[Dermatomycosis and environment].
[Dermatomycosis and environment].
复制标题
[皮肤真菌病与环境]。
DOI：
10.3314/jjmm.47.63
复制
发表时间：
2006
期刊：
影响因子：
--
通讯作者：
T. Katoh
中科院分区：
文献类型：
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作者：
T. Katoh
环境可能是病原真菌的宿主，是真菌感染的决定因素，或者是疾病的加剧因素。近年来，由嗜地真菌引起的皮肤病呈下降趋势，而来自各种动物的人畜共患病病例报告却在增加。嗜人结核菌感染的爆发给医学真菌学家带来了一个问题。足癣是日本最常见的外源性皮肤真菌病。虽然人们认为红绒毡虫是该病的主要病原体，但在各种环境中发现的红绒毡虫更为常见，迄今为止，造成这种差异的原因尚未完全清楚。关于足部皮癣菌感染途径的最新知识如下：(1)患者传播的皮癣菌繁殖体不仅可以污染浴垫，还可以污染木地板、日式地垫、混凝土地板、拖鞋、坐垫等，并附着在健康皮肤上。(2)琼脂烫印法可以方便地从皮肤和环境中检测出皮肤真菌。(3)在一定条件下，如在胶靴中，植物繁殖体可存活3个月以上。(4)为了消除聚集在袜子和鞋子上的皮癣，简单的步骤（清洗，用热水洗澡，或用毛巾擦拭）都是有效的。(5)事先使用抗真菌剂，可迅速从环境中清除附着在皮肤上的皮肤真菌繁殖体。作者还提到了无症状的皮肤真菌定植的可能性，以及口腔白色念珠菌携带者的高患病率。
Environments may act as reservoirs for pathogenic fungi, a determinant of the establishment of fungal infection, or an exacerbating factor of disease. In recent years, skin disease caused by geophilic fungi has been decreasing, while case reports of zoonoses from various animals are increasing. Outbreaks of anthropophilic T. tonsurans infection pose a problem to medical mycologists. Tinea pedis is the most common exogenous dermatomycosis in Japan. Although T. rubrum is presumed to be the dominant pathogen of this disease, T. mentagrophytes is detected more frequently from various environments, so far, the reason for this discrepancy has not been fully understood. The latest knowledge about the route of dermatophyte foot infection is as follows: (1) Dermatophyte propagules disseminated from patients may contaminate not only bath-mats but also wood floors, Japanese style mattings, concrete floors, slippers, cushions, etc., and from them adhere to healthy skin. (2) The agar stamping method can easily detect dermatophytes from the skin and the environment. (3) Propagules of T. mentagrophytes can survive for more than three months under certain conditions such as in rubber boots. (4) In order to eliminate dermatophytes gathered in socks and footwear, simple procedures (washing, bathing with hot water, or wiping with a towel) are all effective. (5) Prior application of an antifungal agent promptly eradicates dermatophyte propagules adhering to the skin from the environment. The author also mentioned the possibility of asymptomatic dermatophyte colonization, and the high prevalence of dysgeucia in oral carriers of Candida albicans.
各类鞋类及清洁方法对皮肤癣菌粘附的预防作用。
DOI：
--
发表时间：
2006
期刊：
J Dermatol. 33(8)
影响因子：
--
作者：
Yokozeki H;Takayama K;Katayama I;Nishioka K;Komori K et al.;Tanaka K et al.
通讯作者：
Tanaka K et al.