重症监护室患者体外插管假丝酵母菌属鉴定及耐药性分析
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杨蓉娅

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R379.4

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国家自然科学基金项目(30700038)
中国博士后科研基金面上项目(20080441270)
中国博士后科研基金特别资助项目(200801039)

 


Identification and drugresistance analysis on Candida spp. isolated from external intubator used by ICU patients
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    摘要:

    了解某医院重症监护室(ICU)患者实施体外插管中真菌感染及其耐药情况。方法采集该院ICU84例患者的各种插管标本161份,将其接种于假丝酵母菌显色培养基,API 20C AUX鉴定试剂盒作菌株鉴定,ATB FUN3药敏测试试剂盒进行药敏试验。结果161份标本中检出真菌98株(60.87%),以白假丝酵母菌(52株,53.06%)为主,其余依次为热带假丝酵母菌(14株,14.29%)、光滑假丝酵母菌(11株,11.22%)、近平滑假丝酵母菌(9株,9.18%)和克柔假丝酵母菌(12株,12.25%)。其中呼吸道插管分离60株(61.22%),留置导尿管25株(25.51%),静脉插管13株(13.27%)。分离菌株对5氟胞嘧啶、两性霉素B和伏立康唑的耐药率均<10%,对伊曲康唑的耐药率为12.24%;而光滑假丝酵母菌、近平滑假丝酵母菌和克柔假丝酵母菌对氟康唑的耐药率均>45%。结论ICU患者各种插管中真菌感染以白假丝酵母菌为主;呼吸道插管感染率最高;各类假丝酵母菌对5氟胞嘧啶、两性霉素B和伏立康唑耐药性较低,而对氟康唑耐药性较高。

    Abstract:

    ObjectiveTo investigate fungal infection and drug resistance of fungi in ICU patients with external intubation.Methods161 specimens of intubator used by 84 ICU patients in a hospital were collected, and specimens were inoculated on Candidal chromogenic medium , all strains were identified by API 20C AUX Kit,and drug sensitivity test were performed by ATB FUN3 Kit.ResultsNinetyeight (60.87%) fungus strains were isolated from 161 specimens, most of which were Candida albicans (52, 53.06%), the next were Candida tropicalis (14, 14.29%), Candida glabrata (11, 11.22%), Candida parapsilosis (9, 9.18%) , and Candida krusei (12, 12.25%). Sixty strains (61.22%) were isolated from respiratory intubator, 25(25.51%) from urethral catheter and 13(13.27%) from venous cannula. Drugresistant rate of isolated strains to 5fluorocytosine, amphotericin B, and voriconazole were all <10% , resistant rate to itraconazloe was 12.24%;resistant rate of Candida glabrata, Candida parapsilosis and Candida krusei to fluconazol were all >45%.ConclusionCandida albicans is the main fungi in infection caused by external intubation; fungal infection rate in patients undergoing respiratory intubation is high than patients undergoing the other external intubation ; All kinds of Candida have low drugresistance to 5fluorouracil, amphotericin B and fluconazole and have high drugresistance to fluconazole.

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樊昕,任晓萍,杜丽颖,等.重症监护室患者体外插管假丝酵母菌属鉴定及耐药性分析[J]. 中国感染控制杂志,2010,9(6):396-399.
FAN Xin, REN Xiaoping, DU Liying, et al. Identification and drugresistance analysis on Candida spp. isolated from external intubator used by ICU patients[J]. Chin J Infect Control, 2010,9(6):396-399.

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  • 收稿日期:2010-07-02
  • 最后修改日期:2010-09-23
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  • 在线发布日期: 2010-11-30
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