Abstract:
Objective:To investigate the pathogen distribution and drug resistance of
Candida bloodstream infection to provide the basis for clinical rational drug use.
Methods:The data of
Candida infection isolated from blood culture were retrospectively analyzed in the First Affiliated Hospital of Bengbu Medical College from 2010 to 2014.
Results:The 2 237 stains pathogenic bacteria were isolated from 19 245 blood culture specimens,which included 76 strains
Candida,and the detection rate was 3.4%.Among the 76 strains
Candida,the detect rates of
Candida albicans,
C.glabrata and
C.parapsilosis were 51.3%(39/76),18.4%(14/76) and 15.8% (12/76),respectively,and the patients mainly came from the ICU(14.5%,11/76),and the department of Hematology(11.8%,9/76).The 76 strains
Candida were the highest sensitivity to amphotericin B and flucytosine,the sensitive rate of which was 97.4%.The sensitivity rate of 76 strains
Candida to voriconazole,fluconazole and itraconazole were 96.1%m,90.8% and 88.2%,respectively.
Conclusions:The main pathogen of
Candida isolated from bloodstream infection was
Candida albicans.The sensitivities of
Candida to amphotericin B and flucytosine are the highest,and the sensitive rate of
Candida to fluconazole and itraconazole begin to decrease.