| 重症监护病房患者深部真菌感染现状分析 |
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| 引用本文： | 孙迎娟,王洪梅,黄伟丽. 重症监护病房患者深部真菌感染现状分析[J]. 中华医院感染学杂志, 2008, 18(11) |
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| 作者姓名： | 孙迎娟 王洪梅 黄伟丽 |
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| 作者单位： | 青岛大学医学院附属医院感染管理科,山东,青岛,266003 |
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| 摘 要： | 目的 调查重症监护病房(ICU)患者院内深部真菌感染的现状及易感因素,加强感染的防治.方法 回顾调查ICU 2005年7月-2007年6月798例患者的临床资料,分析真菌感染的危险因素、真菌的种类、耐药性及防治对策.结果 798例患者中发生医院深部真菌感染137例,占17.2%,以下呼吸道感染为主,占72.3%,其后依次为泌尿道(7.3%)、肠道(4.4%)和血液(3.6%)等;各种感染性标本共分离真菌180株,主要为白色假丝酵母菌(43.3%)、热带假丝酵母菌(25.6%)和光滑假丝酵母菌(23.3%),对氟康唑、伊曲康唑、5-氟胞嘧啶及两性霉素B均保持良好敏感性(耐药率均≤2.4%);严重的基础疾病、长期应用抗菌药物、激素及侵入性操作是ICU患者真菌感染危险因素.结论 合理使用抗菌药物及免疫抑制剂,减少不必要的诊疗操作,早发现、早诊断、早治疗是防治深部真菌感染的关键.
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| 关 键 词： | 重症监护病房 真菌感染 |
Nosocomial Deep Fungal Infection in Intensive Care Unit |
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| SUN Ying-juan,WANG Hong-mei,HUANG Wei-li. Nosocomial Deep Fungal Infection in Intensive Care Unit[J]. Chinese Journal of Nosocomiology, 2008, 18(11) |
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| Authors: | SUN Ying-juan WANG Hong-mei HUANG Wei-li |
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| Affiliation: | SUN Ying-juan,WANG Hong-mei,HUANG Wei-li(Affiliated Hospital,Qingdao University Medical College,Qingdao,Sh,ong 266003,China) |
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| Abstract: | OBJECTIVE To investigate the susceptible factors and the methods of prevention and treatment of nosocomial deep fungal infection in intensive care unit(ICU).METHODS The clinical information of 798 patients in ICU was investigated from Jul 2005 to Jun 2007.The risk factors,species,drug-resistance and the methods of prevention of fungal infection were analyzed.RESULTS Fungal infections were found in 137 cases(17.2%).The lower respiratory tract accounted for 72.3% in 137 cases with fungal infection.A total of ... |
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| Keywords: | Intensive care unit Fungal infection |
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