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Review question / Objective: To compile evidence and determine the utility of various methods used to sanitize footwear and textiles, and the use of novel antimicrobial materials for eradication of pathogens known to cause superficial fungal infections of the foot. Rationale: Fungal infections of the feet such as onychomycosis are common, affecting approximately 6% of the global population. There are a number of available treatment methods for onychomycosis, with topical (e.g., efinaconazole, tavaborole, ciclopirox), oral (e.g., terbinafine, itraconazole, fluconazole), or a combination of both, being the most popular. Sanitization of shoes, socks/stockings, and other textiles (as well as the feet themselves through proper hygiene) is integral to the reduction, spread, and recurrence of superficial fungal infection. The goal of the present review is to examine the currently available methods of sanitization for footwear and textiles against superficial fungal infections, and assessing which are effective or not.

Sanitization of footwear and textiles for eradication of causal agents of superficial fungal infections: protocol for a systematic review