老年人下呼吸道真菌感染痰培养分析

【摘要】 目的探讨老年人下呼吸道真菌感染的痰培养,真菌感染菌种分布及主要相关因素,为早期诊治提供依据。方法回顾性分析我院2005年1月～2009年12月收治的下呼吸道院内真菌感染66例,对其临床资料、病原体分布分析。结果 66例患者念珠菌感染率90.90%,其中白色念珠菌46.96%,光滑念珠菌16.66%,克柔念珠菌12.12%,热带念珠菌9.09%;其次烟曲霉菌感染率4.54%。结论早预防、早诊断、早治疗是控制老年下呼吸道真菌感染的关键。因此对于老年患者,一旦拟诊下呼吸道真菌感染存在,就应采取早期经验性抗真菌治疗。更多还原

【Abstract】 Objective To investigate the phlegm cultivate of old folks.Distributing of fungal infection.Methods The clinical materials of 66 patients infected with candida from January 2005 to December 2009 were retrospectively analyzed about the etiological factor,diagnosis and treatment.Results Sixty strains of candida were cultivated from in 66 patients.The infection rate of candida albicans was as high as 46.96%,the infection of glabrata and krese covered a percentage of 16.66%and 12.12%,tropicalis 9.09%.The aspergillus fumigatus was 4.54%.Conclusions In order to get a satisfactory rapeutic effect,early precaution,early diagnosis,early treatment,is important.So select the suitable antifungal agent should been done for the patients may be accompany with fungal infection of lower respiratory tract.更多还原