血液病真菌感染的临床分析

目的调查血液科真菌感染现状,分析其危险因素及预防措施. 方法收集2002年1月～2003年6月血液科合并真菌感染的45例患者的临床资料及真菌培养结果,加以统计和分析. 结果真菌感染部位以肠道为主(64.4%),呼吸道次之(44.4%);感染菌株以白色假丝酵母菌占首位(43.4%),光滑假丝酵母菌占第2位(22.6%). 结论本组病例发生院内真菌感染与原发肿瘤性疾病、反复化疗、使用广谱抗生素和免疫抑制剂及老龄化等危险因素密切相关.

Fungal Infection in Patients with Blood Disease

OBJECTIVE To investigate the status of fungus infection in the Department of Hematology, to analyze the risk factors, and to find out the approach for the prevention. METHODS Forty five cases of hospital acquired infections of fungus were analyzed in accordance with Diagnosis Standard of Hospital Acquired Infections. (RESULTS )The fungus infection took place more frequently in intestinal tract (64.4%), then in the lung ((44.4%).) The frequently presented organism was the Candida albicans (43.4%), then C. glabrata. (CONCLUSIONS )The primary disease, repeatedly chemotherapy, the applications of antibiotic and immunosuppressant, and aging are the risk factors.