2022—2023年长春及周边地区浅部真菌病流行病学分析  

Epidemiological analysis of superficial mycoses in Changchun and its surrounding areas from 2022 to 2023

作　　者：杨思璇 单百卉[1] 李苏姗 王爽[1] 刘哲[1] 李福秋[1] YANG Sixuan;SHAN Baihui;LI Sushan;WANG Shuang;LIU Zhe;LI Fuqiu(Dermatology department of the second hospital of Jilin University,Changchun 130041,China)

机构地区：[1]吉林大学第二医院皮肤性病科,长春130041

出　　处：《中国真菌学杂志》2024年第1期39-42,50,共5页Chinese Journal of Mycology

摘　　要：目的了解长春市及其周边地区浅部真菌病的发病情况及病原菌的构成及分布。方法收集我科门诊2022年5月—2023年5月真菌镜检结果阳性的病例477例,行真菌培养及鉴定,获得196例致病菌种。结果确诊的477例浅部真菌病中,足癣106例(22.22%),体癣78例(16.35%),花斑糠疹68例(14.26%),甲真菌病64例(13.42%),股癣62例(13.0%),马拉色菌毛囊炎43例(9.01%),面癣27例(5.66%),手癣20例(4.19%),头癣7例(1.47%),念珠菌病2例(0.42%);经真菌培养及菌种鉴定的196株致病菌中马拉色菌70株(35.71%),居首位,其次是红色毛癣菌63株(32.14%)。浅部真菌病的发病及其病原菌的分布与性别、年龄和职业均有相关性。结论长春及周边地区的浅部真菌病以足癣为主;浅部真菌病的主要致病菌为马拉色菌。与以往全国多地报道相比,马拉色菌比例显著上升成为一大特点。Objective To investigate the incidence of superficial mycoses,the composition and distribution of pathogenic fungi in Changchun and its surrounding areas.Methods From May 2022 to May 2023,a total of 477 cases with positive mycoscopy results were collected from our department.After fungal culture and identification,196 cases of pathogenic fungi were obtained.Results Among the 477 confirmed cases of superficial mycoses,106 cases(22.22%)of tinea pedis,78 cases(16.35%)of tinea corporis,68 cases(14.26%)of tinea versicolor,64 cases(13.42%)of onychomycosis,62 cases(13.0%)of tinea cruris,43 cases(9.01%)of Malassezia folliculitis.27 cases of tinea faciei(5.66%),20 cases of tinea manus(4.19%),7 cases of tinea capitis(1.47%),2 cases of candidiasis(0.42%);Among the 196 pathogenic fungi comfirmed by fungal culture and strain indentification,70 Malassezia strains(35.71%)ranked first,followed by 63 Trichinomyces rubrum strains(32.14%).The incidence of superficial mycoses and the distribution of pathogenic fungi were correlated with sex,age and occupation.Conclusion The superficial mycoses in Changchun and its surrounding areas are mainly tinea pedis.The main pathogens of the superficial mycoses are Malassezia.Compared with previous reports in many regions of China,the proportion of Malassezia increased significantly.

关 键 词：浅部真菌病 足癣 马拉色菌 

分 类 号：R756[医药卫生—皮肤病学与性病学]