汕头地区甲真菌病病原菌流行病学研究

Epidemiological survey of pathogenic fungi of onychomycosis in Shantou

目的了解近年来汕头地区甲真菌病病原菌的种类和构成情况,掌握流行病学资料。方法对2005年12月～2008年12月间来我院皮肤科就诊的214例甲真菌病患者进行病甲标本真菌学检查和分析。结果214例患者分离出163株致病菌。酵母菌居首位,占53.99%,其中白念珠菌占22.09%,近平滑念珠菌占17.18%,热带念珠菌占6.75%,其他酵母菌占7.97%;皮肤癣菌居第2位,占37.42%,其中红色毛癣菌占23.93%,须癣毛癣菌占12.27%,断发毛癣菌占1.23%;霉菌居第3位,占8.59%,以曲霉和青霉为主,分别占3.07%和2.45%。结论汕头地区近年来甲真菌病病原菌为酵母菌、皮肤癣菌和霉菌,其中以红色毛癣菌、白念珠菌、近平滑念珠菌和须癣毛癣菌最常见。

Objective To study the epidemiology of onychomycosis in recent years in Shantou area. Methods Direct microscopic examination and culture were performed on samples from 214 patients with clinical suspected onychomycosis from 12. 2005 to 12. 2008. Results One hundred and sixty-three strains of pathogenic fungi were isolated. The most frequently isolated fungus was yeasts （53.99%） , followed with dermatophytes （37.42%） and saprophytic molds （8.59%）. Conclusions Yeasts, dermatophytes and saprophytic molds were causative pathogens of onychomycosis in Shantou, T. rubrum,C, albican,C, parapsilosis and T. mentagrophytes were most frequently isolated.