175例真菌医院感染临床分析

目的调查真菌感染现状,分析其危险因素及预防措施。方法收集医院住院患者合并真菌感染175例临床资料及培养结果,进行统计和分析。结果真菌感染部位以下呼吸道为主(40.00%),胃肠道占第2位(23.43%),泌尿道占第3位(19.43%);感染菌株以白色念珠菌占首位(68.57%),热带念珠菌占第2位(6.86%),光滑念珠菌占第3位(5.71%)。结论本组病例发生院内真菌感染与使用抗生素、原发疾病、老龄化等危险因素密切有关;合理使用抗生素,提高机体的免疫力是预防住院患者真菌感染的主要措施。

Hospital Fungal Infection: A Clinical Analysis of 175 Cases

OBJECTIVE To investigate present conditions about the fungal infection and analyze its risk factors and the measure of prevention. METHODS Before statistics and analysis,clinical data and culture results of 175 cases from Jan 2002 to Dec 2004 were collected. RESULTS The respiratory tract occupied the majority of the fungus infection(40.00%),the gastrointestinal tract was the second(23.43%),and the urinary tract was the third(19.43%).In infection strains,Candida albicans occupied the first place(68.57%),C.tropicalis and(C.glabrata) were the second and third(6.86% and 5.71%). CONCLUSIONS The fungal infection is relevant to some risk factors,such as using antibiotics,underlying disease and aging.Therefore,using antibiotics reasonably and improving the immunity of organism are the main measures of preventing the fungal infection.