Çalışanlarda Yüzeyel Mikoz Prevalansı Ve Etken Mantarların Belirlenmesi

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 (SDA), Potato dextrose agar (PDA) and Mycobiotic agar (MB) and incubated there at 26°C and 37°C. Isolated fungus were identified with appropriate mycological methods. Superficial mycoses were diagnosed in 211 (19%) out of 1105 individuals. Fungus were grown at 289 (53%) of 548 specimens; 64 (22.1%) and 225 (77.9%) of those were defined as yeast and dermatophytes respectively. Malassezia furfur was determined with native in 21 (3.8%). Tinea pedis (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% (192), Trichophyton mentagrophytes 13.3% (30), Epidermophyton floccosum 0.9% (2), Trichophyton schoenleinii 0.4% (1). The isolated fungi on follows; Candida albicans 57.8% (37), Candida tropicalis 36% (23), Candida guilliermondii 3.1% (2), Candida krusei 3.1% (2). This finding indicate that superficial mycoses are commonly encountered, and Trichophyton rubrum is the most common causative pathogen. Calisanlarin yuzeyel mikoz prevalansini ve etkenlerini saptamak icin 1105 kisi calisma kapsamina alindi. Vucudunun herhangi bir yerinde on tani olarak mikoz dusunulen 385 kisinin 548 lezyon bolgesinden ornek alindi. Alinan ornekler laboratuvara aseptlk kurallara uygun olarak tasindi. %20 KOH ile nativ incelemeleri yapildi; saboraud dekstroz agar (SDA), patates dekstroz agar (PDA) ve mikobiyotik agarda yapilan cift ekimlerin 26°C ve 37°C'de inkube edilmesiyle kultur incelemeleri yapildi. Kulturde ureme saptanan mantarlar uygun mikolojik yontemlerle turlere ayrildi. Tarama yapilan 1105 kisinin 211 (%I9.0)'i laboratuvar yontemleri ile mikoz tanisi almistir. 548 ornekten yapilan kulturde ureyen 289(%53) mantarin 64 (%22.1)'u maya, 225 (%77.9)'i dermatofit olarak belirlenmistir. 548 ornegin 21 (%3.8)'inde nativ inceleme ile Malassezia furfur saptanmistir. Tinea pedis en sik (%51.6) gozlenen mantar in-feksiyonu olmustur. 32 kiside birden fazla etken mantar saptanmistir. Kulturde ureyen kuf mantarlarinin, 192 (%85.3)'si Trichophyton rubrum, 30 (%13.3)u Trichophyton mentagrophytes, 2 (%0.9)'si Epidermophyton floccosum ve 1 (%0.4)'i Trichophyton schoenleinii; maya mantarlarinin 37 (%57.8)'si Candida albicans, 23 (%36.0)'u Candida tropicalis, 2 (%3.1)'si Candida guilliermondii, 2 (%3.1)'si Candida krusei; olarak tanimlanmistir. Bu bulgulara gore, tinea pedis en sik gozlenen yuzeyel mantar infeksiyonu olup, Trichophyton rubrum en sik izole edilen mantar turudur.