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目的 调查真菌感染发病原因 ,控制真菌感染的发生。方法 从 2 0 0 2年 10月 1日至 2 0 0 2年 5月 31日对我院外科老年住院患者真菌感染进行目标监控 ,建立调查表格并总结分析。结果 监测期间共发生 38例医院真菌感染 ,其中肠道真菌感染 35例 ,均使用过广谱抗菌药物 ,肠道真菌感染者中 85 71% (30 /35 )的病例使用过头孢三嗪。结论 广谱抗生素的大量应用 ,是导致医院内真菌感染的主要原因 ,而及时停用相关的抗菌药物和使用氟康唑抗真菌治疗 ,能短期内控制肠道真菌感染。
Objective To investigate the causes of fungal infection and control the occurrence of fungal infection. Methods From October 1, 2002 to May 31, 2002, the objective surveillance of fungal infections in hospitalized senile inpatients was established. The questionnaire was established and analyzed. Results A total of 38 cases of nosocomial fungal infections were observed during the surveillance period, of which 35 cases were intestinal fungal infections. All of them used broad-spectrum antimicrobial agents. Ceftriaxone was used in 85 71% (30 of 35 cases) of intestinal fungal infections. Conclusion The extensive use of broad-spectrum antibiotics is the main cause of fungal infections in the hospital. Timely discontinuation of antimicrobial agents and anti-fungal treatment with fluconazole can control intestinal fungal infections in a short period of time.