ICU医院内深部真菌感染临床分析

目的研究ICU深部真菌感染的临床及病原学特点。方法收集129例ICU深部真菌患者的血、痰、粪便、尿、腹腔引流液培养结果及其临床资料。结果129例ICU深部真菌患者中共分离出152株真菌，以白色念珠菌及热带念珠菌为主，其中白色念珠菌占55．92％，热带念珠菌占21．71％。感染部位以尿路感染最常见，占50．66％，其次为呼吸道感染，占29．61％。结论ICU深部真菌感染菌种和部位有自己的特点，并且有一定的诱发因素，应予以高度重视。

Clinical analysis of hospital systemic fungal infection in ICU

Objective To investigate clinic status,feature of pathogens of systemic fungal infection in ICU. Method Cultivation results of blood, sputum, dejecta, uria, abdominal draining juice and clinic data were collected from 129 systemic fungal infection patients. Results 152 strains of fungus were abstracted from 129 systemic fungal infection patients. The major pathogens were Blastomyces albicans and Candida tropicalis. Blastomyces albicans counted 55.92% and Candida tropicalis counted 21.71%. The urinary tract was found to be the most common infective location , which counted 50. 66%. Secondary infective location was the respiratory tract, which counted 29.61%. Conclusions The strain and location of systemic fungal infection in ICU were different, there was determinate causative factor. It is desirable to attach a necessary importance.