头颈部肿瘤患者上呼吸道感染微生物检测及结果分析
| 作者: |
1徐丽贤,
2朱焕锋,
2姜雪松
1 江苏省张家港市第一人民医院肿瘤科，江苏 张家港 215600 2 江苏省肿瘤医院，南京医科大学附属肿瘤医院放疗科，南京 210009 |
| 通讯: |
姜雪松
Email: jiangxuesongnj@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2015.07.020 |
摘要
目的：分析头颈部肿瘤患者放/放化疗期间咽试子培养和药敏结果。方法：回顾性分析229例患者503次咽试子培养、药敏结果及抗生素应用情况。结果：229例患者中培养阳性133例(58.1%)，细菌培养阳性98例(42.8%)，真菌培养阳性72例(31.4%)。其中13例患者双重细菌感染，2例患者三重细菌感染，37例患者细菌真菌双重感染。结论：头颈部肿瘤放/放化疗期间上呼吸道感染率高，以条件致病菌为主。治疗期间应重视致病微生物培养，合理应用抗生素，并积极预防真菌感染。
关键词：
头颈部肿瘤
上呼吸道
感染
Germ detection and analysis of the upper respiratory tract infection in patients with head and neck cancer
CorrespondingAuthor: jiang xuesong Email: jiangxuesongnj@126.com
DOI: 10.3978/j.issn.2095-6959.2015.07.020
Abstract
Objective: To investigate the germ detection and antibiotic sensitivity in patients with head and neck cancer during radiotherapy or chemo-radiotherapy. Methods: Five hundred and three throat swab results of 229 patients were retrospectively analyzed. Results: Out of 229 patients, germs were detected in 133 patients. Among them bacteria were detected in 98 patients and funguses were detected in 72 patients. There were dual bacterial infection in 13 patients and triple bacterial infection in 2 patients. Bacteria and fungus were detected simultaneously or sequentially in 37 patients. Conclusion: The incidence of the upper respiratory infection was high in patients with head and neck cancer, with a domination of conditioned pathogen. Antibiotic should be managed rationally according to germ detection.