儿童甲真菌病82例临床及病原菌分析  

Analysis of Clinical Features and Pathogenic Fungi of Onychomycosis in Children:Study of 82 Cases

作　　者：胡燕[1] 张海平[1] 杨莉佳[1] 魏聆[1] 戴迅毅[1] 华海康[1] 

机构地区：[1]无锡市第二人民医院皮肤科,江苏无锡214002

出　　处：《中国皮肤性病学杂志》2008年第2期83-85,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的了解儿童甲真菌病的主要临床特征,危险因素及病原菌的种类和构成情况。方法对2003年3月～2006年12月本科门诊就诊的真菌直接镜检阳性的82例儿童甲真菌病患者(年龄≤18岁)进行流行病学调查及真菌的分离培养。结果儿童甲真菌病最常见的感染类型是远端侧缘甲下型,指甲感染者较趾甲感染者常见。手癣、足癣、甲外伤、长期穿不透气的鞋袜是儿童甲真菌病的危险因素。共分离出致病真菌64株,皮肤癣菌59株(92.19%),其中红色毛癣菌57株(89.06%);酵母菌5株(7.81%),白念珠菌最常见。结论儿童甲真菌病最常见的致病菌是红色毛癣菌,其次为白念珠菌。临床特征和危险因素的分析对于儿童甲真菌病的防治具有重要意义。Objective To study the main elinieal features, risk faetors and the eausative pathogens on onychomycosis in ehildren, Methods From 2003, 3 - 2006. 12, direet mieroseopie examination, euhure and epidemiologieal survey were performed on 8 2 samples from ehildren 1 8 years old or younger with onyehomyeosis in our department . Results The most eommon （48.78%） infeeted type was distal and lateral subungual onyehomyeosis,infeeted patients were more fingernails than toenails. Tinea manuum, tinea pedis, nail trauma, oeelusive footgear were risk faetors for onyehomyeosis in ehildren, 64 strains of pathogenie fungi were isolated. 59 were dermatophytes （92.19%） ,57 were Triehophyton rubrum （89.06%） ;5 yeast （7. 81% ） ,Candida albieans was the most ; mold and mixed fungal infeetion were never isolated. Conclusion The most eommon pathogenie fungus of onyehomyeosis in ehildren is Triehophyton rubrum, next is Candida albieans. It is important for prevention and treatment to analyse the elinieal features and risk faetors of onyehomyeosis in ehildren.

关 键 词：甲真菌病 临床分析 病原菌 儿童 

分 类 号：R756.4[医药卫生—皮肤病学与性病学]