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中国真菌学杂志 2022, Vol. 17  Issue (2): 120-123.

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某院校学员浅部真菌病调查分析

唐人杰1, 王瑞娜2, 王智1, 刘海燕1, 刘旭1, 李红磊1, 刘佳存2, 张大志2, 阎澜2   

  1. 1. 解放军总医院京南医疗区, 北京 100072;
    2. 海军军医大学药学系, 上海 200433
  • 收稿日期:2021-07-01 出版日期:2022-04-28 发布日期:2022-05-07
  • 通讯作者: 阎澜,E-mail:ylan20001228@sina.com;张大志,E-mail:13386272621@163.com E-mail:ylan20001228@sina.com;13386272621@163.com
  • 作者简介:唐人杰,女(汉族),博士,主管药师.E-mail:renjietang18@163.com
  • 基金资助:
    国家自然科学基金资助项目(82173867);上海市科技创新行动计划国际科技合作项目(21430713000);上海市浦江人才计划(21PJD081);上海市创新行动计划生物医药领域科技支撑项目(19431901300)

Investigation of superficial mycoses in military academy cadets

TANG Renjie1, WANG Ruina2, WANG Zhi1, LIU Haiyan1, LIU Xu1, LI Honglei1, LIU Jiacun2, ZHANG Dazhi2, YAN Lan2   

  1. 1. Beijing South Medical District of Chinese PLA General Hospital, Beijing 100072, China;
    2. School of Pharmacy, Navy Medical University, Shanghai 200433, China
  • Received:2021-07-01 Online:2022-04-28 Published:2022-05-07

摘要: 目的 了解华北某部队院校学员浅部真菌性皮肤病患病及诊治情况。方法 采取浅部真菌病体检筛查、真菌镜检和问卷调查方式。结果 回收1 733份有效问卷,结果显示:1学员入校后确诊患浅部真菌性皮肤病186例,发病率为10.73%,足癣(147例)发病率最高,总体发病率低于南方地区。2夏、秋季浅部真菌性皮肤病的发病率显著高于冬、春季。3不同服役年限的浅部真菌性皮肤病发病率差异有统计学意义。470.87%患者使用外用药物治疗,6.80%患者使用外用和口服药物联用,咪唑类药物使用率最高。患者对抗真菌药物的治疗效果满意度50.62%,复发率为51.46%。结论 院校学员浅部真菌病发病率较高,加强健康宣教、合理用药指导意义重大。

关键词: 浅部真菌病, 真菌感染, 抗真菌药物, 院校学员

Abstract: Objectives To investigate the incidence and treatment of superficial mycoses in cadets of a military academy. Methods A questionnaire survey was carried out during the physical examination. The cases of superficial mycoses were further examined by microscopy. Results A total of 1733 cadets were examined clinically and submitted the questionnaire. There were 186 (10.73%) cadets diagnosed with superficial mycoses after entering the military academy. The incidence of tinea pedis (n=147) was higher than any other superficial fungal infections. The prevalence rate of superficial mycoses in summer and autumn was significantly higher than that in winter and spring (P<0.001). Statistic analysis demonstrated that the incidence of dermatophytosis was significantly different in different period of military service(P<0.001). In this survey, 70.87% of patients took topical antifungal drugs, while 6.80% received the combination of topical and systematic therapy. The azoles were highest administered. It was 50.62% on patients' satisfaction of treatment with antifungal agents. The relapse rate of superficial fungal infections was 51.46%. Conclusions The incidence of superficial mycoses was high in cadets in a military academy. Attention should be paid to enhance the health publicity and education and to promote the rational use of drugs for cadets in military academies.

Key words: superficial mycoses, fungal infections, antifungal drugs, cadets

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