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目的分析我地区浅部真菌病致病菌及菌种构成情况。方法通过对近2年我院浅部真菌病患者临床送检标本进行直接镜检、培养及真菌鉴定,鉴定到种。结果 1 600份临床送检标本,668份直接涂片镜检阳性,阳性率41.75%,其中甲真菌病214例、体癣176例、足癣166例、手癣78例;将阳性标本进行真菌培养,共培养分离207株致病菌,培养阳性率30.98%,其中红色毛癣菌居首位,须癣毛癣菌第2位,犬小孢子菌居第3位。结论河南地区浅部真菌病主要为甲真菌病、体癣、足癣,致病菌种以红色毛癣菌为主。
Objective To analyze the pathogenic fungi and mycobacteria of shallow fungi in our area. Methods By direct microscopic examination, culture and fungal identification of clinical specimens of patients with superficial mycosis in our hospital in the recent 2 years, the species was identified. Results A total of 1 600 clinical specimens were examined by direct smear microscopy. The positive rate was 41.75%, including 214 cases of onychomycosis, 176 cases of body ringworm, 166 cases of tinea pedis and 78 cases of hand ringworm. 207 strains were isolated and cultured, the positive rate of culture was 30.98%, of which Trichophyton rubrum was the first, Trichophyton mentagrophytes second and Microsporum canis third. Conclusion The superficial fungal diseases in Henan are mainly onychomycosis, tinea corporis and tinea pedis, and the main pathogen is Trichophyton rubrum.