深部标本真菌检查结果回顾性分析  

作　　者：智慧林 夏修蛟[1] 刘泽虎[1] 钟燕[1] 桑波[1] 吕闻闻[1] 李秋萍 沈宏[1] 

机构地区：[1]杭州市第三人民医院,310009

出　　处：《浙江临床医学》2021年第1期70-72,共3页Zhejiang Clinical Medical Journal

摘　　要：目的了解近三年的深部标本真菌病原谱及流行性特征。方法收集2016年1月至2019年12月深部标本真菌检查2703例,从真菌阳性的标本类型、科室分布、菌种分布等方面进行回顾性分析。结果呼吸内科为院内深部标本真菌检查阳性最多的科室,其次为干部病房、心内科。直接镜检阳性标本904例(33.44%),真菌培养阳性标本1424例(52.68%);标本类型以痰标本占比最多,尿液、咽拭子和粪便次之;菌种分布以念珠菌属为主,其次为曲霉属,其中白念珠菌占比最高(70.44%),热带念珠菌(9.48%)和光滑念珠菌(7.23%)次之,烟曲霉占比5.27%。结论白念珠菌为深部真菌检查的主要病原菌,呼吸内科为深部真菌感染防治的重点科室,直接镜检在深部标本真菌检查中尤为重要。Objective To explore the pathogenic spectrum and epidemic characteristics of fiingal examination of deep specimens in our hospital from 2016 to 2019.Methods The fungal examination results of deep specimens were retrospective analyzed in our hospital from 2016 to 2019.Results Respiratory Department was the department with the most positive fiingal specimens of deep specimens in our hospital,followed by the Cadre ward and the Department of Cardiology.904(33.44%)were positive by direct microscopy and 1424(52.68%)were positive by fungal culture.Sputum specimens accounted for the most specimens,followed by urine,throat swabs and feces.The species distribution was mainly Candida,followed by Aspergillus.The highest proportion of Candida albicans(70.44%),followed by Candida tropicalis(9.48%)and Candida glabrata(7.23%),with Aspergillus fumigatus accounting for 5.27%.Conclusion Candida albicans is the main pathogen of deep fungal infections.Respiratory Department is the key department for the prevention and treatment of deep fungal infections.Direct microscopic examination is particularly important in the fungal examination of deep specimens.

关 键 词：深部标本 真菌 院内感染 病原谱 白念珠菌 回顾性分析 

分 类 号：R44[医药卫生—诊断学]