Morris Daniel O
University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Emerg Infect Dis. 2005 Jan;11(1):83-8. doi: 10.3201/eid1101.040882.
Yeasts of the genus Malassezia serve as both commensal microorganisms and pathogens on the skin of humans and domestic animals. Although rare, cases of life-threatening fungemia in people have been attributed to Malassezia pachydermatis, for which dogs are a natural host. Zoonotic transfer has been documented from dogs to immunocompromised patients by healthcare workers who own dogs. We investigated the role of pet dogs as risk factors for mechanical carriage of M. pachydermatis on human hands. Dogs and their owners were sampled as pairs, by fungal culture and nested polymerase chain reaction (PCR). Although fungal culture was not a reliable means by which to detect carriage of the yeast on human hands, PCR identified M. pachydermatis on most (approximately equal to 93%) human participants. Human carriage of ubiquitous opportunistic pathogens such as M. pachydermatis underscores the importance of good hand hygiene by healthcare professionals.
马拉色菌属酵母在人类和家畜皮肤上既是共生微生物又是病原体。虽然罕见,但人类危及生命的真菌血症病例已被归因于厚皮马拉色菌,狗是其天然宿主。拥有狗的医护人员记录了从狗到免疫功能低下患者的人畜共患病传播。我们调查了宠物狗作为人类手部厚皮马拉色菌机械携带风险因素的作用。通过真菌培养和巢式聚合酶链反应(PCR)对狗及其主人进行配对采样。虽然真菌培养不是检测人类手部酵母携带的可靠方法,但PCR在大多数(约93%)人类参与者中鉴定出了厚皮马拉色菌。人类携带厚皮马拉色菌等普遍存在的机会性病原体凸显了医护人员保持良好手部卫生的重要性。