摘要
目的探讨支气管哮喘(简称哮喘)继发医院肺部真菌感染的临床特征及危险因素。方法采用回顾性调查方法,分析48例哮喘医院肺部真菌感染患者的临床资料。结果328例哮喘患者继发医院肺部真菌感染48例,感染率占14.6%;临床表现无特异性;病原菌主要以白色念珠菌为主,占67.9%;主要危险因素有患者年龄、病情分度、侵入性操作、不合理使用抗生素以及应用糖皮质激素。结论避免盲目使用高效广谱抗生素及糖皮质激素、及时诊断和治疗是减少哮喘并发医院肺部真菌感染的关键。
OBJECTIVE To investigate the clinical feature and risk factors of hospital pulmonary fungal infection in patients with bronchial asthma. METHODS To adopt investigation way to review and analyze the clinical data of hospital pulmonary fungal infection in 48 cases from 328 asthma patients. RESULTS The infection rate was up to 14.6% ; the clinical manifestations were not specific; Candida albicans was ranked as the first pathogen; the main susceptible factors were age, asthma stage, invasive test and therapy, and unreasonable using antibiotics and corticosteroids. CONCLUSIONS The key to reduction of hospital pulmonary fungal infection after asthma is to avoid abuse of broad spectrum antibiotics and corticosteroids, and timely examine and treat the infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2005年第9期999-1000,共2页
Chinese Journal of Nosocomiology
关键词
支气管哮喘
肺部
真菌
医院感染
Bronchial asthma
Lungs
Fungi
Hospital infection
