晚期肿瘤患者合并感染的病原菌分布及相关因素分析  

Pathogen distribution and anti-infective therapy of coinfected patients with advanced cancer

作　　者：杜亦陶[1] 

机构地区：[1]北京协和医学院中国医学科学院肿瘤医院综合科,北京100021

出　　处：《中国肿瘤临床与康复》2013年第11期1288-1291,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨晚期肿瘤患者合并感染的病原菌分布及其相关因素。方法根据96例晚期肿瘤患者的病情及感染部位分别留取血、痰、分泌物、腹水和尿等标本进行培养,检测并鉴别致病菌。结果呼吸系统(71.9%)为最常见的感染部位,病原菌以革兰阴性菌(43.9%)为主,真菌占38.6%,革兰阳性菌占17.5%。结论晚期肿瘤患者感染概率较高,及时正确地留取标本、合理使用抗生素、加强营养支持、注意基础护理和消毒隔离等是预防和治疗感染的重要措施。Objective To study the distribution of pathogen and clinical control methods of coinfected patients with advanced cancer. Methods Based on the illness state and infection site, pathogenic microbes were examined by cuhure of blood, sputum, secretion, ascites and urine, respectively. Results Respiratory system（71.9% ） was the most common site of infection, pathogens Gram-negative bacteria （43.9%） mainly, fungi 38.6% ,Gram-positive bacteria accounted for 17. 5%. Conclusions The risk of infection is high in patients with advanced cancer. Timely examination of appropriate infected specimen, the rational use of anti-biotics, nutritional support, attention to primary care and disinfection isolation are important measures to prevent and treatment of infections.

关 键 词：晚期肿瘤 感染 病原菌 

分 类 号：R730.4[医药卫生—肿瘤]