江西省农村地区浅部真菌病现场调查及致病菌的研究

目的 了解江西省农村地区居民浅部真菌病构成情况及致病菌的种类。方法 2006年9月至2007年6月对江西省的11个地市、54个县区的66个乡（镇）、村居民以义诊的形式进行浅部真菌病现场调查，同时对513例具有典型临床表现且真菌镜检阳性的皮损进行真菌培养。结果 共调查浅部真菌病患者1284例，其中务农者947例，占73.75%。浅部真菌病包括足癣736例（57.32%）、手癣202例（15.73%）、甲真菌病72例（5.61%）、体癣47例（3.66%）、股癣29例（2.26%）、花斑癣23例（1.79%）、头癣1例、皮肤念珠菌病1例、手足癣135例（10.51%）、手癣合并指甲真菌病12例、足癣合并趾甲真菌病10例、手足癣合并指趾甲真菌病8例、体股癣3例、手癣合并体癣2例，以及手足癣合并体癣、足癣合并花斑癣、足癣合并体癣各1例。分离出致病真菌480株，其中红色毛癣菌301株、白念珠菌88株、须毛癣菌41株、其他菌50株。结论 浅部真菌病的致病菌以红色毛癣菌占优势，白念珠菌第二，各地市之间菌种分布构成差异无统计学意义。

A field investigation into the type and pathogen of superficial fungal infection at different countryside areas in Jiangxi Province,China

Objective To profile the type and pathogen of superficial fungal inactions at rural areas of Jiangxi province in China.Methods A field investigation was conducted via benefit diagnosis in 66 towns,54 counties of 11 regions in Jiangxi province,China,from September 2006 to June 2007.Questionnaire was designed to collect demography and clinical data from local inhabitants.Additionally,when the lesion was positive for fungus on microscopic examination,fungal culture was performed.Results A total of 1,284 patients were recruited,and 73.75%(947)were peasants.Fungal culture was performed in specimens from 513 patients.Among the 1,284 cases,tinea pedis accouted for 57.32%(736),followed by tinea manum(15.73%),onychomycosis(5.61%),tinea corporis(3.66%),tinea cruris(2.26%),pityriasis versicolor(1.79%),tinea capitis(0.08%),cutaneous candidiasis (0.08%).and multiple-site fungal infections (13.47%).From the 513 samples,480 fungal strains were isolated,and 301 were Trichophyton rubrum,88 were Candida albicans,41 were Trichophyton mentagrophyte,and 50 were other species of fungi.Condusions Trichophyton rubrum is the most dominant pathogen of superticial mycoses,followed by Candida albicans.The species distribution of fungi in difierent areas is inconsistent,however,no statistical difierence was found in this study.