念珠菌血症34例临床分析  

Clinical analysis of 34 cases of candidemia

作　　者：熊旭东[1] 谢芳[1] 严慧萍[1] 王倩[1] 彭文波[1] 

机构地区：[1]上海曙光医院感染科综合ICU,上海200021

出　　处：《中国实用内科杂志》2007年第19期1567-1568,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的探讨念珠菌血症的临床表现及微生物学特征。方法对2003年1月至2006年12月上海曙光医院收治的34例念珠菌血症患者临床资料进行回顾性分析。结果34例念珠菌血症患者中白色念珠菌12例,非白色念珠菌22例,非白色念珠菌感染者占念珠菌属感染者的64.71%。念珠菌血症发热和寒战比例分别达到100%和70.59%。结论临床如有真菌感染的高危因素,一旦出现发热、寒战、抗生素治疗无效时,应考虑念珠菌血症的可能。Objective To search for clinical appearance and fungal resistance of candidemia in ICU. Methods Thirty-four cases of candidemia in ICU during 2003and 2006 were analyzed retrospectively. Results Twelve of 34 cases of candidemia were C. albicans,and 22 of 34 cases were non-C, albicans,which were 64. 71% in candida monilia. Fever and chill of candidemia were 100% and 70. 59% differently. Conclusion If there is high risk factor of fungous infection in clinic, at the same time fever and chill appear, and antibiotics treat is inefficacy not effective, it is possible to consider candidemia.

关 键 词：念珠菌病 临床表现 耐药 

分 类 号：R5[医药卫生—内科学]