呼吸科患者医院真菌感染分析

Analysis of nosocomial fungal infections in department of respiration

目的分析呼吸科住院患者发生医院真菌感染的特点,为临床制定控制医院真菌感染的措施提供依据。方法收集呼吸科2012年1-12月发生医院真菌感染的住院患者67例,分析其住院时间、基础疾病、季节分布、感染部位及真菌分布等特点;医院感染病例的诊断参照《医院感染诊断标准》。结果 67例医院真菌感染患者以>60岁老年患者为主占74.6%,冬季发生感染者居多占43.3%,基础疾病以肺炎为主占68.7%,感染部位包括下呼吸道感染和上呼吸道感染,分别占79.1%、20.9%;感染真菌以假丝酵母菌属为主,其中白色假丝酵母最多占79.1%。结论呼吸科应加强对冬季老年住院患者呼吸道真菌感染的预防和控制,减少医院感染的发生。

OBJECTIVE To analyze the features of nosocomial.fungal infections of inpatients in department of respiration, in order to provide basis for formulating control measures of nosocomial fungal infections. METHODS Totally 67 inpatients of nosocomial fungal infections in department of respiration in 2012 were collected, the hospi-talization duration, underlying diseases, season distribution, infection sites, and pathogenic fungi distribution were analyzed. The nosocomial infection cases were diagnosed according to the diagnosis criteria of nosocomial infections. RESULTS The infection mainly occurred in elder people with more than to years of age （74. 6%） in winter（43.3 %）, the main underlying disease was pneumonia（68.7%）,infection sites included 53 cases of lower respiratory tracts（79.1 %）and 14 cases of upper respiratory tracts （20.9 %）. Candida a lbicans was the predominant species of pathogens（79.1%）. CONCLUSION The prevention and control of fungal respiratory infection of elder inpatients in winter should he strengthened, in order to reduce the nosocomial infections.