重症监护病房中重症患者由毛孢子菌属引起的尿路感染。
Urinary tract infections due to Trichosporon spp. in severely ill patients in an intensive care unit.
作者信息
Mattede Maria das Graças Silva, Piras Cláudio, Mattede Kelly Dematte Silva, Ferrari Aline Trugilho, Baldotto Lorena Simões, Assbu Michel Silvestre Zouain
机构信息
Departamento de Cirurgia, Escola Superior de Ciências, Santa Casa de Misericórdia de Vitória, Vitória, ES, BR.
Departamento de Cirurgia, Universidade Federal do Espírito Santo, Vitória, ES, BR.
出版信息
Rev Bras Ter Intensiva. 2015 Jul-Sep;27(3):247-51. doi: 10.5935/0103-507X.20150045.
OBJECTIVE
To evaluate the incidence of urinary tract infections due to Trichosporon spp. in an intensive care unit.
METHODS
This descriptive observational study was conducted in an intensive care unit between 2007 and 2009. All consecutive patients admitted to the intensive care unit with a confirmed diagnosis were evaluated.
RESULTS
Twenty patients presented with urinary tract infections due to Trichosporon spp. The prevalence was higher among men (65%) and among individuals > 70 years of age (55%). The mortality rate was 20%. The average intensive care unit stay was 19.8 days. The onset of infection was associated with prior use of antibiotics and was more frequent in the fall and winter.
CONCLUSION
Infection due to Trichosporon spp. was more common in men and among those > 70 years of age and was associated with the use of an indwelling urinary catheter for more than 20 days and with the use of broadspectrum antibiotics for more than 14 days. In addition, patients with urinary infection due to Trichosporon spp. were most often hospitalized in intensive care units in the fall and winter periods.
目的
评估重症监护病房中曲霉菌属引起的尿路感染发生率。
方法
这项描述性观察性研究于2007年至2009年在一家重症监护病房进行。对所有入住重症监护病房且确诊的连续患者进行评估。
结果
20例患者出现曲霉菌属引起的尿路感染。男性患病率较高（65%），70岁以上个体患病率较高（55%）。死亡率为20%。在重症监护病房的平均住院时间为19.8天。感染的发生与先前使用抗生素有关，在秋季和冬季更为频繁。
结论
曲霉菌属感染在男性和70岁以上人群中更为常见，与留置导尿管使用超过20天以及使用广谱抗生素超过14天有关。此外，曲霉菌属引起的尿路感染患者最常在秋季和冬季入住重症监护病房。
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