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198例酵母样真菌感染及其耐药性分析
引用本文:夏厚才,张辉亮,马瑞红,严小勖,黄树华,黄苑宜. 198例酵母样真菌感染及其耐药性分析[J]. 检验医学与临床, 2009, 6(14): 1148-1149
作者姓名:夏厚才  张辉亮  马瑞红  严小勖  黄树华  黄苑宜
作者单位:广东省广州市番禺区第二人民医院检验科,511470;广东省广州市番禺区第二人民医院检验科,511470;广东省广州市番禺区第二人民医院检验科,511470;广东省广州市番禺区第二人民医院检验科,511470;广东省广州市番禺区第二人民医院检验科,511470;广东省广州市番禺区第二人民医院检验科,511470
摘    要:目的了解院内患者的真菌感染情况,对其耐药性进行分析,以指导临床合理用药。方法用念珠菌显色平板进行初步鉴定,再使用ID32C和ATB FUNGUS3分别进行鉴定和药敏试验,在全自动鉴定与药敏测试仪(ATB ExPression)上读板。结果送栓1045例标本,检出酵母样真菌198株,院内感染真菌分离率为18.9%(198/1045)。其中白色念珠菌140株,热带念珠菌25株,清酒念珠菌13株,光滑念珠菌8株,克柔念珠菌4株,其他念珠菌8株,分别占检出真菌的70.7%、12.6%、6.6%、4.0%、2.0%、4.0%。结论以白色念珠菌感染为主,热带念珠菌和清酒念珠菌其次,3种念珠菌占总分离真菌的89.9%(178/198)。5种抗真菌药物的耐药率以5-氟胞嘧啶和两性霉素B较低,氟康唑、伊曲康唑和伏立康唑较高。

关 键 词:酵母样真菌  耐药性  抗真菌药物  分离率

Analysis of 198 cases of yYeast fungus infections and its drug resistance
XIA Hou-cai,ZHANG Hui-liang,MA Rui-hong,YAN Xiao-xu,HUANG Shu-hua,HUANG Yuan-yi. Analysis of 198 cases of yYeast fungus infections and its drug resistance[J]. Laboratory Medicine and Clinic, 2009, 6(14): 1148-1149
Authors:XIA Hou-cai  ZHANG Hui-liang  MA Rui-hong  YAN Xiao-xu  HUANG Shu-hua  HUANG Yuan-yi
Affiliation:. (Department of Clinical Lab. , The Second People's Hospital of Fanyu, Xingye Road No. 7, Dagang Town, Fanyu, Guangzhou, Guangdong 511470, China)
Abstract:Objective To investigate the fungus infections of the patients at the hospital and analyze the drug resistance to guide the rational use of clinical drug.Methods Take the initial identification with the Candidal Chromogenic Agar Plate,then conduct the definite identification and the drug susceptibility test with ID32C and ATB FUNGUS3 respectively,and read the plate with automatic identification and drug susceptibility tester(ATB Expression).Results 198 of the 1045 sample cases had been detected the yeast li...
Keywords:yeast-like fungus  drug resistance analysis  antifungal  separation rate
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