厦门地区儿童浅部真菌病615例临床分析

Clinical Analysis of 615 Cases of Children with Superficial Mycoses in Xiamen Region

目的分析厦门地区儿童浅部真菌病的发病特点及致病菌种分布情况。方法回顾性分析安徽医科大学174临床学院皮肤科门诊儿童浅部真菌病患者的临床特点,通过真菌培养鉴定致病菌种,并分析致病菌种的特点。结果 615例浅部真菌病的患儿中,前三位依次是念珠菌病205例(33.33%)、足癣106例(17.24%)和体股癣93例(15.12%)。真菌直接镜检阳性者492例(80.00%),经真菌培养分离出菌株442株(71.87%)。位居前3位的菌种为白念珠菌120株(27.15%)、红色毛癣菌112株(25.34%)和犬小孢子菌53株(11.99%)。结论儿童浅部真菌病以皮肤念珠菌病最多,为首的菌种为白念珠菌,要重点防治念珠菌病。

Objective To study the epidemiology and pathogenic fungi in children with superficial mycoses in Xiamen region. Methods Clinical characteristics were analyzed in children with superficial mycosis in No. 174 Clinical College of Anhui Medical University. The pathogenic fungi were identified by fungal cultures. Results In the 615 cases of children with superficial mycoses,the majority of them were dermatocandidiasis （205 cases ,33.33% ） ,tinea pedis （106 cases, 17.24% ） and tinea corporis ＆curis （93 cases, 15.12% ）. Direct mi- croscopic examination showed that 492 cases （80.00%） were fungal positive. 442 cases （71.87%） were positive for pathogenic fungal cultures, including 120 cases of Candida albicans （27. 15% ）, 112 case of trichophyton rubrum （25.34%）, and 53 cases of Microsporum lanosum （11.99% ）. Conclusion The most common superficial mycosis in children is dermatocandidiasis. Candida albicans is on the top list of pathogenic fungi. Special attention should be paid to dermatocandidiasis in children with superficial mycoses.