Seminar of Judo, School of Health and Sports Science, Juntendo University, Chiba, Japan.
Mycoses. 2011 Jul;54(4):e35-8. doi: 10.1111/j.1439-0507.2009.01823.x. Epub 2009 Dec 11.
In Japan, Trichophyton tonsurans infection has become an increasing problem among combat sports participants. We investigated the prevalence of T. tonsurans infection in athletes affiliated to judo clubs in the 21 First Division universities that were registered with the University Judo Federation of Tokyo in 2008. Study procedures performed by the subjects included (i) completion of a questionnaire concerning lifestyle, risk factors for tinea corporis and medical history; (ii) scrubbing the scalp with a circular hairbrush to obtain samples for fungal culture; (iii) anti-fungal treatment as recommended by a dermatologist, based on the number of fungal colonies isolated from the hairbrush; and (iv) repeat testing using the hairbrush method 3 months after treatment recommendations were received. Of 902 study subjects, 102 (11.3%) yielded positive hairbrush culture results. Of these, 14 individuals (13.7%) had tinea corporis; the remainder were asymptomatic. Conversion to negative fungal culture was observed in 85 of 96 culture-positive individuals who performed the second hairbrush culture test following treatment. Control of T. tonsurans infection among judo athletes could be achieved by educating athletes, trainers and coaches in judo clubs concerning detection, prevention, and treatment of T. tonsurans infection.
在日本，运动员患须癣毛癣菌感染的情况日益增多，尤其是在格斗运动项目中。我们对参加 2008 年东京大学柔道联盟所属的 21 所一流大学柔道俱乐部的运动员中须癣毛癣菌感染的流行情况进行了调查。研究中对受试者进行了以下操作：（i）完成一份关于生活方式、体癣风险因素和病史的调查问卷；（ii）用圆形发刷刮取头皮样本进行真菌培养；（iii）根据发刷分离出的真菌菌落数量，由皮肤科医生推荐抗真菌治疗；（iv）在收到治疗建议后 3 个月，再次使用发刷法进行检测。在 902 名研究对象中，有 102 人（11.3%）发刷培养阳性。其中，14 人（13.7%）患有体癣，其余人无症状。在进行第二次发刷培养检测的 96 名培养阳性者中，有 85 人转为阴性真菌培养。通过对柔道俱乐部中的运动员、教练进行有关须癣毛癣菌感染的检测、预防和治疗方面的教育，可以控制柔道运动员中须癣毛癣菌的感染。
