Nosocomial pulmonary fungal infection in respiratory patients: a clinical study

TANG Xiaokui; et al

doi:10.13406/j.cnki.cyxb.2005.04.035

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Nosocomial pulmonary fungal infection in respiratory patients: a clinical study

更新时间：2024-01-17

- Nosocomial pulmonary fungal infection in respiratory patients: a clinical study
- Journal of Chongqing Medical University Issue 4, Pages: 607-609(2005)
- 作者机构：
  
  1. 重庆医科大学第一附属医院肺科
  2. 重庆市第八人民医院内科
  3. 重庆医科大学第一附属医院肺科,重庆,400016
  4. ,重庆,400015
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.04.035
  CLC： R563.1
- Published：2005，
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[1]唐小葵,江程澄,吴亚梅.呼吸系统疾病患者院内肺部真菌感染的临床分析[J].重庆医科大学学报,2005(04):607-609.

TANG Xiaokui, et al. Nosocomial pulmonary fungal infection in respiratory patients: a clinical study. [J]. Journal of Chongqing Medical University (4):607-609(2005)
[1]唐小葵,江程澄,吴亚梅.呼吸系统疾病患者院内肺部真菌感染的临床分析[J].重庆医科大学学报,2005(04):607-609. DOI： 10.13406/j.cnki.cyxb.2005.04.035.

TANG Xiaokui, et al. Nosocomial pulmonary fungal infection in respiratory patients: a clinical study. [J]. Journal of Chongqing Medical University (4):607-609(2005) DOI： 10.13406/j.cnki.cyxb.2005.04.035.

摘要

目的:探讨呼吸系统疾病患者院内肺部真菌感染的易患因素

临床特征和治疗。方法:应用回顾性调查方法对86例院内肺部真菌感染的有呼吸系统基础疾病的患者进行分析。结果:在呼吸系统疾病患者中

院内肺部真菌感染发生率为1.7%

COPD是继发院内肺部真菌感染最常见的基础疾病

长期使用广谱抗生素

长期使用激素、低蛋白血症、机械通气、合并糖尿病是主要诱因。肺部真菌感染的临床表现无特异性

确诊需结合痰培养和临床情况来定

病原菌以白色念珠菌为主

氟康唑疗效好。结论:院内肺部真菌感染是呼吸系统疾病继发感染的重要原因

常因二重感染导致患者预后极差

应引起临床高度重视。

Abstract

Objective:To study the susceptible factors

clinical feature and treatment of nosocomial pulmonary fungal infection in respiratory patients.Methods:The clinical files of 86 patients with nosocomial pulmonary fungal infection admitted from Jan 2001 to Jun 2004 in Department of Pulmonary Medicine

the First Affiliated Hospital of Chongqing Medical University were reviewed.Results:incidence of nosocomial pulmonary fungal infection was 1.7%.COPD was the main predisposing disease

and Candidiasis was the most.The frequent susceptible factors associated with nosocomial pulmonary fungal infection included long-term use of broad-spectrum antibiotics

long-term use of adrenocortical steroid

hypoalbuminemia

mechanical ventilation

and diabetes mellitus.Clinical feature was non-specific.Fluconazole had better clinical effects on treatment.Conclusion:Nosocomial pulmonary fungal infection is an important cause of the secondary infection in respiratory disease.The clinical feature is non-specific.Clinicians should pay close attention to it.

关键词

肺院内感染真菌临床分析

Keywords

lungnosocomial infectionFungalclinical analysis

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Department of Pediatric Endocrinology，Genetics，and Metabolism，The Affiliated Women’s and Children’s Hospital，School of Medicine，University of Electronic Science and Technology of China · Chengdu Women’s and Children’s Central Hospital

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