Sanguino Talita Carla, Jarros Isabele Carrilho, Negri Melyssa
Department of Clinical Analyses and Biomedicine, Universidade Estadual de Maringá, Maringá (PR), Brazil.
Department of Clinical Analyses and Biomedicine, Laboratory of Medical Mycology, Universidade Estadual de Maringá, Maringá (PR), Brazil.
An Bras Dermatol. 2019 Jul 29;94(3):293-297. doi: 10.1590/abd1806-4841.20197491.
Dermatophytosis is a cutaneous disease caused by filamentous keratinophilic fungi belonging to the genera Trichophyton, Microsporum and Epidermophyton, which present a high prevalence in the general population, being among the most common mycoses affecting about 20% of the world's population.
To carry out the epidemiological survey of cases of dermatophytosis in patients from the Sistema Único de Saúde in a regional Laboratory in the period of 5 years (2009 to 2013).
A retrospective study (January 2009 to December 2013) was carried out with a qualitative and quantitative design, through the registry book of the laboratory, Mycology Sector, where cases of patients with suspected dermatomycosis were analyzed.
In a 5-year period, a total of 4467 cases were suspected of having a fungal infection. Of these, 68.74% (3071) cases were of dermatomycosis. In relation to cultures with fungal growth, 12.54% (385 cases) were dermatophyte fungi and 7.97% (245 cases) non-dermatophyte fungi were isolated. Among the species identified, there was a higher prevalence of T. rubrum complex (75%), T. mentagrophytes complex (11.68%) and M. canis (7.01%). Regarding the sites analyzed, nail involvement was the most frequent in 75% of the cases.
This work is representative in the studied region.
Dermatomycosis samples are the most frequent among all samples of fungal infections from these patients, with the nail being the most affected area and the fungi T. rubrum complex and T. mentagrophytes complex the most frequent.
皮肤癣菌病是一种由毛癣菌属、小孢子菌属和表皮癣菌属的嗜角质丝状真菌引起的皮肤疾病,在普通人群中患病率很高,是最常见的真菌病之一,影响着约20%的世界人口。
对某地区实验室5年(2009年至2013年)期间来自单一卫生系统患者的皮肤癣菌病病例进行流行病学调查。
采用回顾性研究(2009年1月至2013年12月),采用定性和定量设计,通过实验室真菌学部门的登记册,分析疑似皮肤癣菌病患者的病例。
在5年期间,共有4467例疑似真菌感染病例。其中,68.74%(3071例)为皮肤癣菌病。在有真菌生长的培养物中,12.54%(385例)为皮肤癣菌,7.97%(245例)为非皮肤癣菌。在鉴定出的菌种中,红色毛癣菌复合体(75%)、须癣毛癣菌复合体(11.68%)和犬小孢子菌(7.01%)的患病率较高。在所分析的部位中,75%的病例指甲受累最为常见。
这项工作在所研究地区具有代表性。
在这些患者的所有真菌感染样本中,皮肤癣菌病样本最为常见,指甲是受影响最严重的部位,红色毛癣菌复合体和须癣毛癣菌复合体是最常见的真菌。