呼吸科患者医院真菌感染临床特征与控制研究

发布时间：2018-05-05 18:32

  本文选题：呼吸系统 + 真菌感染　； 参考：《中华医院感染学杂志》2015年04期

【摘要】：目的探讨呼吸科患者医院真菌感染的临床特征及预防治疗措施,以降低真菌感染率。方法选择2012年3月-2014年3月260例呼吸科患者为研究对象,分析真菌感染患者的临床资料及实验室检查结果,并对感染患者真菌分布、基础疾病及感染相关因素进行统计分析。结果 260例呼吸科患者发生真菌感染30例,感染率为11.5%,其中单一感染14例占46.7%,≥2种感染16例占53.3%;共检出真菌46株,以白色假丝酵母菌、克柔假丝酵母菌、热带假丝酵母菌为主,分别占39.2%、21.8%、19.6%;真菌感染患者基础疾病以呼吸系统及慢性阻塞性肺疾病为主,分别占83.3%、66.7%;患者年龄大、基础疾病≥2种、接受过化疗、ICU住院时间≥15d、危重症评分≥15分、联合使用抗菌药物、营养状况不良等与真菌感染的发生相关,差异有统计学意义(P0.05)。结论呼吸科患者医院真菌感染率高,病原菌以白色假丝酵母菌多见,基础疾病以慢性阻塞性肺病为主,应尽早采取有针对性地预防与控制措施。
[Abstract]:Objective to investigate the clinical features and preventive measures of nosocomial fungal infection in respiratory department patients, so as to reduce the fungal infection rate. Methods 260 respiratory patients from March 2012 to March 2014 were selected to analyze the clinical data and laboratory results of fungal infection. The distribution of fungi, the underlying diseases and the related factors of infection were statistically analyzed. Results there were 30 cases of fungal infection in 260 cases of respiratory department, the infection rate was 11.55.Among them, 14 cases were single infection (46.7%), 16 cases were 鈮，

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