大面积烧伤真菌感染的临床特点与防治

Characteristics and Management of Fungal Infection in Severely Burn Patients

目的 探索大面积烧伤真菌感染特点及防治对策。方法回顾性分析2001年1月～2004年月10月的51例大面积烧伤合并真菌感染的临床资料。结果大面积烧伤真菌感染率达23．72％；真菌以白色念珠菌为主，诱发因素有：烧伤严重程度、气管开放、体内置管、长期应用广谱抗生素等。结论大面积烧伤真菌感染的发生及感染真菌类型有自已的特点，应重视诱发因素，早期诊断和治疗。

OBJECTIVE To study the characteristics and management of fungal infection in severely burn patients. METHODS The clinical data of 51 severely burn patients with fungal infection in our department from 2000 to 2004 were analyzed. RESULTS The infection rate in total 213 severely burn patients was 23.72%. Candidiasis was the most frequent type in fungal infection accounting for 93. 98%. The risk factors for fungal infection were the severity of burn, tracheal intubations, body catheterizations, long-term use of broad-spectrum antibiotic and hospitalization. CONCLUSIONS Development and the types of fungi in severely burn patients with fungal infection have their own characterizations and inducing factors, it is important to eluminate the susceptible factors and provide early diagnosis and treatment.