Epidemiological and aetiological study on tinea pedis and onychomycosis in Algeria
Epidemiological and aetiological study on tinea pedis and onychomycosis in Algeria
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DOI：
10.1111/j.1439-0507.2006.01230.x
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发表时间：
2006-05-01
期刊：
影响因子：
4.9
通讯作者：
Ammar-Khodja, A
中科院分区：
文献类型：
--
作者：
Djeridane, A;Djeridane, Y;Ammar-Khodja, A
世界许多地方都对足癣和甲真菌病这两种常见真菌感染进行了流行病学研究。目前阿尔及利亚还没有关于足癣和/或甲真菌病的研究。本文的目的是研究阿尔及尔陆军中央医院皮肤科门诊患者足部疾病（包括足癣和甲真菌病）的流行病学，并确定这些感染的病因。 2003年11月至2004年11月期间共招募了1300名平均年龄35.9+/-16岁（范围：16-80岁）的男性受试者并进行了临床检查。对所有受试者进行了完整的皮肤病学检查，并从出现足癣和/或甲癣症状的患者身上采集了足部皮肤和指甲样本，用于显微镜检查和真菌培养。分别有 249 例和 72 例受试者被怀疑为足癣和甲癣，并分别有 197 例和 60 例经培养阳性确诊，导致足癣和趾甲真菌病的全球患病率分别为 15% 和 4.6%。最常感染的年龄组是50-59岁和20-29岁。酵母种近平滑念珠菌和皮肤真菌种红色毛癣菌被证明是足癣（近平滑念珠菌 20.4%；红色毛癣菌 17%）和甲癣（红色毛癣菌 35%；近平滑毛癣菌 28.3%）最常见的病原体。这是阿尔及利亚首次针对真菌性足病的调查。收集的临床和流行病学数据将作为未来研究的参考，并可能有助于制定预防和教育策略。
Epidemiological studies on tinea pedis and onychomycosis, common fungal infections, have been conducted in many parts of the world. There are currently no studies of tinea pedis and/or onychomycosis in Algeria. The aim of this paper was to study the epidemiology of foot diseases, including tinea pedis and onychomycosis and to identify the aetiological factors of these infections in outpatients attending the Department of Dermatology of the Central Hospital of Army in Algiers, Algeria. A total of 1300 male subjects, mean age 35.9 +/- 16 years (range: 16-80) were recruited during the period November 2003 to November 2004 and were clinically examined. A complete dermatological examination was performed on all subjects, and skin and nail specimens of the feet were taken from those patients presenting signs of tinea pedis and/or onychomycosis for microscopy and fungal culture. Clinical diagnosis for tinea pedis and onychomycosis was suspected in 249 and 72 subjects, respectively, and confirmed in 197 and 60 cases, respectively, by positive cultures, resulting in a global prevalence of tinea pedis and toenail onychomycosis of 15% and 4.6% respectively. The age groups most commonly infected were 50-59 and 20-29 years. The yeast species Candida parapsilosis and the dermatophytic species Trichophyton rubrum were shown to be the most common pathogens in both tinea pedis (C. parapsilosis 20.4%; T. rubrum 17%) and onychomycosis (T. rubrum 35%; C. parapsilosis 28.3%). This is the first investigation dealing with fungal foot diseases in Algeria. The clinical and epidemiological data collected would serve as reference for future research and may be useful in the development of preventive and educational strategies.