危重患者深部真菌感染的现状分析及防治对策

目的探讨危重患者并发深部真菌感染的临床特点。方法对重症监护病房2006年至2008年38例院内真菌感染患者进行回顾性分析。结果同期120例院内感染患者中真菌感染者共38例,真菌感染率为31.67%。共分离真菌菌株79株,其中白色念珠菌最多占35株。感染部位下呼吸道最多,其次为泌尿道及消化道。长期应用抗菌药物、激素、侵入性操作等是危重患者真菌感染危险因素。结论合理使用抗菌药物、激素及免疫抑制剂,减少不必要的诊疗操作是预防深部真菌感染的前提。早发现、早诊断、早治疗是成功治疗深部真菌感染的关键。

Clinic analysis of 38 critical patients with deep fungal infection

Objective To explore the clinic feature of the critical patients with deep fungal infection.Methods The data 38 critical cases with deep fungal infection in intencive care unit from 2006 to 2008 was analyzed retrospectively.Results The patients with deep fungal infection rate were 31.67%(38 cases in 120 cases).The most common isolated fungal strain in all 79 strains was candida albicans(35/79 strains).The most infection's location was in lower respiratory tract,the second was in urinary tract and digestive ...