摘要
目的:探讨疑似侵袭性肺部念珠菌感染治疗的可行性。方法:结合在ICU的临床实践,查阅相关资料,了解国内外此类感染的治疗现状和发展趋势。结果:对临床有严重基础疾病、疑似侵袭性肺部念珠菌感染的病人应进行经验性治疗。但目前在医学界对仅有痰培养念珠菌阳性的抗真菌治疗存在质疑。结论:对于拟诊肺部念珠菌感染病人应积极进行经验性治疗;对于病人痰培养阳性的结果,应结合病人全身状况、影像学及其他检查全面分析,得出较准确的判断。
Objective： To probe a feasible way for the treatment of possible invasive pulmonary Candida infections.Methods： The clinical practice in intensive care unit（ICU） was investigated and the relevant literature was consulted in order to know the present situation and developing trend of treatmeng of this infection.Results： Empirical antifungal treatment should be given to the patients who had critical basic diseases and suffered from the possible invasive pulmonary Candida infections.There were some queries in medical circles about the antifungal treatment of the patients with only positive result of Candida sputum culture.Conclusion： The possible invasive pulmonary Candida infections should be treated empirically.The positive results of sputum culture ought to be analysed comprehensively in conjunction with the patients＇ general condition,medical imaging findings and other examinations,so the accurate diagnosis can be achieved.
出处
《药学服务与研究》
CAS
CSCD
2010年第2期109-111,共3页
Pharmaceutical Care and Research
关键词
念珠菌感染
肺部
经验性治疗
合理用药
candida infections,lungs
empirical treatment
rational use of drugs
