医院内深部真菌感染的临床分析

目的研究ICU深部真菌感染的临床及病原学特点。方法收集78例ICU深部真菌患者的血、痰、粪便、尿、腹腔引流液培养结果及其临床资料。结果 78例ICU深部真菌患者中共分离出95株真菌,以白色念珠菌及光滑念珠菌为主,其中白色念珠菌占54.74%,光滑念珠菌占22.11%,感染部位以呼吸道感染最常见,占72.63%,其次为尿路感染,占11.58%。结论 ICU深部真菌感染菌种和部位有自己的特点,并且有一定的诱发因素,该病重在预防。

Clinical analysis of systemic fungal infection in ICU

Objective To investigate clinic status,feature of pathogens of systemic fungal infection in ICU.Methods Cultivation results of blood,sputum,dejecta,uria,abdominal draining juice and clinic data were collected from 78 systemic fungal infection patients.Results 95 strains of fungus were Abstracted from 78 systemic fungal infection patients.The major pathogens were Blastomyces albicans and Smooth Candida.Blastomyces albicans counted 53.84% and Smooth Candida counted 20.51%.The respiratory tract was found to be the most common infective location,which counted 72.63%.Secondary infective location was the urinary tract,which counted 11.58%.Conclusions The strain and location of systemic fungal infection in ICU had its own charactermistics,and there was determinate causative factor.The disease focuses on the prevention.