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目的对新生儿重症监护病房深部真菌感染的危险因素以及对策进行探究,进而减少该类疾病的发生。方法选择2011年2月到2012年2月期间到本院重症监护病房进行治疗并被确诊了的深部真茵感染新生儿22例,作为本次研究的研究对象,对这22例新生儿深部真菌感染原因进行了回顾性分析。结果新生儿重症监护病房(NICU)深部真菌感染主要发生在早产儿,主要部位是在肺部,而最常见的感染菌种为白色念珠菌。而造成ICU深部真菌感染的危险因素主要包括早产、低出生体重、长期侵入性的操作、广谱抗生素以及静脉营养的长期使用。结论对新生儿重症监护病房深部真菌感染的危险因素进行分析后,作者认为应该尽量减少长期侵入性的操作、广谱抗生素以及静脉营养的长期使用,同时做好真菌感染预防方面的工作,有利于减少该类疾病的发生,提高新生儿生存质量。
Objective To explore the risk factors and countermeasures of deep fungal infection in neonatal intensive care unit, and to reduce the occurrence of such diseases. Methods Twenty-two newborns were treated in Shenzhen ICU for intensive care unit admitted to our hospital from February 2011 to February 2012. As the research object of this study, 22 neonates with deep fungi Reasons of infection were retrospectively analyzed. Results Deep fungal infections in the neonatal intensive care unit (NICU) occurred predomi- nantly in preterm infants, mostly in the lungs, and Candida albicans was the most common infectious species. The risk factors for ICU deep fungal infections include premature birth, low birth weight, long-term invasive procedures, long-term use of broad-spectrum antibiotics and intravenous nutrition. Conclusions After analyzing the risk factors for deep fungal infection in neonatal intensive care units, the authors believe that long-term use of long-term invasive procedures, broad-spectrum antibiotics and parenteral nutrition should be minimized and that efforts to prevent fungal infections should be facilitated Reduce the incidence of such diseases and improve the quality of life of newborns.