汉傣藏三民族健康婴幼儿及少年念珠菌带菌率的调查

Investigation on Candida Carrier Rate of Healthy Infants and Juveniles of Han,Dai and Zang Nationalities

本文对汉、傣、及藏三民族1996名健康婴幼儿及少年进行了念殊菌带菌率的调查。分别从舌,颊肛门皮肤泌尿道及阴道取材培养。结果表明五个部位中白念的带菌率以口腔最高,舌部带菌率汉族为4.5%,傣族为5.3%,藏族为1.0%,故认为口腔内白念的寄居可能是念珠菌病内源感染的主要传染源。1996人中无一例小便中培养出白念。阴道白念带菌率汉族为仅0.15%,傣族及藏族中也无1例从阴道汾物中培养出白念。说明健康婴幼儿及少年小便及阴道白念带菌率极低。在不同年龄组中白念带菌率以刚出生一周的新生儿最低,说明在分娩过程中新生儿被感染的机会并不多。口腔白念带菌率舌部(4.56%)明显高于颊部(2.81%),故进行临床真菌检验时,应对该部加以重视。

In this paper,the candida carrier rate of 1996 healthy infants and juveniles of the Han,Dai and Zang nationalities was reported.The specimens were taken from the tongue,cheek mucosa,stool,urine,finger web and vagina.The carrier rate of C.albicans in the mouth was significantly higher than that in the other regions. C.albicans at the tongue of the Han,Dai and Zang people was 4.5%,5.3%, 1.07% respectively.Therefore,C.albicans' residence in the mouth was probably an important source of the internal infection of candidiasis.Of the 1996 healthy individuals none had C.albicans isolated from the urine.The carrier rate of C. albicans isolated from the vagina was only 0.15% in the Han and zero in the Dai and Zang.The carrier rate of candida was least in the newborn.Our data also suggested that the carrier rate of candida at the tongue was much higher than that at the cheek mucosa.Regard must be paid when isolating fungi from the mouth.