural areas, due to their frequency, recurrence, and complex clinical presentations, where early diagnosis is important. The objective was to assess the influence of occupational activity on the presence of skin infections caused by pathogenic agents in the population of Alto Grande, Cascol parish, during 2023. A descriptive, cross-sectional, retrospective, and explanatory study was conducted. A census sample of 72 recorded cases meeting specific criteria was included. The prevalence of skin infections was 2.4%, stratified as 1.33% for livestock farming and 1.06% for agriculture. Eight pathogens were identified, with fungal agents predominating significantly (p = 0.0141): 55.6% in livestock workers and 44.4% in agricultural workers. Staphylococcus aureus was isolated in 12.5% of cases, Leishmania spp. in 1.4% of livestock workers, and Malassezia in 3.4% of agricultural workers. A significant association was found between occupational activity and infection profile by sex: tinea in male agricultural workers (p = 0.0264) and pyoderma in female livestock workers (p = 0.0335). Age-stratified analysis showed no statistical associations. The findings indicate a differential occupational impact on skin infections, with a high fungal burden. Occupational surveillance and health education are recommended to reduce risks and future recurrences

References

Watkins RR, David MZ. Approach to the Patient with a Skin and Soft Tissue Infection. Infect Dis Clin North Am [Internet]. 2021;35(1):1-48. Disponible en: https://www.sciencedirect.com/science/article/pii/S0891552020300908. DOI: 10.1016/j.idc.2020.10.011 PMID 33494872

Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJC, et al. Practice Guidelines for the Diagnosis and Management of Skin and Soft-Tissue Infections. Clin Infect Dis [Internet]. 2005;41(10):1373-406. Disponible en: https://doi.org/10.1086/497143 DOI: 10.1086/497143 PMID 16231249

Yu B, Liang X, Wan G, Nie H, Liu H, Xie L, et al. Trend analysis and cross nations inequality analysis of infectious skin diseases from 1990 to 2021. Arch Dermatol Res [Internet]. 2025;317(1):203. Disponible en: https://doi.org/10.1007/s00403-024-03757-9 DOI: 10.1007/s00403-024-03757-9 PMID 39775948

Organización Internacional del Trabajo (OIT). Entornos seguros y saludables Internet. Oficina Internacional del Trabajo. Ginebra; 2020. Disponible en: https://www.ilo.org/wcmsp5/groups/public/---americas/---ro-lima/documents/publication/wcms_761144.pdf

Galili E, Taieb A, Shemer A, Leor G, Lyakhovitsky A, Barzilai A, et al. Epidemiology and Trends of Cutaneous Fungal Infections (2019-2022) in Israel: A Single Tertiary-Center Study. J Fungi (Basel). 2025;11(4):320. Disponible en: https://www.mdpi.com/2309-608X/11/4/320 DOI: 10.3390/jof11040320 PMID 40278140 PMCID PMC12029015

Prodinger C, Lechner A, Hintersteininger A, Kern JM, Meißnitzer M, Meyersburg D, et al. Complicated and deep bacterial skin and soft tissue infections. J Dtsch Dermatol Ges. 2025; 23(3):357-375. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/ddg.15493 DOI: 10.1111/ddg.15493 PMID 40052618 PMCID PMC11887027

Grossi AP, Ruggieri A, Vecchio AD, Comandini A, Corio L, Calisti F, et al. Skin infections in Europe: a retrospective study of incidence, patient characteristics and practice patterns. Int J Antimicrob Agents. 2022; 60(3):106637. Disponible en: https://www.sciencedirect.com/science/article/pii/S0924857922001492?via%3Dihub DOI: 10.1016/j.ijantimicag.2022.106637 PMID 35820533

Wilcox MH, Dryden M. Update on the epidemiology of healthcare-acquired bacterial infections: focus on complicated skin and skin structure infections. J Antimicrob Chemother. 2021; 76(Suppl 4):iv2-iv8. Disponible en: https://academic.oup.com/jac/article/76/Supplement_4/iv2/6437934 DOI: 10.1093/jac/dkab350 PMID 34849996 PMCID PMC8632754

Burbano Barreros LD, González Romero AC, Araujo Baptista LM, Cruz Tenempaguay RE. Microorganismos más frecuentes en infecciones cutáneas en el Hospital Provincial General Ambato. Rev Eugenio Espejo [Internet]. 2020;14(2):19-29. Disponible en: https://doi.org/10.37135/ee.04.09.05 DOI: 10.37135/ee.04.09.05.

Villacrés-López MA, Noroña-Salcedo DR, Leiton-Urresta AE. Prevalencia de enfermedades profesionales en Ecuador durante el periodo 2017-2023. Rev la Asoc Española Espec en Med del Trab [Internet]. 2024;33(3):328-37. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S3020-11602024000300006

World Health Organization (WHO). Skin diseases as a global public health priority. Executive Board 156th session; 2025. Disponible en: https://apps.who.int/gb/ebwha/pdf_files/EB156/B156_(24)-en.pdf

Chanyachailert P, Leeyaphan C, Bunyaratavej S. Cutaneous Fungal Infections Caused by Dermatophytes and Non-Dermatophytes: An Updated Comprehensive Review of Epidemiology, Clinical Presentations, and Diagnostic Testing. J Fungi. 2023; 9(6):669. Disponible en: https://www.mdpi.com/2309-608X/9/6/669 DOI: 10.3390/jof9060669 PMID 37367605 PMCID PMC10302839

Bazualdo Fiorini ER, Rodríguez Rincón JR, Pilatasig Pérez LF, Tacle Humanante SS. Dermatitis de contacto ocupacional en trabajadores de salud durante pandemia por COVID-19. RECIMUNDO. 2022; 6(2):73-82. Disponible en: https://recimundo.com/index.php/es/article/view/1543 DOI 10.26820/recimundo/6.(2).abr.2022.73-82

Morales Gómez De La Torre MF, Chiluisa Guacho CV, Morillo Cano JR. Caracterización de lesiones cutáneas asociadas al uso de equipos de protección individual e infecciones por Staphylococcus aureus en personal sanitario en la lucha contra el Covid-19. Boletín Malariol y Salud Ambient [Internet]. 2022;62(6):1252-8. Disponible en: https://docs.bvsalud.org/biblioref/2023/04/1427424/626-1801-1-pb.pdf

Kiely LF, Moloney E, O’Sullivan G, Eustace JA, Gallagher J, Bourke JF. Irritant contact dermatitis in healthcare workers as a result of the COVID‐19 pandemic: a cross‐sectional study. Clin Exp Dermatol [Internet]. 2021;46(1):142-4. Disponible en: https://doi.org/10.1111/ced.14397 DOI 10.1111/ced.14397 PMID 32705718 PMCID PMC7404516

Febriana SA, Erdina, Dewi K, Ridora Y, Anggraeni A, Indrastuti N, et al. Risk factors of occupational skin diseases among traditional batik manufacturing workers in Yogyakarta, Indonesia. BMC Res Notes [Internet]. 2023;16(1):2. Disponible en: https://doi.org/10.1186/s13104-022-06105-0 DOI 10.1186/s13104-022-06105-0 PMID 36609416 PMCID PMC9817387

de Oliveira Pereira F, Gomes SM, da Silva S, de Castro Teixeira A, Lima IO. The prevalence of dermatophytoses in Brazil: a systematic review. J Med Microbiol [Internet]. 2021;70(3). Disponible en: https://www.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.001321 DOI: 10.1099/jmm.0.001321 PMID 33533707

Wißmann JE, Kirchhoff L, Brüggemann Y, Todt D, Steinmann J, Steinmann E. Persistence of Pathogens on Inanimate Surfaces: A Narrative Review. Microorganisms [Internet]. 2021;9(2):343. Disponible en: https://www.mdpi.com/2076-2607/9/2/343 DOI: 10.3390/microorganisms9020343 PMID 33572303 PMCID PMC7916105

Yüksel YT, Edslev SM, Janstrup AK, Goldeman MS, Nørreslet LB, Andersen PS, et al. Colonization with Staphylococcus aureus in healthcare workers: consequences of hand eczema. Br J Dermatol [Internet]. 2022;187(4):609-11. Disponible en: https://doi.org/10.1111/bjd.21679 DOI 10.1111/bjd.21679 PMID 35606939 PMCID PMC9795892

Albán Jácome GE, Parra-Vera HJ, Silva Mejía MA, Fernandez Andreu CM, Illnait Zaragozí MT. Dermatofitosis en Guayaquil. Cienc Ecuador [Internet]. 2021;3(1):7-17. Disponible en: https://cienciaecuador.com.ec/index.php/ojs/article/view/24

Parga AD, Pawletski A. Occupational Dermatoses in Rural America: A Review of Skin Disease Burden Among Agricultural and Outdoor Workers. Skin (Los Angeles) [Internet]. 2025;9(3):1-32. Disponible en: https://skin.dermsquared.com/skin/article/view/3431 DOI 10.25251/skin.9.3.2

Debash H, Shibabaw A, Ebrahim H, Tilahun M, Seid A, Shimeles G, et al. Parasitological prevalence of scabies and secondary bacterial infections among scabies suspected patients at Borumeda General Hospital, Northeast Ethiopia. BMC Infect Dis [Internet]. 2024;24(1):1106. Disponible en: https://doi.org/10.1186/s12879-024-09977-8 DOI 10.1186/s12879-024-09977-8 PMID 39367344 PMCID PMC11451200

Manterola C, Quiroz G, Salazar P, García N. Metodología de los tipos y diseños de estudio más frecuentemente utilizados en investigación clínica. Rev Médica Clínica Las Condes [Internet]. 2019;30(1):36-49. Disponible en: https://www.sciencedirect.com/science/article/pii/S0716864019300057 DOI 10.1016/j.rmclc.2018.11.005

Haro Sarango AF, Chisag Pallmay ER, Ruiz Sarzosa JP, Caicedo Pozo JE. Tipos y clasificación de las investigaciones. LATAM Rev Latinoam Ciencias Soc y Humanidades [Internet]. 2024;5(2):956-966. Disponible en: https://latam.redilat.org/index.php/lt/article/view/1927 DOI 10.56712/latam.v5i2.1927

Esposito S, Bassetti M, Concia E, De Simone G, De Rosa FG, Grossi P, et al. Diagnosis and management of skin and soft-tissue infections (SSTI). A literature review and consensus statement: an update. J Chemother [Internet]. 2017;29(4):197-214. Disponible en: https://doi.org/10.1080/1120009X.2017.1311398 DOI 10.1080/1120009X.2017.1311398 PMID 28378613

Khurana A, Sharath S, Sardana K, Chowdhary A. Clinico-mycological and therapeutic updates on cutaneous dermatophytic infections in the era of Trichophyton indotineae. J Am Acad Dermatol [Internet]. 2024;91(2):315-23. Disponible en: https://doi.org/10.1016/j.jaad.2024.03.024 DOI 10.1016/j.jaad.2024.03.024 PMID 38574764

Ministerio de Salud Pública del Ecuador. Reglamento sustitutivo del reglamento para la aprobación y seguimiento de Comités de Ética de Investigación en Seres Humanos (CEISH) y Comités de Ética Asistenciales para la Salud (CEAS). Acuerdo Ministerial 00005-2022. Quinto Suplemento Nº 118 - Registro Oficial. Disponible en: https://ceish.itsup.edu.ec/acuerdo.php

World Medical Association. Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA [Internet]. 2013;310(20):2191-4. Disponible en: https://doi.org/10.1001/jama.2013.281053 DOI 10.1001/jama.2013.281053 PMID 24141714

Asamblea Nacional del Ecuador. Ley Orgánica de Protección de Datos Personales. 2021. Disponible en: https://www.telecomunicaciones.gob.ec/wp-content/uploads/2021/06/Ley-Organica-de-Datos-Personales.pdf

Urban K, Chu S, Giesey RL, Mehrmal S, Uppal P, Delost ME, et al. Burden of skin disease and associated socioeconomic status in Asia: A cross-sectional analysis from the Global Burden of Disease Study 1990-2017. JAAD Int. 2020; 2:40-50. DOI 10.1016/j.jdin.2020.10.006 PMID 34409353 PMCID PMC8362322

Bridgman AC, Fitzmaurice C, Dellavalle RP, Karimkhani Aksut C, Grada A, Naghavi M, et al. Canadian Burden of Skin Disease From 1990 to 2017: Results From the Global Burden of Disease 2017 Study. J Cutan Med Surg [Internet]. 2020;24(2):161-73. Disponible en: https://doi.org/10.1177/1203475420902047 DOI 10.1177/1203475420902047 PMID 31994902 PMCID PMC7109598

Ministerio de Agricultura y Ganadería del Ecuador. El agro ecuatoriano requiere jóvenes técnicos para garantizar su desarrollo, afirma ministro Xavier Lazo. 2019. Disponible en https://www.agricultura.gob.ec/el-agro-ecuatoriano-/

de Albuquerque Maranhão FC, Oliveira-Júnior JB, dos Santos Araújo MA, Silva DMW. Mycoses in northeastern Brazil: epidemiology and prevalence of fungal species in 8 years of retrospective analysis in Alagoas. Brazilian J Microbiol [Internet]. 2019;50(4):969-78. Disponible en: https://doi.org/10.1007/s42770-019-00096-0 DOI 10.1007/s42770-019-00096-0 PMID 31140098 PMCID PMC6863203

Blaizot R, Pasquier G, Kone AK, Duvignaud A, Demar M. Cutaneous leishmaniasis in sub-Saharan Africa: a systematic review of Leishmania species, vectors and reservoirs. Parasit Vectors. 2024;17(1):318. DOI 10.1186/s13071-024-06381-8 PMID 39044228 PMCID PMC11267819

Salava A, Oker-Blom A, Remitz A. The spectrum of skin-related conditions in primary care during 2015-2019-A Finnish nationwide database study. Ski Heal Dis [Internet]. 2021;1(3):e53. Disponible en: https://academic.oup.com/skinhd/article/1/3/ski2.53/7733974?login=false DOI 10.1002/ski2.53 PMID 35663141 PMCID PMC9060089

Paredes Gavidia T, Peña Sulbarán AP, Amaya DC, Quintero B. Estrategias de seguridad laboral en la producción hortícola de la región andina. REDIELUZ [Internet]. 2024;14(2):94-102. Disponible en: http://www.produccioncientifica.luz.edu.ve/index.php/redieluz/article/view/43165 DOI 10.5281/zenodo.14567545

Gupta AK, Wang T, Susmita, Talukder M, Bakotic WL. Global Dermatophyte Infections Linked to Human and Animal Health: A Scoping Review [Internet]. Vol. 13, Microorganisms. 2025;13(3):575. Disponible en: https://www.mdpi.com/2076-2607/13/3/575 DOI 10.3390/microorganisms13030575 PMID 40142467 PMCID PMC11945039

Sriwongpan P, Nedsuwan S, Manomat J, Charoensakulchai S, Lacharojana K, Sankwan J, et al. Prevalence and associated risk factors of Leishmania infection among immunocompetent hosts, a community-based study in Chiang Rai, Thailand. PLoS Negl Trop Dis [Internet]. 2021;15(7):e0009545. Disponible en: https://doi.org/10.1371/journal.pntd.0009545 DOI 10.1371/journal.pntd.0009545 PMID 34252099 PMCID PMC8297947

Ministerio de Salud Pública del Ecuador. Dirección Nacional de Vigilancia Epidemiológica. Subsecretaria de Vigilancia, Prevención y Control de la Salud. Enfermedades transmitidas por vectores. 2025. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2025/05/Vectores-DNVE-SE-17.pdf

Ianiri G, Leibundgut-Landmann S, Dawson TL. Malassezia: A Commensal, Pathogen, and Mutualist of Human and Animal Skin. Annu Rev Microbiol [Internet]. 2022;76:757-82. Disponible en: https://www.annualreviews.org/content/journals/10.1146/annurev-micro-040820-010114 DOI 10.1146/annurev-micro-040820-010114 PMID 36075093

Sasikumar J, Ebrahim RA, Das SP. Diverse Colonisation and Disease Associations of the Human Commensal Malassezia: Our Body’s Secret Tenant. Mycoses [Internet]. 2025;68(1):e70014. Disponible en: https://doi.org/10.1111/myc.70014 DOI 10.1111/myc.70014 PMID 39753524

Park S, Ronholm J. Staphylococcus aureus in Agriculture: Lessons in Evolution from a Multispecies Pathogen. Clin Microbiol Rev [Internet]. 2021;34(2): e00182-20. Disponible en: https://doi.org/10.1128/cmr.00182-20 DOI 10.1128/cmr.00182-20 PMID 33568553 PMCID PMC7950364

Matuszewska M, Murray GGR, Harrison EM, Holmes MA, Weinert LA. The Evolutionary Genomics of Host Specificity in Staphylococcus aureus. Trends Microbiol [Internet]. 2020;28(6):465-77. Disponible en: https://doi.org/10.1016/j.tim.2019.12.007 DOI 10.1016/j.tim.2019.12.007 PMID 31948727

Haag AF, Fitzgerald JR, Penadés JR. Staphylococcus aureus in Animals. Microbiol Spectr [Internet]. 2019;7(3):10.1128/microbiolspec.gpp3-0060-2019. Disponible en: https://doi.org/10.1128/microbiolspec.gpp3-0060-2019 DOI 10.1128/microbiolspec.gpp3-0060-2019 PMID 31124433 PMCID PMC11257167

Published
2026-02-22
How to Cite
1.
Pin Baque WE, Piguave-Reyes JM. Influence of occupational activity on cutaneous infections caused by pathogenic agents in Alto Grande, Cascol Parish, 2023. Kasmera [Internet]. 2026Feb.22 [cited 2026Mar.9];54:e5444519. Available from: https://produccioncientificaluz.org/index.php/kasmera/article/view/44519
Section
Original Articles