天津市区交警足部浅部真菌病流行病学调查

摘要

目的 天津市区交警的足部浅表真菌病的患病率、临床分型和致病菌种的分布情况.方法 选取2009年7月-2010年10月天津市公安医院正常体检的 1 270交警,进行足部检查,对足部患足癣和甲癣的对象,采集患处皮屑、甲屑,进行真菌镜检、培养和菌种鉴定.结果 列入分析交警足部浅表真菌病的患病例数910人,总患病率是71.65%(910/1 270),其中足癣的患病率为69.21%(879/1 270),甲癣的患病率为32.04%(407/1 270);分离出病原真菌953株,包括红色毛癣菌804株(84.4%),占第1位,其次须癣毛癣菌64株(6.7%),第三位为白念珠菌共47株(4.9%).结论 天津市区交警足部浅部真菌病患病率明显高于普通人群,其病原菌的分布大体符合国内流行趋势,但具备自身特点.%Objective To investigate the morbidity, clinical typing and disease germ of foot superficial fungus diseases of traffic police in Tianjin urban.Methods Samples as scale and nail from 1270 lesions were chosen from 1270 police who did normal medical examination with clinical suspected mycosis from Jul.2009 to Oct.2010.Direct microscopic examinations on those samples with 10％ KOH and culture were performed.Results The morbidity of foot superficial fungus disease is 71.65％,910 cases of superficial mycosis were included in this analysis.Trichophyton rubrum is most dominant clinical type,which counts 804 cases, accounting for 84.4％.Must tinea MA O tinea bacteria was in the second place, which counts 64 cases,accounting for 6.7％.And the third was Candida dbicans, which counts 47 cases, accounting for 4.9％.Conclusion The morbidity of foot superficial fungus disease of traffic police in Tianjin urban is much higher than the general population.The distribution of superficial mycosis and pathogenic fungi is generally with the national trend.However, it has its own characteristics.