蒂鲁万纳马莱政府医学院皮肤真菌感染概况

Sripriya Cs, K. K, V. R, Pandian J, S. K., S. D.
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摘要

皮肤真菌感染在世界范围内极为常见,其流行病学特征因地理区域而异。背景:本研究旨在确定在三级医院就诊的患者中皮肤癣病的患病率和癣真菌的谱。材料与方法:采集标本200例。每个样品的一部分在显微镜下检查,每个样品的其余部分在含有氯霉素和不含环己亚胺的沙伯劳德葡萄糖琼脂培养皿上培养。通过对真菌菌落的宏观和微观特征进行鉴定。结果:200份样品中,真菌检出148份(74%),培养阳性158份(79%),其中皮癣菌检出130株。在分离的皮癣菌中,红分枝杆菌是最常见的感染原因(36%)。临床表现以甲癣为主,占38%。钉子户癣和头癣的病原菌以红绒T.为主,足癣的病原菌以红绒T.为主。结论:进一步深入开展皮肤真菌病流行病学研究具有重要的公共卫生意义。
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Profile of Dermatophytic infections in Government Tiruvannamalai medical college, Thiruvannamalai
Dermatophyte infections are extremely frequent worldwide and their epidemiological features vary according to the geographical area. Background: This study was undertaken to determine the prevalence of dermatophytosis and the spectrum of ringworm fungi in patients attending a tertiary hospital. Materials & Methods: Samples were collected from 200 patients. A portion of each sample was examined microscopically and the remaining portion of each sample was cultured onto plates of Sabouraud’s dextrose agar containing chloramphenicol with and without cycloheximide. Dermatophyte isolates were identified by studying macroscopic and microscopic characteristics of their colonies. Results: Out of 200 samples, fungi were detected in 148 (74%) by KOH while 158 (79%) samples were culture positive of which 130 isolates were dermatophytes. Among dermatophyte isolates T. rubrum was the most common (36 %) cause of infection. Tinea unguium was the predominant clinical manifestation accounting for 38% of the cases. T. rubrum was the most common pathogen in Tinea unguium and Tinea capitis, whereas T. mentagrophytes was the most common pathogen in tinea pedis. Conclusion: Further intensive epidemiological studies of dermatophytosis which have public health significance are needed.
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