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目的总结出烧伤创面分泌物真菌培养及药物敏感性情况。方法对临床送检的745份标本进行真菌培养鉴定及药物敏感实验。结果白假丝酵母菌约占48.2%;热带假丝酵母菌和季也蒙假丝酵母菌属次之,分别占到24.1%和10.8%。5-氟胞嘧啶和氟康唑的敏感率分别为95.2%和89.2%。结论在引起烧伤创面感染的真菌中,以白假丝酵母菌和热带假丝酵母菌为主要致病菌;治疗应以5-氟胞嘧啶和氟康唑为主要治疗药物。
Objective To summarize the fungal culture and drug sensitivity of burn wound excretion. Methods 745 clinical specimens were tested for fungal culture and drug sensitivity test. Results Candida albicans accounted for about 48.2%, followed by Candida tropicalis and Candida albicans, accounting for 24.1% and 10.8% respectively. The susceptibilities of 5-fluorocytosine and fluconazole were 95.2% and 89.2%, respectively. Conclusion Candida albicans and Candida tropicalis are the major pathogens in the wounds that cause wound infection. The treatment should include 5-fluorocytosine and fluconazole as the main therapeutic agents.