重症监护病房患者酵母样真菌感染调查分析

目的：了解症监护监房（ICU）患者酵母样真菌感染的病原学变化及其临床意义。方法：用常规方法和miniVITAL血培养仪进行培养，用常规方法及ID32C或ATBExpression鉴定。结果：酵母样真菌感染的患者144例，分离真菌152株，内有念珠菌（假丝酵母菌）133株，占总数的87．5％，念珠菌中白色珠菌33株，占21．7％，白色念珠菌以外的其他酵母样菌119株占78．3％，结论：ICU患者大量使用广谱抗生素或长期留置导管等均为酵母样真菌医院感染的危险因素。

Yeast Infection in Intensive Care Units: An Analysis and Survey

OBJECTIVE To investigate the etiological change and clinical significance of yeast infection in ICU. METHODS The samples were detected by routine methods or mini VITAL blood culture system and the yeasts were identified by routine methods and ID 32C or ATB Expression. RESULTS Yeasts were found in 144 patients, 152 strains were isolated, there were 133 Candida spp, account for 87.5% and 33 strains of C. albicans, account for 21.7%, other candidas are 119 strains, account for 78.3%. CONCLUSIONS Using too many broad spectrum antibioties or setting tube continuously is both dangerous reasons of increasing the infection of yeasts in ICU.