我院院内真菌感染调查分析

Investigation and Analysis of Hospital Onset of Infection of Fungus in Our Hospital

目的预防和减少院内真菌感染。方法查阅我院2002年10月～2004年9月发生院内真菌感染患者的病历并进行分析。结果在107例院内真菌感染者中,60a以上者占72%;好发于呼吸道(81.3%)、消化道(14.0%)、泌尿道(10.3%),主要病原菌为白色念珠菌(92.5%);感染者均有大量应用广谱抗菌药物史,部分患者应用过肾上腺皮质激素类药物。结论合理应用广谱抗菌药物及肾上腺皮质激素类药物是预防院内真菌感染的重要手段。

OBJECTIVE:To prevent and reduce the occurrence of hospital onset of infection of fungus in our hospi-tal.METHODS:The case history of patients with fungus infection in our hospital during the period from October2002to September2004were consulted and analyzed.RESULTS:Of the107patients with fungus infection in our hospital,72%of whom were above the age of60;the predilection sites were respiratory tract which accounted for81.3%,digestive which ac-counted for14.0%and urinary tract which accounted for10.3%;the main pathogenic bacteria were Candida albicans which accounted for92.5%of the total.All of the infected people were found to have used broad-spectrum antibiotics in a large quantity and some had used corticoid drugs.CONCLUSION:Rational drug use of broad-spectrum antibiotics and corticoid is an important means to prevent hospital onset of infection of fungus.