- 期刊
Distribution of Clinical Yeasts in Taiwan
臺灣臨床酵母菌的分佈
摘要
臺灣24家參與臺灣黴菌抗藥性監測計畫第二期合作醫院(Taiwan Surveillance of Antimicrobial Resistance of Yeasts, TSARY)所分離3,926株臨床致病性酵母菌中，以念珠菌為多。而不同念珠菌種所佔的比例亦有不同，Candida albicans佔69.1%，成為最多的菌種，其它依序為12.9%的C. tropicalis、8.3%的C. glabrata、2.7%的C. parapsilosis、0.6%的C. krusei及6.4%的其它菌種。為進一步探討臺灣臨床酵母菌在不同檢體來源的分佈，此監測計畫一共收集有關945株菌的資料做詳細的分析，結果顯示，以來自尿液的菌株最多(39.6%)，其它依序為痰液(22.3%)、血液(13.7%)、導管(5.1%)、傷口(5.0%)以及其它部位(13.7%)。不同菌種好發的部位也有所不同，有72.2%的C. glabrata、60%的Trichosporon species以及45.9%的C. tropicalis則來自尿液。大部分的C. albicans不是來自痰液(31.3%)就是尿液(26.3%)，而C. parapsilosis則是以來自血液(38.1%)及傷口(19%)為主。
並列摘要
To investigate the distribution of yeast pathogens in Taiwan, we have conducted Taiwan Surveillance of Antimicrobial Resistance of Yeasts (TSARY) in 2002. A total of 3926 yeast isolates were isolated from 24 hospitals between July and September in 2002. Candida albicans (69.1%) was the most common species, followed by Candida tropicalis (12.9%), Candida glabrata (8.3%), Candida parapsilosis (2.7%), Candida krusei (0.6%), and others (6.4%). To study the distribution of yeast pathogens according to the sources of isolation, we have collected and analyzed the clinical data of 945 isolates. Of those isolates, urine (39.6%) and sputum (22.3%) were the two most common sources for the yeast clinical isolates followed by blood (13.7%), central venous catheter (5.1%), wound (5.0%), and others (14.3%). Different species have different prevalence on different body sites. Urine was the most common source for C. glabrata (72.7%), Trichosporon species (60%), and C. tropical is (45.9%). Sputum was the most common source for C. albicans (33.1%), whereas blood was the most common one for C. parapsilosis.