摘要
目的 了解广州及周边地区浅部真菌病病种及其致病菌种的构成与分布情况。方法 对2013年1月至2020年12月来南方医科大学皮肤病医院就诊并且真菌培养鉴定阳性的4 018例病例进行病种及致病菌分析。结果 4 018例浅部真菌病病种前三位依次是甲真菌病2 353例(58.00%)、足癣546例(13.46%)、股癣319例(7.86%);致病真菌前三位分别是红色毛癣菌2 197株(54.15%),念珠菌1 161株(28.62%),须癣毛癣菌316株(7.79%);男性体癣、股癣、头癣和足癣的比例均高于女性(均P<0.05),而女性甲真菌病的比例高于男性(χ^(2)=189.23,P<0.05)。结论 广州及周边地区浅部真菌病及致病菌谱的分布大体符合国内的流行趋势,主要致病菌为红色毛癣菌,0~10岁年龄段是头癣和面癣的发病高峰。临床应重视以上特点,有针对性地为浅部真菌病的防治提供指导。
Objective To investigate the composition and distribution of superficial mycoses and pathogenic fungi in Guangzhou and surrounding areas.Methods From January 2013 to December 2020 at the Dermatology Hospital, Southern Medical University, 4 018 cases of fungal infections were confirmed by culture and fungal identification.Results Among 4 018 cases, the maximum was onychomycosis(2 353 cases, 58.00%), followed by 546 cases(13.46%) of tinea pedis, 319 cases(7.86%) of tinea corporis. Distribution of strains included 2 197(54.15%) strains of Trichophyton rubrum, 1 161(28.62%) strains of Candida and 316(7.79%) strains of Trichophyton mentagrophytes. The proportion of tinea corporis, tinea cruris, tinea capitis and tinea pedis was higher in men than in women, and the proportion of onychomycosis in women was higher than that in men(χ^(2)=189.23, P<0.05).Conclusions This epidemic trend is similar to most parts of our country and has its own characteristics. The main pathogen of superficial mycosis in Guangzhou area is Trichophyton rubrum, while the main pathogen of tinea capitis is Microsporum canis. There are gender differences in the proportions of tinea corporis, tinea cruris, tinea capitis, tinea pedis, and onychomycosis. The 0-10-year-old age group is the peak incidence of tinea capitis and tinea fascia.
作者
谢振谋
黄进梅
刘红芳
曾维英
许巧珍
何政强
符波
薛耀华
XIE Zhenmou;HUANG Jinmei;LIU Hongfang;ZENG Weiying;XU Qiaozhen;HE Zhenqiang;FU Bo;XUE Yaohua(Dermatology Hospital,Southern Medical University,Guangzhou 510091,China)
出处
《皮肤性病诊疗学杂志》
2022年第4期337-341,共5页
Journal of Diagnosis and Therapy on Dermato-venereology
关键词
浅部真菌病
致病菌种
性别
年龄
superficial mycoses
pathogenic fungi
gender
age
