浙南地区角膜外伤后真菌性角膜炎病原分布

doi:10.3760/cma.j.issn.2095-1477.2015.11.007

科研成果详情

题名	浙南地区角膜外伤后真菌性角膜炎病原分布
其他题名	Pathogen distribution of traumatic fungal keratitis in south Zhejiang
作者	陈鹏飞; 王大选; 毛丽萍; 顾云峰; 郑美琴
发表日期	2015
发表期刊	中华眼外伤职业眼病杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	角膜炎真菌性病原分布浙江省南部
其他关键词	Keratitis,fungal ; Pathogen distribution ; Zhejiang,south
摘要	目的分析最近两年浙南地区角膜外伤后真菌性角膜炎患者的病原分布及其特点。方法收集2013年1月至2014年12月123例真菌性角膜炎病例。对真菌培养的阳性率、菌株分布、季节分布、患者来源、性别分布、职业及病因进行回顾性分析总结。结果 123例标本中有90例真菌培养阳性,检出率为73.2%。其中最常见的致病菌为镰刀菌,检出菌株44例(占48.9%),霉菌检出17例(占18.9%),链隔孢属检出11例(占12.2%),酵母菌检出10例(占11.1%),青霉菌检出6例(占6.7%),丝状真菌(未定型)检出2例(占2.2%)。职业分布:农民82例(占66.7%),城镇居民13例(占10.6%),郊区务工人员10例(占8.1%),养殖户8例(占6.5%),其他从业人员10例(占8.1%)。季节分布特点:下半年前来就诊的真菌性角膜炎患者明显多于上半年者。病因分布:自述有角膜擦伤史者96例、异物溅入眼20例及化学伤7例。结论镰刀菌是浙南地区真菌性角膜炎的主要致病菌,霉菌次之。农民是真菌性角膜炎的易感人群,下半年是浙南地区真菌性角膜炎的高发时段,外伤是真菌性角膜炎最常见的诱发因素[1]。
其他摘要	Objective To analyze the pathogen distribution and characteristics of traumatic fungal keratitis in south Zhejiang in last two years.Methods One hundred and twenty-three cases with fungal keratitis from January 2013 to December 2014 were collected.The positive rate of fungal culture, strain distribution, seasonal distribution, sources of patients, gender distribution, profession, and etiology were retrospectively analysed.Results Among the 123 cases, the number of positive culture was 90 and the positive rate was 73.2％.The main pathogenic bacterium was Fusarium which was detected in 44 cases (48.9％), the next was Aspergillums which was detected in 17 cases (18.9％), 11 cases (12.2％) were Alternaria, 10 cases (11.1％) were Candida, 6 cases (6.7％) were Penicillium and 2 case (2.2％) were Filamentous fungi (undifferentiated).Profession distribution: About 82 cases (67％) were farmer, 13 cases (10.6％) were urban residents, 10 cases (8.1％) were rural migrant workers, 8 cases (6.5％) were culturist and 10 cases (8.1％) were other professions.Seasonal distribution: The number of the fungal keratitis patients in the second half of the year was significantly more than that in the first half of the year.Etiology distribution: 96 patients had history of coneal abrasion, 20 cases were caused by foreign bodies splashing, 7 cases were chemical injury and 28 cases were caused by other reasons.Conclusion The Fusarium is the predominant pathogen of ocular fungal infection in the south of Zhejiang followed by Aspergillums.Farmers are susceptible to fungal keratitis.The second half of the year is the peak time of fungal keratitis.And trauma is the most common inducing factor of fungal keratitis[1].
ISSN	2095-1477
卷号	37 期号:11 页码:827-829
DOI	10.3760/cma.j.issn.2095-1477.2015.11.007
页数	3
收录类别	CNKI ; 万方 ; 维普 ; ISTIC
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/48075
专题	眼视光学院（生物医学工程学院）、附属眼视光医院_临床检查中心
作者单位	温州医科大学附属眼视光医院临床检查中心
第一作者单位	眼视光学院（生物医学工程学院）、附属眼视光医院_临床检查中心
第一作者的第一单位	眼视光学院（生物医学工程学院）、附属眼视光医院_临床检查中心
推荐引用方式 GB/T 7714	陈鹏飞,王大选,毛丽萍,等. 浙南地区角膜外伤后真菌性角膜炎病原分布[J]. 中华眼外伤职业眼病杂志,2015,37(11):827-829.
APA	陈鹏飞, 王大选, 毛丽萍, 顾云峰, & 郑美琴. (2015). 浙南地区角膜外伤后真菌性角膜炎病原分布. 中华眼外伤职业眼病杂志, 37(11), 827-829.
MLA	陈鹏飞,et al."浙南地区角膜外伤后真菌性角膜炎病原分布".中华眼外伤职业眼病杂志 37.11(2015):827-829.