江西省农村地区浅部真菌病现场调查及致病菌的研究
강서성농촌지구천부진균병현장조사급치병균적연구
A field investigation into the type and pathogen of superficial fungal infection at different countryside areas in Jiangxi Province,China
  • 万方数据
    中华皮肤科杂志 중화피부과잡지
    Chinese Journal of Dermatology
    2008年 8期 500-503 ,共4页

    邵丹%耿承芳%李智华%薛玮%王小兵%陈琼霞%徐标%叶发舜%罗宝香%喻玉华%杨惠玲%杨春华%周柳华%江情%刘微娜%罗来华%万梅香%刘琰%丁世伟%刘红光%占萍

    소단%경승방%리지화%설위%왕소병%진경하%서표%협발순%라보향%유옥화%양혜령%양춘화%주류화%강정%류미나%라래화%만매향%류염%정세위%류홍광%점평

    皮肤真菌病%横断面研究%有丝分裂孢子真菌 皮膚真菌病%橫斷麵研究%有絲分裂孢子真菌
    피부진균병%횡단면연구%유사분렬포자진균
    Dermatomycoses%Cross-sectional studies%Mitosporic fungi
    目的 了解江西省农村地区居民浅部真菌病构成情况及致病菌的种类.方法 2006年9月至2007年6月对江西省的11个地市、54个县区的66个乡(镇)、村居民以义诊的形式进行浅部真菌病现场调查,同时对513例具有典型临床表现且真菌镜检阳性的皮损进行真菌培养.结果 共调查浅部真菌病患者1284例,其中务农者947例,占73.75%.浅部真菌病包括足癣736例(57.32%)、手癣202例(15.73%)、甲真菌病72例(5.61%)、体癣47例(3.66%)、股癣29例(2.26%)、花斑癣23例(1.79%)、头癣1例、皮肤念珠菌病1例、手足癣135例(10.51%)、手癣合并指甲真菌病12例、足癣合并趾甲真菌病10例、手足癣合并指趾甲真菌病8例、体股癣3例、手癣合并体癣2例,以及手足癣合并体癣、足癣合并花斑癣、足癣合并体癣各1例.分离出致病真菌480株,其中红色毛癣菌301株、白念珠菌88株、须毛癣菌41株、其他菌50株.结论 浅部真菌病的致病菌以红色毛癣菌占优势,白念珠菌第二,各地市之间菌种分布构成差异无统计学意义.
    목적 료해강서성농촌지구거민천부진균병구성정황급치병균적충류.방법 2006년9월지2007년6월대강서성적11개지시、54개현구적66개향(진)、촌거민이의진적형식진행천부진균병현장조사,동시대513례구유전형림상표현차진균경검양성적피손진행진균배양.결과 공조사천부진균병환자1284례,기중무농자947례,점73.75%.천부진균병포괄족선736례(57.32%)、수선202례(15.73%)、갑진균병72례(5.61%)、체선47례(3.66%)、고선29례(2.26%)、화반선23례(1.79%)、두선1례、피부념주균병1례、수족선135례(10.51%)、수선합병지갑진균병12례、족선합병지갑진균병10례、수족선합병지지갑진균병8례、체고선3례、수선합병체선2례,이급수족선합병체선、족선합병화반선、족선합병체선각1례.분리출치병진균480주,기중홍색모선균301주、백념주균88주、수모선균41주、기타균50주.결론 천부진균병적치병균이홍색모선균점우세,백념주균제이,각지시지간균충분포구성차이무통계학의의.
    Objective To profile the type and pathogen of superficial fungal inactions at rural areas of Jiangxi province in China.Methods A field investigation was conducted via benefit diagnosis in 66 towns,54 counties of 11 regions in Jiangxi province,China,from September 2006 to June 2007.Questionnaire was designed to collect demography and clinical data from local inhabitants.Additionally,when the lesion was positive for fungus on microscopic examination,fungal culture was performed.Results A total of 1,284 patients were recruited,and 73.75%(947)were peasants.Fungal culture was performed in specimens from 513 patients.Among the 1,284 cases,tinea pedis accouted for 57.32%(736),followed by tinea manum(15.73%),onychomycosis(5.61%),tinea corporis(3.66%),tinea cruris(2.26%),pityriasis versicolor(1.79%),tinea capitis(0.08%),cutaneous candidiasis (0.08%).and multiple-site fungal infections (13.47%).From the 513 samples,480 fungal strains were isolated,and 301 were Trichophyton rubrum,88 were Candida albicans,41 were Trichophyton mentagrophyte,and 50 were other species of fungi.Condusions Trichophyton rubrum is the most dominant pathogen of superticial mycoses,followed by Candida albicans.The species distribution of fungi in difierent areas is inconsistent,however,no statistical difierence was found in this study.
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