ICU系列幻灯安徽省立医院重症医学科周树生第一页,共七十六页。第二页,共七十六页。NEnglJMed2003;348:1546-1554IntJAntimicrobAgents.2022;32:S87-91第三页,共七十六页。NosocomialBloodstreamInfectionsinUSHospitals:Analysisof24,179CasesfromaProspectiveNationwideSurveillanceStudy.ClinInfectDis.2004Aug1;39(3):309-17.第四页,共七十六页。CNSStaphylococcusaureusEnterococcCandidaspecies(%)0153045ClinInfectDis.2003May1;36(9):1103-10Atotalof2340patientswithunderlyingmalignancywereidentifiedamong22,631episodesofnosocomialBSIsinaprospectivelycollecteddatabasefor49hospitalsintheUS.44.733.425.917.630.211.611.58.5第五页,共七十六页。107(39.5%)patientswithisolatedcandidemia,77(28.4%)withinvasivecandidiasis.In37%ofthecases,candidemiaoccurredwithinthefirst5daysafterICUadmission.CritCareMed.2022May;37(5):1612-8OnehundredeightyICUsinFrance第六页,共七十六页。AnnSurg.2001Apr;233(4):542-8.PelzRK,HendrixCW,SwobodaSM,第七页,共七十六页。IntJAntimicrobAgents.2022Sep;34(3):205-9ConsensusstatementonthemanagementofinvasivecandidiasisinICUintheAsia-PacificRegion第八页,共七十六页。CHINASCANteamNonalbicans>54.7%C.albicans41.8%mixedinfectionotherCandidaspeciesDiagnosticconfirmationwasbasedsolelyonatleastonepositivebloodculturein290(94.8%)casesDiagnosiswasconfirmedbyhistopathologyinonepatient(0.3%)InvasivecandidiasisinICUinChina:amulticentreprospectiveobservationalstudyJAntimicrobChemother.2022Mar29.1-9FengmeiGuo1,YiYang1,YanKang,etal.第九页,共七十六页。Anidulafunginforthetreatmentofcandidaemia/invasivecandidiasisinselectedcriticallyillpatientsClinMicrobiolInfect.2022July;18(7):680–687.C.kefyr=乳酒念珠菌;C.dubliniensis=都伯林念珠菌;C.pelliculosa=菌膜念珠菌第十页,共七十六页。JClinMicrobiol.2022;50(6):2156–2158.FirstCaseReportofBloodstreamInfectionDuetoaCandidaSpeciesCloselyRelatedtotheNovelSpeciesCandidapseudorugosaThepatientwasa49-year-oldwomanfromBuenosAires;Onelimitationwasthatmostlaboratoriesemployedcommercialidentificationmethodstoidentifytheisolates,andthesemethodsmaymisidentifysomespeciesTheC.pseudorugosaisolatesdescribedseemstoberesistanttoamphotericinBcaspofungin,itraconazole,andnystatin第十一页,共七十六页。InvasiveScedosporiumapiospermuminfection:onecasereport刘宝,周树生等,中国感染与化疗杂志.2022;9(6);466-469尖端赛多孢子菌第十二页,共七十六页。InvasiveScedosporiumapiospermuminfection:onecasereport刘宝,周树生等,中国感染与化疗杂志.2022;9(6);466-469第十三页,共七十六页。InvasiveScedosporiumapiospermuminfection:onecasereport刘宝,周树生等,中国感染与化疗杂志.2022;9(6);466-469第十四页,共七十六页。CritCare.2022;12(1):R5Impactofinvasivefungalinfectiononoutcomesofseveresepsis:amul-ticentermatchedcohortstudyincriticallyillsurgicalpatients第十五页,共七十六页。OutcomesofcandidemicsepticshockpatientscomparedwithbacteremicsepticshockpatientsCritCareMed.2002Aug;30(8):1808-14.第十六页,共七十六页。InpatientswithsuspectedVAP,Candidaspp.airwaycolonizationisfrequentandassociatedwithincreasedriskforMDR(P.aeruginosa)bacteriaisolation.Similarly,acase–controlstudyshownthatantifungaltherapywaslikelytopreventsucheventinoneICU.Conclusions:Candidaspp.airwaycolonizationcouldpromoteantibiotic-resistantbacteriaselectioninpatientswithsuspectedVAP.IntensiveCareMed.2022;38(8):1272-9.Candidaspp.airwaycolonizationcouldpromoteantibiotic-resistantbacteriaselectioninpatientswithsuspectedVAP.第十七页,共七十六页。主...