九江及周边地区183例头癣病原菌监测分析

Monitoring and analysis of pathogenic bacteria in 183 cases tinea capitis in Jiujiang and surrounding areas

目的了解九江及周边地区近3年来头癣的类型及其病原菌分布情况。方法采用回顾性方法对2008年5月～2011年6月在九江学院附属医院皮肤科门诊就诊的183例头癣患者进行分析。结果 183例头癣患者年龄5个月～71岁,其中2～13岁患者164例(89.6%)。白癣138例(75.4%)、脓癣28例(15.3%)、黑点癣17例(9.3%)。镜检阳性144例(78.7%),培养阳性154例(84.2%)。致病真菌主要为石膏样小孢子菌41株(26.6%)、须癣毛癣菌36株(23.4%)、红色毛癣菌33株(21.4%)、犬小孢子菌24株(15.6%)、紫色毛癣菌12株(7.8%)。结论九江及周边地区头癣患者以儿童为主,白癣发病率最高,石膏样小孢子菌占头癣病原菌首位,须癣毛癣菌、红色毛癣菌、犬小孢子菌分列第二、三、四位。

Objective To understand tinea capitis in type and distribution of pathogen in Jiujiang and surrounding areas in three years. Methods Using retrospective methods to analysis 183 cases dermatopathic outpatients of tinea capitis in our hosipital from 2008 May to 2011 June. Results There were 183 cases with age from 5 months to 71 years, 164 cases （ 89.6% ） were from 2 to 13 years old. There were tinea alba 138 （75.4%） cases; kerion 28 （15.3 %） cases; black-dot ringworm 17 （9.3%） case; 144 （78.7%） with postive microscopic and 154 （84.2%） with postive culture. The main pathogenic fungi were Microsporum gypseum 41 （ 26.6% ） , Trichophyton mentagrophytes 36 （ 23.4% ） , Trichophyton rubrum 33 （ 21.4% ） , Microsporum canis 24 （ 15.6% ） and Trichophyton violaceum 12 （ 7.8% ）. Conclusions Children were the main tinea capitis patients in Jiujiang and its surrounding areas, tinea alba is the highest one, and Microsporum gypseum is the most common pathogenic fungi, Trichophyton mentagrophytes, Trichophyton rubrum and Microsporum canis contributes second, thrid and fourth respectively.