Anaiysis of 73 specimens with deep candida infection in general surgical ward

AIM: To investigate the risk factors and prevention methods of deep fungal infection in general surgical ward.

METHODS: The clinical materials of 73 patients infected with nosocomial candida from January 2004 to December 2005 were retrospectively analyzed.

RESULTS: One hundred and twenty-two strains of candida were cultivated from in 73 specimens, and the infection rate of candida albicans was as high as 45% (55/122). The infection of candida glabrata and tropicalis covered a percentage of 40% (49/122) and 7% (8/122), respectively. The 5 patients with the highest infection rates were found with gastrointestinal carcinoma, severe acute pancreatitis, non-traumatic gastrointestinal perforation, hepatobiliary and pancreatic carcinoma, and abdominal trauma combined intestinal perforation. The patients with the mortality rate ranked the first four were diagnosed with non-traumatic gastrointestinal perforation, gastrointestinal carcinoma, acute obstructive cholangitis and severe acute pancreatitis. Eighteen of 73 cases died, and the mortality rate was 25%. Except for breast cancer, the mortality of the other diseases combined with fungal infection was obviously higher than that of the single diseases.

CONCLUSION: Gastrointestinal operations, gastrointestinal leakage, gastrointestinal fungal parasitism, broad-spectrum antibiotic usage, and senility are the important reasons for the secondary fungal infection in general surgical patients; timely and reasonable gastrointestinal operations, avoiding gastrointestinal leakage, non-bacterial operations, and gut barrier protection are significant measures to prevent deep fungal infection in general surgical ward.