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波兰北部皮肤科患者中spp. 感染的患病率。

The Prevalence of spp. Infestation in Dermatological Patients in Northern Poland.

作者信息

Rychlik Katarzyna, Sternicka Julia, Zabłotna Monika, Nowicki Roman J, Bieniaszewski Leszek, Purzycka-Bohdan Dorota

机构信息

Department of Dermatology, Venereology and Allergology, Medical University of Gdańsk, University Clinical Centre, 80-214 Gdańsk, Poland.

Mycology Outpatient Clinic, University Clinical Centre, 80-214 Gdańsk, Poland.

出版信息

Life (Basel). 2024 Sep 21;14(9):1196. doi: 10.3390/life14091196.

Abstract

The presence of spp. mites on the skin is a common phenomenon in the human population. In most people, it is an asymptomatic infestation, but in some patients, it can contribute to the occurrence of diseases such as demodicosis, rosacea, or blepharitis, as well as non-specific symptoms. In this study, the results of tests assessing the presence of spp. by direct microscopic examination (DME) in 2508 patients from northern Poland with the suspicion of demodicosis were retrospectively analyzed. A total of 3684 tests were performed. Among them, only 1585 (43.02%) revealed the presence of spp., while 2099 (56.98%) were negative. It was shown that in the analyzed population of patients with clinical suspicion of demodicosis, the degree of confirmation of the presence of spp. positively correlated with the patient's age ( = 0.001) and the mite was mainly found on the edges of eyelids and on the facial skin. Additionally, in men, the presence of was more often confirmed than in women ( = 0.004). In conclusion, the proper diagnosis of demodicosis still constitutes an important clinical problem due to the non-specificity of symptoms and the low confirmation of clinical suspicions of infestation by DME, especially in lower age groups.

摘要

皮肤上存在螨类是人群中的常见现象。在大多数人身上,这是一种无症状感染,但在一些患者中,它可能导致蠕形螨病、酒渣鼻或睑缘炎等疾病的发生,以及一些非特异性症状。在本研究中,回顾性分析了对波兰北部2508例疑似蠕形螨病患者进行直接显微镜检查(DME)以评估螨类存在情况的检测结果。共进行了3684次检测。其中,只有1585次(43.02%)检测显示存在螨类,而2099次(56.98%)为阴性。结果表明,在分析的临床疑似蠕形螨病患者群体中,螨类存在的确认程度与患者年龄呈正相关(P = 0.001),且螨类主要发现于眼睑边缘和面部皮肤。此外,男性螨类存在的确认率高于女性(P = 0.004)。总之,由于症状的非特异性以及DME对感染临床怀疑的确认率较低,尤其是在低年龄组中,蠕形螨病的正确诊断仍然是一个重要的临床问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bf/11433365/d2f665145f14/life-14-01196-g001.jpg

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