老年真菌性败血症16例临床分析

Clinical analysis of fungal septicemia in 16 seniel patients

目的探讨老年真菌性败血症的临床特点,可能的相关因素,病原菌分布及预后,为临床诊治提供参考。方法收集2006年1月-2010年12月干部病房16例真菌性败血症患者的临床资料进行回顾性分析。结果真菌性败血症占同期所有诊断败血症的15.09%;高龄、严重的基础疾病、长时间住院、应用广谱抗菌药物、留置静脉导管及体腔引流管等为可能相关因素;治愈率为68.75%。结论重视老年真菌性败血症的检测及尽早开始有效经验性抗真菌治疗,有利于改善患者的预后。

OBJECTIVE To investigate the clinical characteristics of fungal septicemia in seniel patients,the predisposing factors,distribution of the pathogens and the prognosis so as to provide reference for the clinical treatment.METHODS The clinical data of 16 seniel patients with fungal septicemia in cadre ward from Jan 2006 to Dec 2010 were retrospectively analyzed.RESULTS The patients with fungal septisemia accounted for 15.09% among the the patients who were diagnosed septicemia at the same period;the fungal septicemia were associated with the advanced age,severe underlying disease,prolonged hospitalization,application of broad-spectrum antibiotics,indwelling venous catheter and body cavity drainage tube;the cure rate was 68.75%.CONCLUSION To focus on the detection of fungal septicemia in the elderly patients and start the effective empirical antifungal therapy in a tiemly manner will help to improve the prognosis of the patients.