ECOLOGY AND EPIDEMIOLOGY OF DERMATOPHYTE INFECTIONS

ECOLOGY AND EPIDEMIOLOGY OF DERMATOPHYTE INFECTIONS
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DOI:
10.1016/s0190-9622(08)81262-5
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发表时间:
1994-09-01
影响因子:
13.8
通讯作者:
ALY, R
ALY, R
中科院分区:
医学1区
文献类型:
--
作者:
ALY, R

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我们对皮肤癣菌的生态学和流行病学以及影响其传播的因素的了解有助于我们更好地了解皮肤癣菌病的自然史。看来,头皮感染的嗜酸性物质正在发展中国家根除。唯一的例外是北美的断尾毛癣菌相关的头骨炎。犬小孢子菌是世界上许多地区的一种流行的犬脑炎病原体,这可能与人类与其宠物的密切联系有关。紫色毛癣菌在东欧、非洲、亚洲和南美洲的某些地区是地方性的,但在北美不是。红色毛癣菌是世界范围内引起足癣、指甲感染、小腿癣和体癣的最常见原因。虽然在发达国家,头癣的发病率正在下降,但足癣和甲真菌病正变得越来越普遍。男子和妇女越来越多地使用运动鞋和公共洗浴可能是促成因素。五或六个物种占全球大多数皮肤真菌病。
Our knowledge of ecology and epidemiology of dermatophytes and the factors influencing their transmission has helped us understand better the natural history of dermatophytoses. It seems that the anthropophilic agents of scalp infection are being eradicated in developing nations. The exception is Trichophyton tonsurans-related tinea capitis in North America. Microsporum canis is a prevalent agent of tinea capitis in many regions of the world, and this could be related to close association of humans with their pets. Trichophyton violaceum is endemic in certain parts of Eastern Europe, Africa, Asia, and South America but not in North America. Trichophyton rubrum is the most common cause worldwide of tinea pedis, nail infection, tinea cruris, and tinea corporis. Although the incidence of tinea capitis is declining in developed nations, tinea pedis and onychomycosis are becoming more common. The increased use of athletic shoes both by men and women and communal bathing could be contributing factors. Five or six species account for most dermatophytoses globally.