Vadodara三级护理教学医院皮肤真菌病的临床菌学分析

Srujana Prabhala, Tanuja Javadekar, Ashutosh Pal
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摘要

皮肤真菌病是人类最常见的皮肤真菌感染类型,感染皮肤、头发和指甲的表面角质化层。本研究的目的是从临床疑似皮肤癣病例中分离鉴定皮肤癣菌,确定各种皮肤癣菌的发生频率,了解当地皮肤癣菌的年龄和性别患病率。本研究在Vadodara医学院微生物学系和SSG医院进行。本研究共选取150例临床诊断的皮肤癣病例。无菌采集皮肤、毛发和指甲标本,进行KOH挂载检查和培养。通过培养物的宏观和微观检查以及脲酶试验等生理试验对皮癣菌进行了种类鉴定。:体癣(41.3%)是最常见的临床类型,男女比例为1.05:1。其中,分离出108例皮癣菌,总分离率为72%。分离得到7种皮癣菌。最常见的种有53种(49.1%),其次是22种(20.4%)。识别皮肤真菌种类,了解其宿主偏好和生态学在治疗患者中起着重要作用。正确和有效的诊断皮肤癣的实验室方法是当前需要提供正确和及时的治疗,防止疾病的进一步传播和慢性化。
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Clinicomycological profile of dermatophytosis in a tertiary care teaching hospital, Vadodara
Dermatophytosis is the most common type of cutaneous fungal infection seen in man infecting the superficial keratinized layer of the skin, hair and nails. The aim of the study is to isolate and identify the dermatophytes from clinically suspected cases of dermatophytosis, to determine the frequency of occurrence of various species of dermatophytes, to know the prevalence of age and sex of dermatophytosis in the locality. : The present study was carried out in the Department of Microbiology, Medical College and SSG Hospital, Vadodara. A total of 150 clinically diagnosed cases of dermatophytosis were taken for this study. Skin, hair and nail samples were aseptically collected and were subjected to KOH mount examination and culture. Differentiation of the dermatophyte species was performed based on the macroscopic and microscopic examination of culture and physiological test including urease test. : Tinea corporis (41.3%) was the commonest clinical type with a male to female ratio of 1.05:1. Out of these samples, dermatophytes were isolated in 108 cases with the overall isolation rate of 72%. Seven species of dermatophytes were isolated. 53 (49.1%) was the commonest species followed by 22(20.4%). : Identifying dermatophyte species and knowledge of their host preference and ecology play an important role in treating the patient. Correct and efficient laboratory methods for diagnosis of dermatophytosis is the need of the hour to provide correct and timely treatment and prevent the further spread and chronicity of the disease.
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