Department of Clinical Bacteriology, University Hospital of Heraklion, Heraklion, Crete, Greece.
G Ital Dermatol Venereol. 2012 Jun;147(3):315-9.
The present work was undertaken in order to study the epidemiology of dermatophytoses in the island of Crete, Greece, over a 7-year period (2004-2010) and to compare the results with those reported earlier from this region and from other parts of the world.
A total of 3236 clinical specimens obtained from 2674 patients with signs of dermatomycoses were examined by direct micropscopy and culture.
Overall, 392 specimens (12.1%) were proved mycologically positive for dermatophytes. The age of the patients ranged from 2 to 90 years (mean age, 41 years). Onychomycosis was the predominant clinical type of infection, followed by tinea pedis, tinea corporis, tinea capitis, tinea faciei, tinea manuum and tinea cruris. Among dermatophytes, nine species were isolated: Trichophyton rubrum (51%), Microsporum canis (18.9%), Trichophyton mentagrophytes var. interdigitale (18.4%), Trichophyton mentagrophytes var. mentagrophytes (5.1%), Epidermophyton floccosum (3.6%), Microsporum gypseum (1.5%), Trichophyton violaceum (0.8%), Trichophyton verrucosum (0.5%) and Trichophyton tonsurans (0.2%).
In our area, the most common dermatophyte was T. rubrum followed by M. canis. Epidemiological studies regarding the current prevalence of dermatophytes in a certain region are needed for the appropriate management of these infections and implementation of effective prevention and control measures.
本研究旨在对希腊克里特岛的皮肤癣菌病进行为期 7 年(2004-2010 年)的流行病学研究,并与该地区和世界其他地区早期的报告结果进行比较。
对 2674 例有皮肤真菌感染迹象的患者的 3236 份临床标本进行直接显微镜检查和培养。
共有 392 份标本(12.1%)经真菌学证实为皮肤癣菌阳性。患者年龄 2-90 岁(平均年龄 41 岁)。甲真菌病是最主要的感染临床类型,其次是足癣、体癣、头癣、面癣、手癣和股癣。在皮肤癣菌中,分离出 9 个种:红色毛癣菌(51%)、犬小孢子菌(18.9%)、须癣毛癣菌指间亚种(18.4%)、须癣毛癣菌亲肤亚种(5.1%)、絮状表皮癣菌(3.6%)、石膏样小孢子菌(1.5%)、紫色毛癣菌(0.8%)、疣状毛癣菌(0.5%)和断发毛癣菌(0.2%)。
在我们的地区,最常见的皮肤癣菌是红色毛癣菌,其次是犬小孢子菌。需要对特定地区当前皮肤癣菌的流行情况进行流行病学研究,以便对这些感染进行适当的管理,并采取有效的预防和控制措施。