Epidemiologic study on patients with invasive fungal infectious
10.3760/cma.j.issn.0254-6450.2009.010.015
- VernacularTitle:侵袭性真菌医院内感染的流行病学调查
- Author:
Wen-Li FENG
1
;
Jing YANG
;
Zhi-Qin XI
;
Yan-Qing WANG
;
Run-Mei ZHANG
;
Ying JI
;
Yuan WU
;
Xiao-Qiang JIA
Author Information
1. 山西医科大学附属第二医院
- Keywords:
Invasive fungal infections;
Pathogens;
Epidemiology
- From:
Chinese Journal of Epidemiology
2009;30(10):1043-1046
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the epidemiological features of patients with nosoeomial invasive fungal infection. Methods Fungi in blood were identified by BaeT ALERT 3D, other clinical samples were cultured by Sabouraud' s dextrose agar (SDA) medium. Candidas were isolated and identified by CHRO Magar candida color medium. Fungus-cultured positive cases from Jan. 2004 to Nov. 2007 were analyzed on items as patients' age, underlying disease, sample, strain, and species distribution. All statistical analyses were carried out by SPSS 13.0. Results The overall incidence rate of invasive fungal infections was 4.12%. The average age of patients was 7-96 with most patients were male, with geriatric problems and different kinds of underlying diseases. Lower respiratory tract infection was the most frequent infection site, followed by urinary tract, gastrointestinal tract. The main pathogens of invasive fungal infections were Candidas (93.80%). Strains of Candida albicans were the most frequent organisms which accounted for 67.29% of all the isolates. Mould fungus infections accounted for only 6.20%. During the 4 years of observation, the detection rate of fungi, specimen sources and the distribution of species and compartment were different with significant differences (P<0.0083). Conduslon The epidemiological properties such as the source of specimen, the distribution of species and composition sections of invasive fungal infections were changing. Candida slaP. were still the main pathogens of invasive fungal infections but the sections of fungi changed. The incidence of Aspergillus infections had been increasing recently.
