社区获得性侵袭性霉菌感染危险因素分析

Risk factors analysis of community acquired invasive fungal infection

目的分析社区获得性侵袭性霉菌感染的危险因素,提高临床工作者对该病认识,合理抗真菌治疗,提高社区获得性侵袭性霉菌感染患者的抢救成功率。方法回顾性分析2008年1月—2012年11月我院重症医学科收治的社区获得性侵袭性霉菌感染患者的临床特点及危险因素。结果 2008年1月—2012年11月我科收治的社区获得性侵袭性霉菌感染患者共7例,均可发现导致真菌感染的相关危险因数。结论社区获得性侵袭性霉菌感染发生与季节因素有关,并且目前认识率低,误诊率高,病死率高,预后差。及时诊断、及时抗真菌治疗可提高患者生存率。

Objective To analysis the risk factors of community acquired invasive fungal infection, in order to improve clinical workers＇ understanding rate, use rationally antifungal drug, and improve salvage rate in patients with community ac- quired invasive fungal infection. Methods A clinical retrospective analysis was carried out to investigate the eases of clinical features and risk factors with community acquired invasive fungal infection from January 2008 to November 2012. Results 7 cases of Community acquired invasive fungal infection were collected in our department from January 2008 to November 2012 which were found with relevant risk factors which increased the chance of fungal infection. Condusion Community acquired invasive fungal infection is related to the season, now the understanding rate was low, the misdiagnostic rate and mortality rate were high, prognosis was poor, so timely diagnosis, timely antifungal treatment could improve patients＇ survival.