老年患者应用抗生素继发真菌感染130例临床分析

目的了解我院老年患者应用抗生素继发真菌感染的情况,有效预防和控制老年患者医院内真菌感染。方法对我科2006-07~2009-06间,收治的130例老年患者医院内真菌感染病例进行分析。结果老年患者是真菌感染的易感人群;老年患者应用抗生素后继发真菌感染率高(63.11%);抗生素应用是诱发真菌感染的主要原因,占同期院内感染的70.2%。主要病原菌为白色假丝酵母菌(58.0%);真菌耐药率呈逐年增加。结论要高度重视老年患者医院内真菌感染,加强真菌学教育、规范抗生素应用、重视病原学监测,合理预防用药。

Fungus Infections Caused by Antibiotic: A Clinical Analysis of 130 Cases of the Aged People

Objective To investigate the fungus infections caused by antibiotics application of aged patients , and prevent and control fungus infections in the old patient. Methods 130 relevant patient cases from July 2006 to June 2009 were reviewed and analyzed. Results It showed that the aged patients were more susceptible to fungus infections. The fungus patients infection due to the antibiotics held 63.11% （130/206）. It also showed that the application of antimicrobial was the most important factor, reduce fungus infection accounting for 70.2 % of the total. Conclusion It suggested that the indications of the antibiotics be considered in clinical practices, and to choose proper antibiotics according to the genmiculture and hypersensitivity test results.