Online ISSN: 3007-0244,
Print ISSN:  2410-4280
РАСПРОСТРАНЕННОСТЬ ДЕРМАТОФИТИЙ И ИХ ВЛИЯНИЕ НА КАЧЕСТВО ЖИЗНИ ПАЦИЕНТОВ В МИРЕ
Актуальность: В дерматологической структуре заболеваемости грибковые болезни занимают второе место после пиодермий и составляют до 42% заболеваний кожи. Проблема дерматомикозов приобретает большую актуальность в связи с многообразием путей передачи возбудителей и их высокой устойчивостью во внешней среде, изменением иммунного ответа организма человека. Цель: Анализ научной информации по заболеваемости и видовому составу возбудителей дерматофитных инфекций кожи в различных регионах мира, а также их влиянию на качество жизни пациентов. Стратегия поиска: Поиск научных публикаций проводился в базах данных PubMed, Elsiever, Medline, в специализированной поисковой системе GoogleScholar Результаты: Дерматофитиями болеют около 25% населения земного шара, а гриб Trichophyton rubrum является основным возбудителем этой группы болезней. На севере и востоке Африки наблюдается преобладание T. violaceum, а в западных и центральных районах континента – T. Sudanense и M. audouinii. В Индии ведущими возбудителями грибковой инфекции кожи являются Trichophyton mentagrophytes и T. rubrum. В Европе онихомикоз чаще всего вызывают T. rubrum и T. Interdigitale, а дерматомикозе головы вызывают M. audouinii, T. tonsurans, T. violaceum, T. soudanense и M. сanis. При персистирующей и рецидивирующей дерматофитии выявлено чрезвычайно большое и очень большое влияние на качество жизни, при этом страдали не только физиологические аспекты жизни больных, но и ухудшалось их эмоциональное и социальное самочувствие. У пациентов с грибковыми поражениями в области паховых складок и ягодичной области качество жизни ухудшилось в большей степени, чем в других местах. Выводы: Trichophyton rubrum является наиболее частым возбудителем, хотя частота инфекций, вызванных T. interdigitale и T. mentagrophytes, увеличивается в некоторых частях мира. Установлено значительное влияние персистирующих и стойких форм микозов кожи на качество жизни пациентов.
Алма А. Аймолдина1, https://orcid.org/0000-0001-7629-6926 Гульнар Р. Батпенова1, https://orcid.org/0000-0001-6079-2044 Тогжан О. Алгазина1, https://orcid.org/0000-0002-1178-5574 Татьяна В. Котлярова1, https://orcid.org/0000-0001-6749-7961 Дархан М. Амантаев1, https://orcid.org/0000-0003-2313-6026 Владимир С. Киян2, https://orcid.org/0000-0001-9787-9151 1 НАО «Медицинский университет Астана», г. Астана, Республика Казахстан; 2 ТОО «Национальный центр биотехнологии», г. Астана, Республика Казахстан.
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Аймолдина А.А., Батпенова Г.Р., Алгазина Т.О., Котлярова Т.В., Амантаев Д.М., Киян В.С. Распространенность дерматофитий и их влияние на качество жизни пациентов в мире // Наука и Здравоохранение. 2023. 4(Т.25). С. 246-257. DOI 10.34689/SH.2023.25.4.030

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