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目的:调查与分析艾滋病患者医院真菌感染状况。方法:回顾性分析该院2005～2008年1463例AIDS患者真菌感染的临床资料。结果:1463例真菌感染部位以口咽部为主,占82.09%。真菌种类白色假丝酵母菌属占首位,为71.09%,其次是新型隐球酵母菌,占19.06%。住院时间、需要HAART治疗、使用广谱抗生素、侵袭性操作、抗真菌的不规范治疗是真菌感染的危险因素。结论:控制感染的危险因素,合理使用抗生素,减少侵入性操作,提高患者机体的免疫力是预防艾滋病患者真菌感染的主要措施。
Objective: To investigate and analyze the prevalence of fungal infection in AIDS patients. Methods: The clinical data of 1463 AIDS patients with fungal infection from 2005 to 2008 in our hospital were retrospectively analyzed. Results: 1463 cases of fungal infection were mainly oropharyngeal, accounting for 82.09%. Fungal species Candida albicans occupy the first place, 71.09%, followed by the new cryptococcus, accounting for 19.06%. Hospitalization time, the need for HAART treatment, the use of broad-spectrum antibiotics, invasive procedures, anti-fungal non-standard treatment is a risk factor for fungal infections. Conclusion: It is the main measure to prevent the fungal infection in AIDS patients by controlling the risk factors of infection, using antibiotics rationally, reducing the invasive operation and improving the immunity of the patients.