Hapcioglu Bilge, Yegenoglu Yildiz, Disci Rian, Erturan Zayre, Kaymakcalan Hande
Department of Public Health, Faculty of Medicine, University of Istanbul, Istanbul, Turkey.
Coll Antropol. 2006 Mar;30(1):119-24.
The purpose of this study is to determine the prevalence of tinea pedis and onychomycosis in children of elementary school age and to examine the socio-demographic attributes that may be effective in correlation of both mycoses. 3,390 female and 3,768 male children between ages 6-14 have been examined in seven schools. Skin scrapings and nail samples were taken from 13 students who were suspected to have tinea pedis and from 49 students who were suspected to have onychomycosis. According to direct microscopy (10-15% KOH+calcofluor white) and culturel examination (Sabouraud dextrose agar and dermatophyte test medium) 11 students were diagnosed as tinea pedis and 24 were diagnosed as onychomycosis. Trichophyton rubrum was isolated in 3 students with tinea pedis whose culture was positive and five Candida albicans, five Candida glabrata and one Candida tropicalis cases were isolated from 11 samples with onychomycosis. Tinea pedis prevalence has been found to be 3.3%0. Differences between onychomycosis prevalence based on age have been found to be significant (p < 0.001). In conclusion, it has been determined that the prevalence of tinea pedis and onychomycosis among children is low. Candida spp. was isolated from all of the 14 samples diagnosed as onychomycosis. Our study shows similar results with previous studies done in Turkey and that Trichophyton rubrum continues to be the most isolated agent.
本研究的目的是确定小学年龄儿童足癣和甲真菌病的患病率，并研究可能与这两种真菌病相关的社会人口学特征。在七所学校对3390名6至14岁的女童和3768名男童进行了检查。从13名疑似患有足癣的学生和49名疑似患有甲真菌病的学生身上采集了皮肤刮屑和指甲样本。根据直接显微镜检查（10 - 15%氢氧化钾+荧光增白剂）和培养检查（沙氏葡萄糖琼脂和皮肤癣菌测试培养基），11名学生被诊断为足癣，24名学生被诊断为甲真菌病。在3名培养结果呈阳性的足癣学生中分离出红色毛癣菌，从11份甲真菌病样本中分离出5例白色念珠菌、5例光滑念珠菌和1例热带念珠菌。足癣患病率为3.3‰。发现基于年龄的甲真菌病患病率差异具有统计学意义（p < 0.001）。总之，已确定儿童中足癣和甲真菌病的患病率较低。在所有14例被诊断为甲真菌病的样本中均分离出念珠菌属。我们的研究结果与土耳其此前的研究相似，红色毛癣菌仍然是最常分离出的病原体。
