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目的对医院真菌感染的危险因素,进行分析。方法对2004年1月～2008年12月,各科上报医院感染管理科的医院感染病例危险因素进行回顾性统计分析。结果有46例真菌感染,感染部位以泌尿道感染为主;科室分布以内科为主;性别以男性为主;年龄以>60岁居多;住院天数>20d占78.3%;感染发生日在住院10d以后发生占58.7%;抗菌药物种类:全部均有使用抗菌药物,使用>2种的有32例;治愈率只有47.8%,死亡率8.7%;接受侵入性操作的有40例占87.0%;基础疾病以神经内、外科疾病为主,占22例;有逐年增多的趋势。结论医院真菌感染的危险因素是老年、住院时间长、侵入性操作多、抗菌药物使用种类多等有关。
Objective To analyze the risk factors of hospital fungal infection. Methods From January 2004 to December 2008, retrospective statistical analysis was conducted on the risk factors of nosocomial infections in all departments reported to the Hospital Infection Control Section. Results There were 46 cases of fungal infections and urinary tract infections. The department was mainly internalized by medicine. The main male was male. The age was> 60 years old. The days of hospitalization were> 20 days, accounting for 78.3%. On the day of infection, Accounting for 58.7% of the cases. Antibacterials: all used antimicrobials, 32 were used> 2, the cure rate was only 47.8%, and the mortality rate was 8.7%. Forty cases (87.0%) underwent invasive procedures. The basis Diseases mainly in neurological and surgical diseases, accounting for 22 cases; there is a trend of increasing year by year. Conclusions The risk factors of hospital fungal infection are elderly, long hospital stay, many invasive procedures and many kinds of antibacterials.