| 55例真菌性败血症临床分析 |
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| 引用本文： | 肖秀红,徐凤琴,陈伯宁,陈丽容.55例真菌性败血症临床分析[J].中华医院感染学杂志,2011,21(13):2715-2716. |
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| 作者姓名： | 肖秀红 徐凤琴 陈伯宁 陈丽容 |
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| 作者单位： | 中山大学孙逸仙纪念医院医院感染管理办公室,广东,广州,510120 |
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| 摘 要： | 目的探讨真菌性败血症的发生特点、病原菌种类及防治策略。方法回顾性分析55例真菌性败血症患者的易感因素、病原学特点及治疗效果。结果 49例为医院感染,占89.09%,6例为社区获得性感染占10.91%,均有严重的基础疾病,主要致病菌为假丝酵母菌属占80.00%;32例好转,占58.18%,23例死亡或放弃治疗出院,占41.81%,应用广谱抗菌药物占85.45%,实施侵入性治疗占54.55%,化疗占36.36%,使用激素占29.09%,全胃肠外营养占25.45%,以上均是发生真菌性败血症的危险因素。结论对高危患者应重视病原学检测,尽可能早期诊断、祛除易感因素、合理选用抗真菌药物有助于降低病死率。
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| 关 键 词： | 真菌性败血症 早期诊断 治疗策略 |
Clinical analysis of 55 patients with fungal septicemia |
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| XIAO Xiu-hong,XU Feng-qin,CHEN Bo-ning,CHEN Li-rong.Clinical analysis of 55 patients with fungal septicemia[J].Chinese Journal of Nosocomiology,2011,21(13):2715-2716. |
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| Authors: | XIAO Xiu-hong XU Feng-qin CHEN Bo-ning CHEN Li-rong |
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| Institution: | XIAO Xiu-hong,XU Feng-qin,CHEN Bo-ning,CHEN Li-rong(Sun Yat-Sen Memorial Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510120,China) |
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| Abstract: | OBJECTIVE To study the clinical characteristics,fungal species,therapy and prevention of fungal septicemia.METHODS A retrospective analysis of predisposing factors,distribution of fungi,treatment and outcome of 55 patients with fungal septicemia was performed.RESULTS Except 6 patients with fungemia occurred outside hospital,other 49 cases(89.09%)were criterial for nosocomial fungemia.All patients had severe diseases and 49 nosocomial fungemia cases had various risk factors of fungemia.Candida species were t... |
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| Keywords: | Fungal septicemia Early diagnosis Therapy strategy |
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