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頁籤選單縮合
題 名 | 院內黴菌血流感染之調查=Nosocomial Fungemia in a Medical Center in Northern Taiwan |
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作 者 | 沈淑惠; 張藏能; 黃建賢; 李淑華; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:6 2001.12[民90.12] |
頁 次 | 頁355-364 |
分類號 | 419.38 |
關鍵詞 | 黴菌血流感染; 院內感染; 死亡率; 疾病嚴重度; Fungemia; Nosocomial infection; Mortality; |
語 文 | 中文(Chinese) |
中文摘要 | 某醫學中心在1997至1999年三年間共有70位病患發生70次院內黴菌血流感染,平均院內黴菌感染及院內黴菌血流感染率為4.5及0.72每千人出院人數;黴菌佔院內血流感流致庚菌的7%。院內黴菌血流感染每千人出院人數之發生率從1993年的0.23,增加至1999年之1.03。70個個案中有37位死亡,死亡率為52.9%,而其中有24位直接與血流感染有相關,佔64.9%。此調查採回溯性分析,並針對個案之潛在病恩(underlying disease)、感染相關危險因子、感染前抗生素使用、抗黴菌藥物使用及死亡率等加以探討,院內血流感染最常分離出來的菌種為Candida albicans (58.6),Candida tropicalis (21.4%),Candida glabrata(10.0%)。共有44個個安接受抗黴菌劑治療,而其死亡率仍高達45.5%。分析危險因子與死亡率之相關性,只有年齡大於65歲、發病時出現敗血性休克現象、疾病嚴重度(APACHE II score)指數?20者及多重菌種血流感染具統計上意義(p<0.05),但 進一步做邏輯迴歸分析,發現只有疾病嚴重度(APACHE II score)指數?20及發病時出現敗血性休克現象者具統計上之意義。故逐漸增加之黴菌感染值得臨床醫護人員注意,院內黴菌血流感染死亡之主要原因應是潛在之疾病嚴重度及發病時出現敗血性休克現象,但儘早發現,在未出現敗血性休克前給予適當治療。 |
英文摘要 | A retrospective study of nosocomial fungal blood stream infection was carried out at a medical center in Northern Taiwan. For the 3-year period between 1997 and 1999, there were 70 episodes of fungemia in 70 hospitalized patients. Average rates of the nosocomial fungal infection and the nosocomial fungemia were 4.5 and 0.72 per 1,000 discharges, respective. The average rate of nosocomial fungemia increased from 0.23 per 1,000 discharges in 1993 to 1.03 in 1999. Thirty-seven of the 70 patients died, 24 of them (64%) due directly to the fungemia. Candida albicans was the most common (58.6%), followed by Canadida tropicalis (21.4%) and Candida glabrata (10%). Forty-four patients received antifungal therapy, of these, 20 *45.55) died. By univariate analysis, patients older than 65 years, those with septic shock, higher APACHE II score (?20), or polymicrobial infections were associated with the high fungemia mortatity. Multivariate analysis identified the presence of shock (odds ratio, OR=7.0, p=0.02) and a higher APACHE II score (?20) (OR=3.2, p=0.03) as the independent risk factors for the mortality. |
本系統中英文摘要資訊取自各篇刊載內容。