摘要
目的探讨院内真菌感染情况及预防措施，控制院内真菌感染的发生。方法查阅2002年1月-2004年12月近3年临床资料，以医院感染诊断标准为依据，从患者年龄、疾病种类、标本、菌种分布、科室及预防措施进行分析研究，数据用WHONET5软件统计。结果共检出深部真菌360株。年龄分布在14-94岁之间；疾病分布于20种疾病，以呼吸道疾病为主，占30．3％；标本来源9种，以痰液、尿液、阴道分泌物、肺胞灌洗液、咽拭子、脓液为主，分别为42．2％、21．1％、13．9％、8．4％、5．8％、3．6％；菌种分布于15种菌，以白色念珠菌、热带念珠菌为主，分别占61．1％、17．2％；科室分布以呼吸内科、ICU、泌尿外科为主。结论预防深部真菌感染应抓好对医院环境、病室患者、医护人员的管理，合理使用抗生素；开展深部真菌感染调查，探讨预防措施。
OBJECTIVE To investigate deep fungal hospital infection and methods of its decreasing. METHODS Case histories of near 3 years of hospitalized patients from Jan 2002 to Dec 2004 were analyzed according to Diagnosis Standard of Nosocomical Infection under the items, such as the patients, age, underlying disease, sample, strain, and species distribution. RESULTS There were 360 fungus strains belonged to 15 species in all samples; the patients age was 14-94 with 20 kinds of various underlying diseases; the fungi included Candida albicans,and C. tropicalis, accounted for 61.1% and 17.2%, respectively; the samples were sputum, urine, vaginal secretion,BLA, throat swab and pus, which were 42. 2%, 21.1%, 13.9%, 8. 4%, 5.8%, and 3. 6%, respectively; the respiratory department, ICU, and urology department were mainly involved. CONCLUSIONS To prevent fungal infection, measures such as hospital＇s environment and management including reasonable use of antibiotics play a great role in monitoring hospital fungal infection and its epidemiology.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2006年第2期146-148,共3页
Chinese Journal of Nosocomiology
关键词
深部真菌
医院感染
调查
预防
Deep fungi
Hospital infection
Investigation
Prevention
