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目的了解我院真菌尿路感染现状。方法回顾分析我院医院感染调查中62例真菌尿路感染的临床特点。结果平均年龄56.37岁,≥60岁占45.16%,平均住院日45d;与恶性肿瘤、长期卧床、危重疾病有关;发生真菌感染前抗生素使用率100%,79.03联用≥2种抗生素,平均使用抗生素时间为(30±14)d;有导尿等泌尿系操作72.58%;临床表现不典型,抗真菌治疗效果欠佳,病死率20.97%。结论年龄大、住院时间长、长期卧床及长期使用抗生素者易发生真菌尿路感染,症状不典型,预后差。
Objective To understand the status of fungal urinary tract infection in our hospital. Methods A retrospective analysis of 62 cases of mycotic urinary tract infection in our hospital nosocomial infection clinical features. Results The average age was 56.37 years old, 45.16% ≥60 years old and 45 days average hospital stay. It was related to malignant tumor, bedridden and critical illness. The antibiotic utilization rate before fungal infection was 100%, 79.03 combined with ≥2 antibiotics, Time was (30 ± 14) d; urinary catheterization and other urinary tract operations 72.58%; atypical clinical manifestations, antifungal therapy ineffective, mortality was 20.97%. Conclusions Age, long hospital stay, long-term bed rest and long-term use of antibiotics are susceptible to fungal urinary tract infection, with atypical symptoms and poor prognosis.