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伊朗摔跤手体癣的临床流行病学研究及体癣污染的皮肤癣菌。

A clinico-epidemiological study on tinea gladiatorum in Iranian wrestlers and mat contamination by dermatophytes.

机构信息

Medical Parasitology and Mycology Department, Qazvin University of Medical Sciences and Health Services, Qazvin, Iran.

出版信息

Mycoses. 2011 May;54(3):248-53. doi: 10.1111/j.1439-0507.2009.01809.x.

DOI:10.1111/j.1439-0507.2009.01809.x
PMID:19917034
Abstract

UNLABELLED

Dermatophytosis is still being considered as one of the major public health problems in wrestlers.

OBJECTIVES

To identify the prevalence, clinical pattern, aetiological agents and the predominant transmission route of dermatophytoses in Iranian wrestlers, a study was carried out in 2008. In total, 270 wrestlers from eight wrestling salons were evaluated. Classical mycological techniques were performed on 135 skin scraping samples of 110 wrestlers suspicious for dermatophytoses and 240 touch preparation samples of wrestling mats. Diagnosis of the fungus type was made based on macroscopical and microscopical characteristics of the colonies. 19.2% of the evaluated wrestlers were inflicted with tinea gladiatorum. The head and neck were the most prevalent (36.5%) areas of involvement, followed by arms and forearms (28.8%), trunk (21.2%), as well as groin and knee (13.5%). The mean age of patients was 21 years and the most frequent age group was 10-19 years (51.9%). Trichophyton tonsurans was the most frequently isolated species representing 82.7% of isolates, followed by T. rubrum (5.8%), T. mentagrophytes var. interdigitale and Epidermophyton floccosum (3.8% each), and T. mentagrophytes var. mentagrophytes and T. verrucosum (1.9% each). Of 24 wrestling mats surveyed, 33.3% were heavily contaminated with T. tonsurans. Tinea gladiatorum in Iran is a common phenomenon among wrestlers, transmission pattern of which appears to be through man-to-man and mat-to-man contact. Furthermore, the clinical features of the disease are not consistent with those of the general population of Iran.

摘要

未加标签

体癣仍被认为是摔跤运动员的主要公共卫生问题之一。

目的

确定 2008 年在伊朗摔跤运动员中体癣的流行率、临床模式、病原体和主要传播途径。共有 270 名来自 8 个摔跤馆的摔跤运动员接受了评估。对 110 名疑似体癣的摔跤运动员的 135 个皮肤刮片样本和 240 个摔跤垫接触准备样本进行了经典的真菌学技术检查。根据菌落的宏观和微观特征确定真菌类型的诊断。评估的摔跤运动员中有 19.2%患有癣菌病。头部和颈部是最常见的受累部位(36.5%),其次是手臂和前臂(28.8%)、躯干(21.2%)、腹股沟和膝盖(13.5%)。患者的平均年龄为 21 岁,最常见的年龄组为 10-19 岁(51.9%)。毛癣菌是最常分离的物种,占分离株的 82.7%,其次是红色毛癣菌(5.8%)、须癣毛癣菌和花斑癣(各 3.8%)以及须癣毛癣菌和疣状毛癣菌(各 1.9%)。在调查的 24 个摔跤垫中,33.3%严重污染了毛癣菌。伊朗的癣菌病在摔跤运动员中很常见,传播模式似乎是人与人之间以及人与垫子之间的接触。此外,该病的临床特征与伊朗普通人群不一致。

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