CAJ | 학술논문

目的：对我院急诊科重症监护室（eicU）重症患者侵袭性真菌感染（ifi）的危险因素进行相关分析。方法采用回顾性调查的方法对我院急诊科 icU 2012年5月至2013年6月收治的450例患者进行逐一调查。结果急诊科 icU 患者侵袭性真菌感染率为24％；感染部位以呼吸道（下呼吸道）最多，其次为尿道、腹腔、血液等；基础疾病多以原发性呼吸系统疾病、急性脑血管病变、及高龄等患者多见。结论加强对真菌易感患者高危疾病的监控，对ifi患者早期诊断，早期治疗，减少不合理的经验性治疗，从而降低真菌耐药的危险性及医药费用。
목적：대아원급진과중증감호실（eicU）중증환자침습성진균감염（ifi）적위험인소진행상관분석。방법채용회고성조사적방법대아원급진과 icU 2012년5월지2013년6월수치적450례환자진행축일조사。결과급진과 icU 환자침습성진균감염솔위24％；감염부위이호흡도（하호흡도）최다，기차위뇨도、복강、혈액등；기출질병다이원발성호흡계통질병、급성뇌혈관병변、급고령등환자다견。결론가강대진균역감환자고위질병적감공，대ifi환자조기진단，조기치료，감소불합리적경험성치료，종이강저진균내약적위험성급의약비용。
Objective To analyze the correlation of risk factors for invasive fungal infection in EICU patients. Methods By using the method of retrospective survey of 450 cases patients who were in 2012 May ---2013 year June in ICU of our hospital . Results Department of internal medicine, ICU patients with invasive fungal infection rate was 24%; Infection sites were respiratory tract (respiratory) up, secondly, abdominal cavity, blood of urethra, The basis of the disease in primary disease was respiratory system, acute cerebral vascular disease, and the elderly patients. Conclusions to strengthen the monitoring of fungal susceptibility in patients with high-risk disease,for early diagnosis, early treatment of patients with IFI, reduce the empirical treatment of unreasonable, thereby reducing the risk and medical expenses of fungal resistance.