Koksal Fatma, Er Emine, Samasti Mustafa
Cerrahpasa Medical Faculty, Department of Microbiology and Clinical Microbiology, Istanbul University, Istanbul, Turkey.
Mycopathologia. 2009 Sep;168(3):117-23. doi: 10.1007/s11046-009-9210-z. Epub 2009 Jun 21.
The aim of the present study was to determine the percentage of agents, which can give rise to superficial fungal infections in Istanbul, Turkey. Between 2000 and 2007, the clinical samples collected from 8,200 patients attending the outpatient Dermatology Clinic at Mihrimahsultan Medical Center were examined by direct microscopy and culture. Pathogen fungi were detected in 5,722 of the patients. Of the isolates were 4,218 (74%) dermatophytes, 1,196 (21%) Candida sp., 170 (3%) Malassezia furfur, and 138 (2%) Trichosporon sp. Among the dermatophytes, Trichophyton sp. was the most common isolate followed by Epidermophyton floccosum (243) and Microsporum sp. Among the Candida species, C. albicans (549) was also frequently found. Onychomycosis was the most prevalent type of infection, followed by tinea pedis, tinea cruris, tinea corporis, and tinea capitis. In conclusion, our study showed that the most common isolated agents from superficial infections were T. rubrum being Candida sp. the second most prevalent.
本研究的目的是确定在土耳其伊斯坦布尔可引起浅表真菌感染的病原体百分比。2000年至2007年期间，对米赫里马赫苏丹医疗中心皮肤科门诊的8200名患者采集的临床样本进行了直接显微镜检查和培养。在5722名患者中检测到致病真菌。分离出的菌株中，4218株（74%）为皮肤癣菌，1196株（21%）为念珠菌属，170株（3%）为糠秕马拉色菌，138株（2%）为丝孢酵母菌属。在皮肤癣菌中，毛癣菌属是最常见的分离菌株，其次是絮状表皮癣菌（243株）和小孢子菌属。在念珠菌属中，白色念珠菌（549株）也较为常见。甲癣是最常见的感染类型，其次是足癣、股癣、体癣和头癣。总之，我们的研究表明，浅表感染中最常见的分离病原体是红色毛癣菌，念珠菌属是第二常见的。
