DOI: https://doi.org/10.36347/sjams.2025.v13i12.012

Pages: 2022-2028

Background: Fungal infections are among the most common skin diseases in Bangladesh, especially in rural areas where warm, humid climates and limited access to healthcare contribute to higher prevalence. Despite their frequency, recurrent fungal infections remain a neglected issue in clinical research. Factors such as poor hygiene, incomplete treatment, and comorbidities like diabetes may increase recurrence, but local data are scarce. Understanding recurrence patterns is essential for developing effective management strategies in resource-limited settings like rural Bangladesh. Aim: To assess the recurrence of fungal infections and associated factors among rural patients attending Jashore Medical College Hospital, Bangladesh. Method: A cross-sectional observational study was conducted at the Dermatology Department of Jashore Medical College Hospital, Jessore, Dhaka Division, from November 2024 to October 2025. A total of 170 rural patients with clinically diagnosed superficial fungal infections were selected through purposive sampling. Data were collected using structured questionnaires and clinical examinations, with KOH microscopy performed when needed. Variables included demographics, hygiene practices, comorbidities, prior infection history, and treatment adherence. Recurrence was defined as reappearance of infection at the same site within six months of treatment completion. Data were analyzed using SPSS-26, applying descriptive statistics and chi-square tests to identify associations, with p<0.05 considered significant. Results: In this cross-sectional study involving 170 rural patients diagnosed with superficial fungal infections, the most prevalent clinical forms were tinea corporis (30.0%), tinea cruris (21.2%), and tinea pedis (16.5%), reflecting typical patterns in humid, tropical environments. The overall recurrence rate was 37.1%, indicating a substantial burden of persistent or relapsing infections. Recurrence was significantly associated with several