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我院院内深部真菌感染分析

Analysis of Nosocomial Deep Mycosis in Our Hospital

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【作者】 陈军欧剑锋温平康陈辉扬何绪平谢懿

【Author】 CHEN Jun,WEN Pingkang,CHEN Huiyang,HE Xuping,XIE Yi(Shenzhen Hospital of TCM,Shenzhen518033) OU Jianfeng(Guangzhou University of TCM,Guangzhou510407)

【机构】 深圳市中医院广州中医药大学深圳市中医院 深圳市518033广州市510407深圳市518033深圳市518033

【摘要】 目的 :预防和减少院内深部真菌感染。方法 :回顾性调查并分析我院2001年1月~2002年12月发生院内真菌感染患者的病历。结果 :院内真菌感染者43例 ,占同期院内感染的10 54 % ,好发于呼吸道 (34 88 % )、消化道 (30 23 % ) ,主要病原菌为白色念珠菌 (占77 78 % ) ;43例患者均有严重的基础疾病 ,均有大量应用广谱抗菌药物的用药史 ,部分患者应用过肾上腺皮质激素类药物。结论 :合理应用广谱抗菌药物及皮质激素类药物是预防深部真菌感染及改善预后的重要手段。

【Abstract】 OBJECTIVE:To prevent and reduce the occurrence of nosocomial deep mycosis.METHODS:The medical records of patients with nosocomial deep mycosis in the period from January2001to December2002in this hospital were retˉrospectively analysed.RESULTS:There were43patients with nosocomial deep mycosis,which accounted for10.54%of all nosocomial infections in the same period.The predilection sites were respiratory tract(34.88%)and digestive tract(30.23%). The main pathogen was Candida albicans(77.78%).All patients had serious underlying diseases and were treated with broad-spectrum antibiotics,and some of them had received adrenocortical steroids.CONCLUSION:Rational use of broad-spectrum antibiotics and adrenocortical steroids is the most important way to prevent deep mycosis and improve the prognosis.

【关键词】 院内感染真菌白色念珠菌
【Key words】 nosocomial infectionfungusCandida albicans
  • 【分类号】R181.3
  • 【被引频次】3
  • 【下载频次】26
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