生殖器念珠菌感染172例临床分析

Clinical Investigation of Genital Candidiasis of 172 Cases

目的了解男、女性生殖器念珠菌感染的发病情况、高发人群、危险因素及主要致病菌型。方法对患者的分泌物进行镜检和培养,将两项均阳性者统计入组。记录患者的年龄、症状、体征等,并用显色培养基对致病菌进行分型。结果172例患者中,男性占86.63%,女性占13.37%;男性患者均有包皮过长;男、女性的主要致病菌为白念珠菌(68.02%),克柔念珠菌(29.07%)和热带念珠菌(2.91%)。结论生殖器念珠菌感染患者主要是处于性活跃期的青年男性和女性,包皮过长是男性的危险因素,白念珠菌是主要致病菌。

Objective To investigate the clinical information about genital candidiasis, the vulnerable people, risk factors and the main types of candida species. Methods. Only those patients whose secretion could be detected with microscope and cultivation were entered. Ages, symptoms and signs were recorded. Pathogens were identified with chromogenic medium. Results Male patients occupied 86.63% ,whereas female occupied 13.37% in the all 172 cases. All male patients had redundant prepuce. Candida albicans was the major species （68.02%）, then were Candida krusei （ 29.07 % ） and Candida tropicalis （ 2.91% ） in the total patients. Conclusion Most patients were young people who were sex active. Redundant prepuce was risk factors for male patients. Candida albicans was the main pathogen.