肺结核合并院内下呼吸道真菌感染58例分析  

ANALYSIS ON PULMONARY TUBERCULOSIS COMBINED NOSOCOMIAL FUNGUS INFECTION OF LOWER RESPIRATORY DUCTS OF 58 CASES.

作　　者：孔德萍[1] 沈丽[1] 娄乐山[1] 陈琼[1] 

机构地区：[1]重庆市肺科医院,400020

出　　处：《现代预防医学》2002年第2期254-255,共2页Modern Preventive Medicine

摘　　要：目的 :探讨肺结核合并院内下呼吸道真菌感染的相关因素、临床特征和防治对策。方法 :对本院 5 8例肺结核合并院内下呼吸道真菌感染病例的临床资料及相关资料进行分析。结果 :住院时间长、老年、口腔卫生差、营养不良、院内使用抗生素等与合并院内下呼吸道真菌感染有关。感染真菌多为白色念球菌 ,占 77.7%。主要表现为咳嗽、咯痰的加重 ,占91.4%。结论 :在正规抗痨和加强支持下 ,强调护理 ,尤口腔护理 ,严禁滥用抗生素 ,严格无菌操作及消毒隔离 。Objective:To explore related risk factors,clinical characteristic and control strategies of pulmonary tuberculosis combined with nosocomial fungus infections of lower respiratory ducts.Methods:Clinical data and related data of 58 cases of pulmonary tuberculosis combined with nosocomial fungus infections of lower respiratory ducts were analyzed.Results:Long time hospitalizations,old patients,oral hygiene,malnutrition,antibiotics using,et al,related to pulmonary tuberculosis combined with nosocomial fungus infections of lower respiratory ducts.Candida albicans is the main fungus infected,accounting for 77.7%;the major cases appear heavy coughing and expectorating,accounting for 91.4%.Conclusion:Under normal treatment with anti-tuberculosis drugs and supporting,nursing,especially oral nursing,prohibiting abusing antibiotics,germfree operating and sterilizing isolation,may reduce nosocomial fungus infections.

关 键 词：肺结核 医院内感染 真菌 下呼吸道真菌感染 

分 类 号：R521.01[医药卫生—内科学] R519[医药卫生—临床医学]