念珠菌感染70例病原菌分类及耐药分析

    Classification of pathogenic fungi and drug resistentce for Candida infections: A ropert of 70 cases

    • 摘要: 目的:了解医院念珠菌感染的分布及对常用药物氟胞嘧啶、两性霉素B、氟康唑、伊曲康唑的耐药性,为临床治疗提供用药依据。方法:回顾性调查分析2005年7~12月发生医院感染念珠菌70例的临床资料。结果:念珠菌感染70例中,白色念珠菌占61.43%,光滑念珠菌占21.43%,热带念株菌占11.43%,克柔念株菌占5.71%。临床分离念珠菌对4种常用抗真菌药物耐药率依次为:氟胞嘧啶,两性霉素B,氟康唑,伊曲康唑。高危科室分别为呼吸病科、重症监护治疗病房、干部病房。基础病严重、侵入性操作以及抗生素使用不合理等,是造成医院感染的主要危险因素。结论:氟胞嘧啶、两性霉素B对念珠菌有极好的抗菌活性,加强对高危科室的管理可防止医院内感染的发生。

       

      Abstract: Objective: To study the hospital disposition of Candida infection and its drug resistance to frequently used antifungal agents so as to provide medication basis for clinical application.Methods: Seventy cases infected with Candida were analyzed retrospectively.Results: Of the 70 cases,Monilia albicans accounted for 61.43%,slick Monilia 21.43%,Candida tropicalis 11.43 and Candida Krusei 5.71%.The four frequently used antifungal agents which had drug resistence to Candida were,flucytosine,amphotericin,fluconazole and itracozole.The high risk divisions were lung department,ICU and Cadre ward.The risk factors included serious foundation disease,virulence operation and irrational use of antibiotics.Conclusions: Flucytosine and amphotericin are excellent antibacterial to Candida.It is essential to strengthen the management of high risk divisions so as to prevent hospital infection.

       

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