医院真菌感染高危因素调查分析

High Risk Factors in Nosocomial Fungal Infection: Investigation and Analysis

目的调查分析医院内真菌感染的高危因素,为控制真菌感染提供依据。方法 对本院2001-2003年医 院真菌感染例次进行回顾性统计分析。结果 3年内发生医院真菌感染222例,>60岁患者占82％,均有较严重 的基础病,感染部位主要为呼吸道,主要病原菌为白色念珠菌。结论合理使用抗生素,对老年、严重基础病、免 疫力低下患者积极治疗原发病的同时,及时了解医院内真菌感染发生情况,了解真菌感染的病原菌,积极采取治 疗和预防措施至关重要。

OBJECTIVE To analyze the high risk factors in nosocomial fungal infection and control nosocomial fungal infection. METHODS The patients with nosocomial infection occurred in Beijing Hospital between 2001 and 2003 were analyzed retrospectively. RESULTS A total of 222 cases of nosocomial fungal infection were found within these 3 years. The patients of 60 years old and over accounted for 82%, all of them had severe basic illness. The main infectious site was respiratory tract. The main etiological pathogen was Candida albicans. CONCLUSIONS Ti apply the of antibiotics reasonably, to find out the conditions about fungal infection in hospital when treating those older, severe cases and patients in lower immunity condition, and to investigate the etiological pathogen are very important for treating and preventing of fungal infection.