50例老年患者院内真菌感染临床分析  

Clinical Analysis of Nosocomial Fungal Infections in 50 Cases of Elderly Patients

作　　者：石晓燕[1] 

机构地区：[1]安徽省黄山市人民医院老年病科,245000

出　　处：《中华全科医学》2009年第9期952-953,共2页Chinese Journal of General Practice

摘　　要：目的分析老年患者院内真菌感染易感因素及现状。方法回顾性分析黄山市人民医院2008年1月-12月间住院的50例继发院内真菌感染老年患者的临床资料。结果50例老年患者院内真菌感染中共分离出60株真菌,其中白色念珠菌株占65.00%,热带念珠菌株占23.34%;感染分布在全院7个科室,其中ICU50%(25/50)、神经内科20%(10/50)、心内科12%(6/50)、肿瘤科6%(3/50)、干部病房4%(2/50)、脑外科4%(2/50)、普外科4%(2/50);感染部位以泌尿道为主占36%,其次为呼吸道占30%。结论老年患者院内真菌感染与年龄、严重基础疾病、高效广谱抗菌素使用、侵入性操作及免疫抑制剂应用因素相关,尤其应重视ICU内真菌感染的预防。Objective To analyze susceptible factors and status of nosocomial fungal infections in elderly patients. Methods Retrospective analysis of the court in January 2008 to 12 months of hospitalization in 50 cases of nosocomial fungal infections in elderly patients with clinical data. Results 50 cases of nosocomial fungal infections in elderly patients with isolated CPC 60 fungi, including Candida albicans accounted for 65% of strains, strains of Candida tropicalis accounted for 23.34%, infection in the hospital in seven sections, of which ICU 50% （25/50）, Department of Neurology,20% （ 10/50）, heart medicine and 12% （6/ 50）, oncology 6% （3/50） , cadres wards 4% （ 2/50 ）, brain surgery 4% （ 2/50 ）, general surgery 4% （ 2/50 ） , site of infection to the urinary tract mainly accounted for 36%, followed by respiratory tract accounted for 30%. Conclusion Elderly patients with nosocomial fungal infection and age, serious underlying diseases, efficient use of broad-spectrum antibiotics, invasive procedures and the application of the factors related to immunosuppressive agents, particularly in ICU should attach importance to the prevention of fungal infection.

关 键 词：老年 真菌 院内感染 

分 类 号：R519[医药卫生—内科学]