浅部真菌病668例病原菌种类分析  

Analysis of Superficial Mycoses and Pathogenic Fungi in 668 Cases

作　　者：李丽娜[1] 张守民[1] 刘鸿伟[1] 高丽[1] 雷东春[1] 李振鲁[1] 禹卉千[1] 李建国[1] 

机构地区：[1]河南省人民医院皮肤性病科(郑州大学人民医院皮肤科),河南郑州450003

出　　处：《中国皮肤性病学杂志》2016年第3期259-260,299,共3页The Chinese Journal of Dermatovenereology

基　　金：河南省科技攻关研究项目(112102310249)

摘　　要：目的分析我地区浅部真菌病致病菌及菌种构成情况。方法通过对近2年我院浅部真菌病患者临床送检标本进行直接镜检、培养及真菌鉴定,鉴定到种。结果 1 600份临床送检标本,668份直接涂片镜检阳性,阳性率41.75%,其中甲真菌病214例、体癣176例、足癣166例、手癣78例;将阳性标本进行真菌培养,共培养分离207株致病菌,培养阳性率30.98%,其中红色毛癣菌居首位,须癣毛癣菌第2位,犬小孢子菌居第3位。结论河南地区浅部真菌病主要为甲真菌病、体癣、足癣,致病菌种以红色毛癣菌为主。Objective To analyze the species of superficial mycosis and the distribution characteristics of pathogenic fungi strains in our region. Methods Direct microscopy examination, culture and identification of pathogenic fungi were performed on clinical specimens from January 2011 to December 2012 in our department. Results A total of 1 600 clinical specimens were examined directly under microscope,668 specimens were positive（ positive rate 41. 75% including onychomycosis 214 cases,tinea corporis 176 cases,tinea pedis 166 cases,tinea manus 78 cases）. The positive clinical specimes were inoculated on Sabouraud＇s glucose agar or other special medium. All isoated strains were identified by their characteristic micromorphology and morphologic forms of colonies. Approximately 207 strains were isolated from 668 direct microscopy positive. Trichophyton rubrum is the most frequent pathogen of dermatomycoses,followed by T. Mentagrophytes and M. canis. Conclusion Onychomycoses,tinea corporis,tinea pedis are the main superfical mycosis,Trichophyton rubrum is the most frequent pathogen.

关 键 词：浅部真菌病 病原真菌 红色毛癣菌 皮肤癣菌 

分 类 号：R756[医药卫生—皮肤病学与性病学]