Clinical study on the severe hepatitis with nosocomial fungal infections and risk factors / 中华肝脏病杂志

ABSTRACT

<p><b>OBJECTIVE</b>To study the nosocomial fungal infections in the patient with severe hepatitis and analyze of risk factor.</p><p><b>METHODS</b>All 115 severe hepatitis with fungal infections inpatients was studied prospectively.</p><p><b>RESULTS</b>We identified 115 cases with fungal infections, the mean age of patients was 37.2+/-21.5 years, male 49 cases, female 66 cases. Infection of abdominal cavity accounted for 40.9%, infectious rate in respiratory tract and digestive tract were 26.9%, 21.8%, respectively. Candida albicans accounted for 67.6%. Use of broad-spectrum antibiotic and corticosteroids, neutropenia, severity of liver disease, improper medical manipulations as significant risk factors for fungal infection. Death rate of study group and control group was 59.1%, 34.8%, respectively (x2=36.0). In multivariate analysis, neutropenia, disseminated infection and severity of liver diseases were independent prognostic factors.</p><p><b>CONCLUSION</b>Identification of risk factors and predictors of a poor outcome in patients with severe hepatitis with fungal infections, it suggested that implications in prophylaxis of fungal infection, early diagnosis and appropriate therapy would be important for these patients.</p>