某潜艇部队真菌性皮肤病及相关因素调查分析

目的对某潜艇部队官兵真菌性皮肤病患病情况和相关危险因素进行调查分析,为制定防控措施提供依据。方法于2012年7月对某潜艇部队官兵进行真菌性皮肤病临床检查、现场采样镜检、问卷调查和真菌培养鉴定,对各相关因素与真菌性皮肤病患病之间的关系进行单变量和多变量分析。结果该潜艇部队182名官兵真菌性皮肤病患病率为42.3%。其中足癣55例(30.2%),股癣16例(8.8%),甲癣10例(5.5%)。75份官兵皮肤标本共培养出24株念珠菌和6株毛癣菌。logistic多变量分析结果表明,与官兵真菌性皮肤病患病有统计学意义的相关因素为高年龄(30~48岁)、军官与士官、不经常摄入水果,其比值比(OR值)分别为2.71、3.30和3.48(P0.05)。结论该潜艇部队官兵真菌性皮肤病患病率较高,其中独立危险因素是高年龄、军官与士官、不经常摄入水果。

INVESTIGATION OF FUNGAL SKIN DISEASE AND ITS RISK FACTORS IN A SUBMARINE FORCE

Objective To investigate the prevalence of fungal skin disease and its risk factors in a subma- rine force so as to provide the basis for giving the advices of prevention and control fungal skin disease, skin sampling and microscopic examination,questionnaire survey, Methods Clinical diagnosis of fungal culture and identification were conducted in the soldiers and officers in July,2012. The relationship between the fungal skin diseases and risk factors was analyzed through univariate and multivariate analysis. Results The prevalence of fungal skin disease in the submarine force was 42.3% among 182 cases. Fifty-five cases （30.2%） of tinea pedis, 16 cases （8.8%） of joek itch, and 10 cases （5.5%） of onychomyeosis were identified. Twenty-four strains of Candida and 6 strains of Tricho- phyton species were isolated from 75 skin samples of the subjects, but their relationships with the occurrence of fungal skin diseases are still to be determined. Logistic multivariate analysis showed that among the risk factors for developing fungal disease, age of 30 - 48, officer and sergeant, and seldom eating fruit （ OR values ：2.71, 3.30, and 3.48 respec- tively） were of statistical force is rather high ; age significance （P〈0.05）. Conclusion The prevalence of of 30 -48, officer and sergeant ,and seldom eating fruit fungal skin disease in the submarine are the independent risk factors.