重症监护病房58例深部真菌感染回顾性分析

Clinical Analysis of 58 Cases of Systemic Fungal Infection in Intensive Care Unit

目的 调查重症监护病房(ICU)患者深部真菌感染的临床资料,旨在引起临床医生对真菌感染的高度重视。方法 对我院2 0 0 2年5月～2 0 0 4年1 0月58例ICU患者深部真菌感染的临床资料进行分析。结果 深部真菌感染多好发于呼吸道(72 .41 % ) ,泌尿道(1 7.2 4 % ) ,消化道(3 .45 % ) ,腹腔感染(3 .45% )等部位。菌种以白色念珠菌最多(72 .41 % )。结论 ICU患者深部真菌感染的发病率较高,减少或避免可能导致真菌感染的各种危险因素,并采取有效的防治措施刻不容缓。

Objective To investigate clinic status,distribution of pathogens,risk factors of 58 cases of systemic fungal infections in intensive care unit,and arouse doctors to pay attention to the field of fungus infections.Methods 58 in-patients in intensive care unit who were diagnosised as systemic fungal infection(2002.5---2004.10) were analysized. Results Out of cases, 48(82.75%) were cured,5(8.62%)were no response,5(8.62%)were died. The respiratory tract(72.41%),urinary tract(17.24%), digestive tract(3.45%) and abdominal cavity(3.45%) were the common organs infected; the most common fungal isolates is candida albicans (72.41%).Conclusion The incidence of systemic fungal infection in intensive care unit was high. So it is time to reduce and avoid the risk factors and to take some effective control means.