两种常规皮肤真菌鉴定方法的比较

Tiba Salim Naseif Alzubaidy, Abdul-Hussein Jasim Mohammed, Ali Abbas Hasan Al-Gburi
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引用次数: 5

摘要

本研究是利用Sabouraud’s Dextrose Agar (SDA)和dermatophyte Test Medium (DTM)对临床分离的皮肤真菌进行鉴定和分离。采集皮肤癣患者的毛发、指甲和皮肤鳞片的临床标本,浸泡在20%的氢氧化钾溶液中,直接镜检。临床标本分别在含氯霉素和环己亚胺的SDA培养基和DTM培养基上培养。真菌感染发生率最高的是体癣(26.7%),其次是足癣(23.3%),手癣(6.7%)最低。农村地区皮肤真菌感染率最高(70.0%),而城市地区为30.0%。根据常规实验室方法,30株临床分离的皮肤真菌呈阳性培养,分属毛癣菌属、小孢子菌属和表皮菌属。在30株阳性皮癣菌中,分离到的毛癣菌最多(21.7%),其次是绒皮癣菌(17.4%),其次是大毛癣菌(13.0%)和疣毛癣菌(13.0%)。
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Comparison of Two Conventional Methods for Identification of Dermatophyte Fungi
The current study is the identification and isolation dermatophyte species in clinical isolates by both Sabouraud’s Dextrose Agar (SDA) and on Dermatophyte Test Medium (DTM). Clinical specimens of hair, nails and skin scales were collected from patients with dermatophytosis and submitted to direct microscopic examination after immersion in 20% of potassium hydroxide solution. The clinical specimens were cultured on SDA containing chloramphenicol and cycloheximide, and on DTM. Tinea corporis showed the highest prevalent dermatophyte infection among patients (26.7%), followed by Tinea pedis (23.3%), whereas Tinea manuum exhibited the lowest fungal infection (6.7 %). Rural areas revealed the highest prevalence of dermatophyte infection (70.0 %) in comparison to 30.0% in urban areas. Based on the conventional laboratory methods, 30 clinical isolates of dermatophytes showed positive cultures which belong to three genera (Trichophyton, Microsporum and Epidermophyton). Trichophyton mentagrophytes was the most common species (21.7%) isolated among 30 positive dermatophytes, followed by Epidermophyton flocosum (17.4%), then Trichophyton bullosum and Trichophyton tonsurans (13.0%).
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