Analysis Of 5833 Cases Of Superficial Mycoses And Its Fungi Pathogen In Xiamen

Objective:To study the distribution of superficial mycoses and its fungi pathogen in Xiamen. Analyzed the relationship of superficial mycoses and its pathogenic’s with gender, age,and infection time. To master the distribution information of superficial mycoses and its fungi pathogen in the region.Epidemiological data may be used to promote the understanding of superficial mycoses and to guide the clinical work.Methods:Selected patients of superficial mycoses from January 2013 to December 2014 in dermatology of Hospital. Apply positive patient to the study group whose skin hair or finger (toe) was been direct microscopic examination with 10% or 20% KOH. To be diagnosed as mold or candida specimens, respectively in 26 ℃ and 37℃ MSDA; To be diagnosed as mlassizia specimens cultured using olive oil medium for mlassizia. According to the pigment colony growth rate, shape, and microscopic characteristics of hyphae and spores to appraise mold.Candida inoculation in chromagar candida color culture medium, according to the colony color for pathogenic fungi identification.The experimental data using SPSS 16.0 statistical software to analysis.Results:5833 cases of patients were positive confirmed by direct microscopic exam, male 3354 cases, female 3479 cases.Tinea cruris occupied the first,1405 cases, accounting for 23.88%; followed by tinea pedis1087 cases, accounting for 18.64%; 748 cases of onychomycosis, accounting for 15.76%. Other diseases distribution:tinea capitis were 32 cases (0.55%),tinea corporis were 683 cases (11.71%), tinea manuum, 346 cases (5.93%), tinea versicolor were 533 cases (6.25%), fungal folliculitis were 268 cases (4.59%), candida lintertrigo 165 cases (2.83%), wrapping balanitis were 236 cases (4.05%), female genital mycosis were 159 cases (2.72%).4219 strains fungi pathogen isolated by cultivating. Including T.rubrum1856 strains(43.99%), rank first, followed by candida albicans, a total of 953 strains (22.83%), trichophyton mentagrophytes were 610 strains (14.46%), other pathogenic fungi:mlassizia were 574 strains (13.61%), microsporum canis were 33 strains (0.78%), microsporum ferrugineum were 29 strains (0.69%), microsporum gypseum were 7 (0.17%) strains, epidermophyton floccosum were 11 strains (0.26%), candida glabrata were 47 strains (1.11%), candida tropicalis were38 strains (0.90%), candida krusei were 21 strains (0.50%), other mold were 40 strains (0.95%). Superficial fungal diseases and fungi pathogen distribution differences in gender, age, time, tinea manuum.The female patients of onychomycosis, candida lintertrigo and tinea manuum, were more than male’s,male’s were more with other diseases; The female patients infected epidermo- phyton floccosum, candida albicans, mould more than male’s, other infected fungi pathogen male patients were more. Superficial mycoses and its fungi pathogen,changed with gender, age,and time,they showed a trend,26-50 years old, in the third quarter had the high incidence. The morbidity and isolated pathogenic fungi in the third quarter was significantly higher than other quarter, the lowest incidence rate was the first quarter, the second and fourth quarter have no significant differences.Conclusion:The most top three diseases of superficial mycoses are tinea cruris, tinea pedis, onychomycosis in Xiamen. Fungi pathogen in the top three are Trichophyton rubrum,, candida albicans, trichophyton mentagrophytes, And candida albicans infection have a rising trend. The distribution of superficial mycoses and its fungi pathogen are influenced by factors such as gender, age, time.26-50 years old, in the third quarter show the high incidence. The distribution of superficial mycoses and it’s fungi pathogen has differences from male and female. The distribution of superficial mycoses and it’s fungi pathogen are in conformity with domestic epidemic trend, also has its own characteristics.