四川医学
四川醫學
사천의학
Sichuan Medical Journal
2015年
8期
1078-1080
,共3页
新生儿%真菌感染%耐药
新生兒%真菌感染%耐藥
신생인%진균감염%내약
infant%newborn%fungal infections%Antibiotic resistance
目的 探讨新生儿病房的真菌种类及耐药性. 方法 回顾性分析我院2008年10月至2014年6月新生儿病房真菌培养的阳性结果,并与同期儿科病房的阳性结果比较. 结果 新生儿病房共获得真菌34株,标本来源前四位分别是痰液21例(61. 8%),血液4例(11. 8%),脑脊液3例(8. 8%),气管导管3例(8. 8%);按菌种分前三位分别是白色假丝酵母菌23株(69. 70%),近平滑假丝酵母菌5株(15. 15%),光滑假丝酵母菌4株(12. 12%). 其他儿科病房培养阳性的真菌为143株. 标本来源前四位分别为痰液84例(58. 7%),血液/骨髓20例(14%),大便11例(7. 7%),脑脊液/无菌体液11例(7. 7%). 按菌种分前三位分别为白色假丝酵母菌76株(58. 91%),光滑假丝酵母菌21株(16. 28%),近平滑假丝酵母菌14株(10. 85%). 新生儿病房中最常见的白色假丝酵母菌对氟康唑耐药率较低. 结论 新生儿病房真菌感染第一位的是白色假丝酵母菌,对氟康唑耐药率较低.
目的 探討新生兒病房的真菌種類及耐藥性. 方法 迴顧性分析我院2008年10月至2014年6月新生兒病房真菌培養的暘性結果,併與同期兒科病房的暘性結果比較. 結果 新生兒病房共穫得真菌34株,標本來源前四位分彆是痰液21例(61. 8%),血液4例(11. 8%),腦脊液3例(8. 8%),氣管導管3例(8. 8%);按菌種分前三位分彆是白色假絲酵母菌23株(69. 70%),近平滑假絲酵母菌5株(15. 15%),光滑假絲酵母菌4株(12. 12%). 其他兒科病房培養暘性的真菌為143株. 標本來源前四位分彆為痰液84例(58. 7%),血液/骨髓20例(14%),大便11例(7. 7%),腦脊液/無菌體液11例(7. 7%). 按菌種分前三位分彆為白色假絲酵母菌76株(58. 91%),光滑假絲酵母菌21株(16. 28%),近平滑假絲酵母菌14株(10. 85%). 新生兒病房中最常見的白色假絲酵母菌對氟康唑耐藥率較低. 結論 新生兒病房真菌感染第一位的是白色假絲酵母菌,對氟康唑耐藥率較低.
목적 탐토신생인병방적진균충류급내약성. 방법 회고성분석아원2008년10월지2014년6월신생인병방진균배양적양성결과,병여동기인과병방적양성결과비교. 결과 신생인병방공획득진균34주,표본래원전사위분별시담액21례(61. 8%),혈액4례(11. 8%),뇌척액3례(8. 8%),기관도관3례(8. 8%);안균충분전삼위분별시백색가사효모균23주(69. 70%),근평활가사효모균5주(15. 15%),광활가사효모균4주(12. 12%). 기타인과병방배양양성적진균위143주. 표본래원전사위분별위담액84례(58. 7%),혈액/골수20례(14%),대편11례(7. 7%),뇌척액/무균체액11례(7. 7%). 안균충분전삼위분별위백색가사효모균76주(58. 91%),광활가사효모균21주(16. 28%),근평활가사효모균14주(10. 85%). 신생인병방중최상견적백색가사효모균대불강서내약솔교저. 결론 신생인병방진균감염제일위적시백색가사효모균,대불강서내약솔교저.
Objective To investigate the fungal species and antibiotics resistance in neonatal ward. Methods A retro-spective analysis of the positive fungal culture results was made in the neonatal ward of West China Second University Hospital from October 2008 to June 2014, and the results were compared with the other pediatric wards. Results There were 34 strains of fungi in neonatal ward, the most common specimen source was sputum (21 cases, 61. 8%), next was blood (4 cases, 11. 8%), cere-brospinal fluid (3 cases, 8. 8%), and tracheal catheter tip (3 cases, 8. 8%), respectively. The most common species was Candi-da albicans (23 strains, 69. 70%), next was Asandida parapsilosis (5 strains, 15. 15%), and Candida glabrata (4 strains, 12. 12%), respectively. Other pediatric wards had 143 strains of fungai, the most common specimen sourcewas sputum (84 ca-ses, 58. 7%), next was blood or bone marrow (20 cases, 14%), the stool (11 cases, 7. 7%), and CSF or sterile body fluid (11 cases, 7. 7%), respectively. The most common species was Candida albicans (76 strains,58. 91%), secondly was Candida glabrata (21 strains,16. 28%), and Candida parapsilosis (14 strains, 10. 85%), respectively. In neonatal ward, the most com-mon species was Candida albicans, and the total rate of susceptible to fluconazolewas excellent. Conclusion The most common neonatal fungal infection is Candida albicans, and the fluconazole resistance rate is low.
