摘要
目的对临床分离的475株酵母样真菌进行鉴定,调查与患者免疫状态及抗生素使用的关系。方法沙保弱培养基分离真菌,用VITEKAMS60做菌种鉴定并分类,应用免疫比浊法测定免疫球蛋白。结果475株酵母样真菌分为21种,包括念珠菌属11种,酵母菌属5种,孢子菌属2种,隐球菌属3种。结论临床酵母样真菌近年鉴定更趋完善。患者免疫功能低下。
ObjectiveToinvestigate475strainsoffungifromclinicalsamplesandsomeassociatedfactorssuchaspatients'immunalstateandusageofantibiotics,etc.MethodFungiwereculturedbysabowrandmediumandidentifiedonVITEKAMS60.Immunoglobulin(Ig)wasdetectedbyimmunotur┐bidimetry.ResultsTwentyonekindsoffungiwereisolatedfrom475samples.17patients(70.96%)haveinfectionoffungiinmultipleareas.Igvaluewasolwerthannormalatleastinoneitem.ConclusionsClinicalfungihavebeenidentified.Theassociatedforhighfunhgiisolationrateincludeimmuno-comkpromisedstate,applicationofimmunoinhibitoryagents,andlongtimeuseofmultipleantibiotics.