Çalışanlarda Yüzeyel Mikoz Prevalansı Ve Etken Mantarların Belirlenmesi

Authors : A PEKBAY, A SANİÇ, A YENİGÜN, YL Öğr B EKİNCİ, S ATİLLA, E KOSİF, F ÖZCAN
Pages : 0-0
Doi:10.5835/jecm.v17i1.1351
View : 45 | Download : 12
Publication Date : 2009-12-23
Article Type : Other Papers
Abstract :Determine of Superficial Mycoses Prevalence and Causative Pathogens at Workers The aim of this study was to determine the prevalence of superficial mycoses and causative pathogens at workers. Superficial mycoses were investigated in 1105 individuals. Specimens from 548 lesions of 385 individuals were taken with suspect of superficial fungal infection. Specimens taken from patients were brought to our laboratory under aseptic conditions. Specimens were examined with 20% KOH. Dublicate cultures of specimens were done on, Sabouraud dextrose agar insert ignore into journalissuearticles values(SDA);, Potato dextrose agar insert ignore into journalissuearticles values(PDA); and Mycobiotic agar insert ignore into journalissuearticles values(MB); and incubated there at 26°C and 37°C. Isolated fungus were identified with appropriate mycological methods. Superficial mycoses were diagnosed in 211 insert ignore into journalissuearticles values(19%); out of 1105 individuals. Fungus were grown at 289 insert ignore into journalissuearticles values(53%); of 548 specimens; 64 insert ignore into journalissuearticles values(22.1%); and 225 insert ignore into journalissuearticles values(77.9%); of those were defined as yeast and dermatophytes respectively. Malassezia furfur was determined with native in 21 insert ignore into journalissuearticles values(3.8%);. Tinea pedis insert ignore into journalissuearticles values(51.6%); was found to be the most frequent fungal infection. 32 patients were infected by more than one fungus. Distribution of causative agents among 225 dermatophytes was; Trichophyton rubrum 85.3% insert ignore into journalissuearticles values(192);, Trichophyton mentagrophytes 13.3% insert ignore into journalissuearticles values(30);, Epidermophyton floccosum 0.9% insert ignore into journalissuearticles values(2);, Trichophyton schoenleinii 0.4% insert ignore into journalissuearticles values(1);. The isolated fungi on follows; Candida albicans 57.8% insert ignore into journalissuearticles values(37);, Candida tropicalis 36% insert ignore into journalissuearticles values(23);, Candida guilliermondii 3.1% insert ignore into journalissuearticles values(2);, Candida krusei 3.1% insert ignore into journalissuearticles values(2);. This finding indicate that superficial mycoses are commonly encountered, and Trichophyton rubrum is the most common causative pathogen. Çalışanların yüzeyel mikoz prevalansını ve etkenlerini saptamak için 1105 kişi çalışma kapsamına alındı. Vücudunun herhangi bir yerinde ön tanı olarak mikoz düşünülen 385 kişinin 548 lezyon bölgesinden örnek alındı. Alınan örnekler laboratuvara aseptlk kurallara uygun olarak taşındı. %20 KOH ile nativ incelemeleri yapıldı; saboraud dekstroz agar insert ignore into journalissuearticles values(SDA);, patates dekstroz agar insert ignore into journalissuearticles values(PDA); ve mikobiyotik ağarda yapılan çift ekimlerin 26°C ve 37°C`de inkübe edilmesiyle kültür incelemeleri yapıldı. Kültürde üreme saptanan mantarlar uygun mikolojik yöntemlerle türlere ayrıldı. Tarama yapılan 1105 kişinin 211 insert ignore into journalissuearticles values(%I9.0);`i laboratuvar yöntemleri ile mikoz tanısı almıştır. 548 örnekten yapılan kültürde üreyen 289insert ignore into journalissuearticles values(%53); mantarın 64 insert ignore into journalissuearticles values(%22.1);`ü maya, 225 insert ignore into journalissuearticles values(%77.9);`i dermatofit olarak belirlenmiştir. 548 örneğin 21 insert ignore into journalissuearticles values(%3.8);`inde nativ inceleme ile Malassezia furfur saptanmıştır. Tinea pedis en sık insert ignore into journalissuearticles values(%51.6); gözlenen mantar in-feksiyonu olmuştur. 32 kişide birden fazla etken mantar saptanmıştır. Kültürde üreyen küf mantarlarının, 192 insert ignore into journalissuearticles values(%85.3);`si Trichophyton rubrum, 30 insert ignore into journalissuearticles values(%13.3);ü Trichophyton mentagrophytes, 2 insert ignore into journalissuearticles values(%0.9);`si Epidermophyton floccosum ve 1 insert ignore into journalissuearticles values(%0.4);`i Trichophyton schoenleinii; maya mantarlarının 37 insert ignore into journalissuearticles values(%57.8);`si Candida albicans, 23 insert ignore into journalissuearticles values(%36.0);`ü Candida tropicalis, 2 insert ignore into journalissuearticles values(%3.1);`si Candida guilliermondii, 2 insert ignore into journalissuearticles values(%3.1);`si Candida krusei; olarak tanımlanmıştır. Bu bulgulara göre, tinea pedis en sık gözlenen yüzeyel mantar infeksiyonu olup, Trichophyton rubrum en sık izole edilen mantar türüdür.
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