浙北地区334例甲真菌病真菌培养结果分析

目的：明确浙北地区甲真菌病的致病菌菌种分布特点。方法：对2016年真菌镜检阳性的1007例标本进行致病菌的分离培养和菌种鉴定。结果： 334例标本培养阳性,阳性率33.17%。皮肤癣菌148例，其中红色毛癣菌最多（136例）；酵母菌108例，其中白色念珠菌最多（35例）；霉菌78例，其中曲霉属最多（49例）。<55岁患者以皮肤癣菌感染为主，>55岁患者以酵母菌感染为主；52.34%指甲致病菌培养酵母菌阳性，58.74%趾甲致病菌培养皮肤癣菌阳性。结论：本研究中甲真菌病患者病原菌主要为皮肤癣菌和酵母菌，菌种分布与年龄和部位可能有关。

Analysis of fungal culture results in 334 cases with onychomycosis

Objective: To analyze the distribution of onychomycosis strains in 334 cases with onychomycosis. Methods: One thousand and seven samples were cultured and identified for fungal infections. Results: Three hundred and thirty-three samples were positive, with a positivity rate of 33.17%. One hundred and forty-eight samples belonged to dermatophytes strain, and trichophyton rubrum was the most (136 samples). One hundred and eight samples belonged to saccharomycetes strain, and candida albicans was the most (335 samples). Seventy-eight samples belonged to mycete and aspergillus was the most (49 samples). The main strain in the patients younger than 55 years was dermatophytes and that in the patients older than 55 years was saccharomycetes. The main strain in the samples obtained in finger nails was saccharomycetes (52.34%) and that obteined in toenail was dermatophytes (58.74%). Conclusion: The main strains of the patients were dermatophytes and saccharomycetes and the distribution of pathogenic strains were associated with the age and the sites of the infections.