You Position: Home > Paper
Diagnosis and treatment of pulmonary fungal infection in intensive care unit
( views:378, downloads:436 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF TUBERCULOSIS AND RESPIRATORY DISEASES
- Issue:
- 3
- DOI:
- 10.3760/j:issn:1001-0939.2004.03.018
- Key Word:
- No keyword available
Abstract： @@ 重症监护病房(ICU)患者占医院住院患者的8%～15%,与普通病房患者比较,发生院内感染的概率明显增加,并且增加致残率和病死率,造成巨大的经济负担.真菌感染发病率逐渐增加,占院内感染的10%～15%[1].存在真菌血症的患者50%以上直接死于感染或基础疾病.由于真菌感染症状的非特异性和临床表现的多变性,给诊断带来很大困难,肺部真菌感染的诊断更为困难,这方面的研究较少,何时开始抗真菌治疗亦存在很大分歧.我们就ICU中肺部真菌感染的诊断与治疗作一综述如下.
- [1]钱小顺,朱元珏,许文兵.127例肺部真菌感染的临床分析[J].2000,(7).
- [2]Michael J.,Richards Jonathan R.,Edwards David H.,etc.Nosocomial infections in medical intensive care units in the United States[J].1999,27(5).
- [3]T G, Gleason,A K, May,D, Caparelli,etc.Emerging evidence of selection of fluconazole-tolerant fungi in surgical intensive care units.[J].1997,132.
- [4]Nitenberg G,Pittet D,Demajo W,etc.Epidemiology, diagnosis and treatment of systemic Candida infection in surgical patients under intensive care (see comments)[J].1998,24(3).
- [5]D W, Denning,J Y, Lee,J S, Hostetler,etc.NIAID Mycoses Study Group Multicenter Trial of Oral Itraconazole Therapy for Invasive Aspergillosis.[J].1994,97(2).
- [6]Palabiyikoglu I,Oral M,Tulunay M.Candida colonization in mechanically ventilated patients.[J].2001,47(3).
- [7]Jordi Rello,Maria-Eugenia Esandi,Emili Diaz,etc.The Role of Candida sp Isolated From Bronchoscopic Samples in Nonneutropenic Patients[J].1998,114(1).
- [8]Bar W,Hecker H.Diagnosis of systemic Candida infections in patients of the intensive care unit. Significance of serum antigens and antibodies.[J].2002,45(1).
- [9]EL-EBIARY MUSTAFA,TORRES ANTONI,F\u00c1BREGAS NEUS,etc.Significance of the Isolation of Candida Species from Respiratory Samples in Critically Ill, Non-neutropenic Patients[J].1997.
- [10]Kam LW,Lin JD.Management of systemic candidal infections in the intensive care unit.[J].2002,59(1).
- [11]Wiedeck H,Geldner G,Trautmann M,etc.Value of Candida antigen and antibody assays for the diagnosis of invasive candidosis in surgical intensive care patients.[J].2001,27(5).
- [12]D, Conesa,J, Rello,J, Vallés,etc.Invasive aspergillosis: a life-threatening complication of short-term steroid treatment.[J].1995,29.
- [13]TATIANA HUGUENIN,SASSI DHARAN,DIDIER PITTET,etc.Unusual Cause of Lethal Pulmonary Aspergillosis in Patients With Chronic Obstructive Pulmonary Disease[J].1996,154(2 Pt.1).
- [14]Connolly JE Jr,McAdams HP,Erasmus JJ,etc.Opportunistic fungal pneumonia.[J].1999,14(1).
- [15]Bulpa PA,Dive AM,Delos MA,etc.Chronic obstructive pulmonary disease patients with invasive pulmonary aspergillosis: benefits of intensive care?[J].2001,27(1).
- [16]Infectious Complications Part 2 Michael Tamm Division of Pneumology,University Hospital Basel,Switzerland.The Lung in the Immunocompromised Patient[J].1999,66(3).
- [17]Flanagan PG,Barnes RA.Fungal infection in the intensive care unit.[J].1998,38(3).