住院患者粪便标本中念珠菌检测分析

目的分析粪便中检出念珠菌孢子或假菌丝的临床意义。方法检测白求恩国际和平医院2008年4月住院患者送检的粪便标本，用科玛嘉显色培养基鉴定念珠菌菌种，并记录患者粪便常规及临床资料。结果其间共检测1011份粪便，有86份（8．51％）有真菌生长；其中念珠菌阳性76份（7．52％）。60岁以上老年人阳性者33份（占43．42％）。基础疾病以肿瘤，心、脑血管疾病三者为著（占31．58％）。有21例患者（27．63％）粪便性状有异常，以糊状便为主。结论粪便中检出芽生孢子和（或）假菌丝对诊断念珠菌性胃肠道感染有重要价值，尤其要关注抗生素应用患者。

Analysis of candida isolated from feces specimens of inpatients

Objective To analyze candida in feces of inpatients.Methods Candida strains isolated from feces specimens of inpatients in Bethune International Peace Hospital from April 1 to 30,2008,were identified by the CHROMagar medium. The clinical data of inpatients was collected.Results In the study period,1 011 specimens of feces were sent for detection, and 86 (8.51%) were positive for fungi, 76(7.52%) positive for Candida.The positive proportion of blastospore and /or pseudohypha in abnormal shape feces was higher than in normal shape feces (P<0.01).Conclusions Blastospore and/or pseudohypha in feces specimens are important clues for diagnosis of gastrointestinal candida infection.