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糖尿病和非糖尿病个体中与毛霉菌皮肤定植相关的因素。

Factors associated with cutaneous colonization of Mucormycetes in diabetic and non-diabetic individuals.

作者信息

Saud Bhuvan, Chand Kajal, Amatya Neetu, Paudel Govinda, Adhikari Saroj, Shrestha Vikram

机构信息

Department of Medical Laboratory Technology, Janamaitri Foundation Institute of Health Sciences, Lalitpur, Nepal.

Ministry of Health and Population, Government of Nepal, Kathmandu, Nepal.

出版信息

Access Microbiol. 2023 Sep 6;5(9). doi: 10.1099/acmi.0.000495.v4. eCollection 2023.

Abstract

This study was conducted to assess factors associated with cutaneous colonization of Mucormycetes in diabetic and non-diabetic individuals. A total of 800 swab samples from 200 participants including 100 diabetics and 100 non-diabetics were collected from four different body sites: (1) the forehead, (2) nasal cavity, (3) hands and (4) feet. Fungal isolation, fungal identification and antibiotic sensitivity tests were performed on the isolates. Overall, 12.0 % of the participants showed Mucormycetes colonization while the commonest fungal isolates were Species (Spp.). followed by spp. Diabetics had a 11 times higher odds of colonization compared to non-diabetics. The majority of the isolates were resistant to itraconazole; however, all isolates were sensitive to amphotericin B. A significant association was observed between profession and Mucormycetes (=0.03) with significantly higher colonization in retired people compared to business people. Higher odds of colonization were demonstrated among older ages, lower class status and individuals with prolonged contact time with soil.

摘要

本研究旨在评估糖尿病患者和非糖尿病患者中与毛霉菌皮肤定植相关的因素。从200名参与者(包括100名糖尿病患者和100名非糖尿病患者)的四个不同身体部位采集了总共800份拭子样本:(1)前额,(2)鼻腔,(3)手部和(4)足部。对分离出的菌株进行真菌分离、真菌鉴定和抗生素敏感性测试。总体而言,12.0%的参与者表现出毛霉菌定植,最常见的真菌分离株是 种(Spp.)。其次是 种。与非糖尿病患者相比,糖尿病患者定植的几率高11倍。大多数分离株对伊曲康唑耐药;然而,所有分离株对两性霉素B敏感。观察到职业与毛霉菌之间存在显著关联(=0.03),退休人员的定植率明显高于商务人士。年龄较大、社会阶层较低以及与土壤接触时间较长的个体定植几率较高。

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