肿瘤患者真菌感染分析  

Fungal infection among tumor patients

作　　者：景延婕[1] 赵玲华[1] 冯笑峰[1] 罗玲霞[1] 

机构地区：[1]山西省肿瘤医院感染管理科,山西太原030013

出　　处：《中华医院感染学杂志》2011年第17期3736-3738,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解肿瘤患者医院内真菌感染分布情况,为合理控制真菌感染提供依据。方法对2008年住院患者3320份送检标本中真菌检出株数进行统计分析。结果 3320份送检标本中共检出真菌639株,检出率为19.25%;其中检出白色假丝酵母菌347株,占54.30%,细菌合并真菌感染168株,占26.29%;外科、内科、放疗系统中,内科真菌检出数最多,达334株,占52.27%。结论肿瘤患者并发单纯真菌感染以白色假丝酵母菌为主,混合感染者亦应引起重视;临床应及时掌握肿瘤患者治疗过程中引起真菌感染病原菌的分布及耐药性,为合理控制真菌感染提供依据。OBJECTIVE To investigate the distribution of nosocomial fungal infection among patients with tumors and to provide evidence on the rational control of fungal infection.METHODS Three thousand three hundred and twenty specimens of patients with tumors were cultivated and the determination of fungal infection was then performed,and the results were statistically analyzed.RESULTS 639 fungi were detected from 3320 samples（19.25%）.Candida albicans were found in 347 samples,which accounted for 54.30% of total samples of fungal infection.Bacterial infection combined with fungal infection was found in 168 cases,accounting for 26.29% of total fungal infection.Among the system of internal medicine,surgery and radiotherapy,fungal infection were most commonly found in patients of internal medicine,in which 334 samples were found infected with fungi,accounting for 52.27% of total samples of fungal infection.CONCLUSION C.albicans is the most common fungus in tumor patients with single fungal infection.Importance should also be attached to mixed fungal infection.Distribution of pathogenic fungi and their resistance during the treatment should be mastered to provide evidence for rational control of fungal infection.

关 键 词：肿瘤患者 真菌感染 白色假丝酵母菌 

分 类 号：R379[医药卫生—病原生物学]