Journal of Clinical Pediatrics ›› 2023, Vol. 41 ›› Issue (8): 584-588.doi: 10.12372/jcp.2023.22e0925
• Infectious Disease • Previous Articles Next Articles
Received:2022-07-04
Published:2023-08-15
Online:2023-08-10
Contact:
LIU Quanbo
E-mail:liuqb1223@sina.com
XU Beixue, LIU Quanbo. Clinical analysis of 195 children with invasive pulmonary fungal infection[J].Journal of Clinical Pediatrics, 2023, 41(8): 584-588.
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| 侵袭性因素 | 新生儿组(n=52) | 婴幼儿组(n=79) | 年长儿组(n=64) | χ2值 | P |
|---|---|---|---|---|---|
| 头孢类抗生素 | 36(69.2) | 46(58.2) | 39(60.9) | 1.66 | 0.432 |
| 碳青霉烯类抗生素 | 38(73.1) | 54(68.4) | 41(64.1) | 1.08 | 0.586 |
| β-内酰胺酶抑制剂抗生素 | 37(71.2) | 47(59.5) | 36(56.3) | 2.93 | 0.234 |
| 糖肽类抗生素 | 22(42.3) | 18(22.8) | 19(29.7) | 5.68 | 0.057 |
| 上述抗生素两联使用 | 33(63.5) | 32(40.5) | 22(34.4) | 10.73 | 0.005 |
| 深静脉置管 | 28(53.8) | 29(36.7) | 23(35.9) | 4.83 | 0.093 |
| 有创机械通气 | 32(61.5) | 40(50.6) | 32(50.0) | 1.92 | 0.393 |
| 血液净化或透析 | 1(1.9) | 4(5.1) | 15(23.4) | - | <0.0011) |
| 胸腔穿刺 | 6(11.5) | 11(13.9) | 9(14.1) | 0.20 | 0.929 |
| 留置胃管 | 42(80.8) | 42(53.2) | 34(53.1) | 12.18 | 0.002 |
| 糖皮质激素 | 2(3.8) | 32(40.5) | 32(50.0) | 29.93 | <0.001 |
| 化疗或其他免疫抑制剂 | 0(0) | 10(12.7) | 23(35.9) | - | <0.0011) |
| 胃肠外营养 | 48(92.3) | 22(27.8) | 16(25.0) | 66.96 | <0.001 |
"
| 念珠菌 | 株数 | 5-氟胞嘧啶 | 两性霉素B | 氟康唑 | 伊曲康唑 | 伏立康唑 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S | R | S | R | S | Ⅰ | R | S | Ⅰ | R | S | Ⅰ | R | ||
| 白色假丝 酵母菌 | 208 | 202(97.1) | 6(2.9) | 208(100) | 0(0) | 188(90.4) | 7(3.4) | 13(6.2) | 180(86.5) | 13(6.3) | 14(6.7) | 191(91.8) | 3(1.4) | 14(6.7) |
| 近平滑假丝 酵母菌 | 16 | 16(100) | 0(0) | 16(100) | 0(0) | 13(81.3) | 3(18.8) | 0(0) | 15(93.8) | 1(6.3) | 0(0) | 15(93.8) | 1(6.3) | 0(0) |
| 热带假丝 酵母菌 | 22 | 22(100) | 0(0) | 22(100) | 0(0) | 21(95.5) | 0(0) | 1(4.5) | 18(81.8) | 3(13.6) | 1(4.5) | 19(86.4) | 1(4.5) | 2(9.1) |
| 光滑球拟 酵母菌 | 11 | 11(100) | 0(0) | 11(100) | 0(0) | 1(9.1) | 10(90.9) | 0(0) | 1(9.1) | 10(90.9) | 0(0) | 9(81.8) | 2(18.2) | 0(0) |
| 葡萄牙假丝 酵母菌 | 3 | 3(100) | 0(0) | 0(0) | 3(100) | 3(100) | 0(0) | 0(0) | 3(100 ) | 0(0) | 0(0) | 3(100) | 0(0) | 0(0) |
| 季也蒙假丝 酵母菌 | 1 | 1(100) | 0(0) | 1(100) | 0(0) | 0(0) | 1(100) | 0(0) | 0(0) | 1(100) | 0(0) | - | - | - |
| 挪威假丝 酵母菌 | 2 | 0(0) | 2(100) | 1(50) | 1(50) | 1(50) | 1(50) | 0(0) | 0(0) | 2(100) | 0(0) | 2(100) | 0(0) | 0(0) |
| 产朊假丝 酵母菌 | 1 | 1(100) | 0(0) | 1(100) | 0(0) | 1(100) | 0(0) | 0(0) | 1(100) | 0(0) | 0(0) | 1(100) | 0(0) | 0(0) |
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