老年病房患者下呼吸道念珠菌感染的调查及相关因素分析

目的了解住院老年患者下呼吸道念珠菌感染情况及相关危险因素,为有效控制呼吸道念珠菌感染提供依据。方法采用回顾性调查方法,对某医院老年病房住院老年患者下呼吸道念珠菌感染情况进行了调查与分析。结果从该医院老年病房482例下呼吸道感染的老年患者病原学标本中检出病原菌316株,其中检出念珠菌72株,构成比为22.8%。在检出的感染念珠菌中,白色念珠菌占68.8%。高龄、基础疾病、住院时间、侵入性操作和长期大量使用抗菌药物等构成老年患者下呼吸道念珠菌感染的重要危险因素。结论该医院老年病房住院患者下呼吸道念珠菌感染率较高,影响因素复杂,应有重点地加强防控对策。

SURVEY AND RELATED FACTORS ANALYSIS ON CANDIDA INFECTION OF LOWER RESPIRATORY TRACT OF ELDERLY PATIENTS

Objective To know lower respiratory tract Candida infection and associated risk factors of elderly patients,provide basis for the effective control of senile patients with lower respiratory tract Candida infection.Methods Retrospective survey was used to survey and analyze the clinical data of elderly patients with lower respiratory tract infection with Candida and related factors.Results 482 specimen of elderly patients with lower respiratory trace were separated and cultured.316 strains of pathogens were detected out,which include 72 strains of Candida,the ratio was 22.8%.Among them Candida albicans infection were the most,which accounting for 68.8%.Senility,underlying disease,length of hospitaled,invasive operation and long-term use of antimicrobial drugs were important risk factors for elder patients with lower respiratory tract Candida infection.Conclusion The lower respiratory tract Candida infection of geriatric ward patients rates was high,and related factors was complex.We should strengthen the prevention and countermeasure.