Adefemi S A, Odeigah L O, Alabi K M
Department of General Medical Practice, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
Niger J Clin Pract. 2011 Jan-Mar;14(1):23-8. doi: 10.4103/1119-3077.79235.
Dermatophytic infections have been known to impact negatively on health and well-being of children. This study was undertaken to determine the prevalence, clinical types as well as the etiologic organisms of dermatophyte infection among primary school children aged 5-16 years in Oke-Oyi community in Kwara state.
A 4-months descriptive cross-sectional survey was carried out among 602 children aged 5-16 years in Oke-Oyi community, in Kwara state.
The prevalence of clinically suspected dermatophytoses lesion was 29.9% (180/602). Dermatophyte accounted for 5.0% (30/602) on Sabouraud dextrose agar culture, while non-dermatophyte molds represent majority of isolate i.e., 15.4% (93/602). Tinea capitis is the commonest clinical type, followed by Tinea coporis and then Tinea pedis. Multiple infections are noted in nine respondents. Three species of dermatophytes belonging to only two of the three genera of dermatophytes were responsible for human infection in the area studied, of which Trichophyton mentagrophyte is the commonest, followed by Microsporum audouinii and Trichophyton verucossum. Among the non-dermatophytes, Aspergillus fumigatus and Candida albicans predominate.
This study demonstrates that the prevalence of dermatophytoses in the school studied was significant. Control efforts should target this vulnerable group to reduce its prevalence.
已知皮肤癣菌感染会对儿童的健康和幸福产生负面影响。本研究旨在确定夸拉州奥凯 - 奥伊社区5至16岁小学生皮肤癣菌感染的患病率、临床类型以及病原体。
在夸拉州奥凯 - 奥伊社区对602名5至16岁儿童进行了为期4个月的描述性横断面调查。
临床疑似皮肤癣菌病病变的患病率为29.9%（180/602）。在沙氏葡萄糖琼脂培养基上培养，皮肤癣菌占5.0%（30/602），而非皮肤癣菌霉菌占分离菌的大多数，即15.4%（93/602）。头癣是最常见的临床类型，其次是体癣，然后是足癣。9名受访者存在多重感染。在所研究地区，仅三个皮肤癣菌属中的两个属的三种皮肤癣菌导致人类感染，其中须癣毛癣菌最为常见，其次是奥杜盎小孢子菌和疣状毛癣菌。在非皮肤癣菌中，烟曲霉和白色念珠菌占主导。
本研究表明，所研究学校中皮肤癣菌病的患病率很高。防控措施应针对这一弱势群体以降低其患病率。
