The clinical analysis of patients aged ≥ 80 years with hospital infection of mycotic pneumonia
10.3760/cma.j.issn.0254-9026.2012.09.008
- VernacularTitle:80岁及以上老年患者医院感染真菌性肺炎的临床分析
- Author:
Chun ZHOU
;
Yuquan WU
;
Jinpeng ZHANG
;
Yun ZHENG
;
Xiaojun LU
- Publication Type:Journal Article
- Keywords:
Cross infection;
Fungi;
Pneumonia
- From:
Chinese Journal of Geriatrics
2012;31(9):771-773
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics of hospital acquired mycotic pneumonia in elderly patients (aged≥ 80 years).Methods The clinical data were reviewed on 64 cases of elderly patients aged 80-93 years with hospital-acquired infection of mycotic pneumonia from June 2007 to July 2011.According to the results of sputum culture,therapy plan was made and antibiotic drugs were selected.Results Among these 64 patients,Candida mycoderma (62.5 ％,40 cases) occupied the first place and C.glabrata (20.3％,13 cases) was the second place (x2 =127.50,P＜0.01).Their chest x-ray or CT films were not characteristic,but lamellar shadows (68.8％,44cases) and cotton-like shadows (40.6 ％,26 cases) were found in the majority.60 cases (93.8 ％ ) of these patients had more than 3 complications,and 58 cases (90.6％) of them took over 2 kinds of antibiotics.The improvement rate of these patients was 81.3％ (52 cases)and mortality rate was 18.8％(12 cases).Conclusions Elderly patients (aged≥ 80 years) with hospital acquired infection of mycotic pneumonia have high incidence and mortality rate.The key point to cure is to make an early diagnosis and treat them as early as possible.
