지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Background: Fungal culture is a conventional method for diagnosing fungal infections and is important for determining etiologic agents of the fungal infections.
Objective: To study the prevalence and validity of fungus culture in various clinical departments.
Methods: A retrospective study of 4373 fungal culture cases at Daegu Catholic University Medical Center from January 2010 to December 2014 was made to investigate the prevalence of fungus culture depending on age, clinical departments, specimens and to evaluate the positive rate along with the distribution factor.
Results: The number of fungal culture increased with age. Fungal culture was more commonly performed in departments such as pulmonology (26.7%), ophthalmology (11.7%), dermatology (8.6%), emergency medicine (7.4%), neurology (7.3%). Among the cultured specimens, 43.6% were respiratory specimens, followed by CSF (17.2%), ophthalmic specimens (13.2%), skin (8.7%), and abscess (4.0%).
Of the 4,373 specimens cultured, 222 (5.1%) were positive. The most commonly identified fungus was Trichophyton. Fungal culture was routinely performed with bronchoscopy and lumbar puncture.
Prophylactic fungal evaluation was carried out for patients who had liver transplantation.
Conclusion: Our study showed that fungal culture has been excessively conducted, even to a level where some departments take the test on their regular routine basis. The unfettered use of this low-yield diagnostic tool can give a false sense accomplishment and is often cost-ineffective and difficult in altering subsequent diagnostic or therapeutic plans. Clinicians should appropriately assess medical indications of fungal culture counting in the risk of infection, mortality, and cost as well.
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참고문헌 (20)
참고문헌 신청
Arjuna N.B. Ellepola / 2005 / Laboratory Diagnosis of Invasive Candidiasis / The Journal of Microbiology 43 (s) : 65 ~ 84
Ascioglu S / 2002 / Defining opportunistic invasive fungal infections in immunocompromised patients with cancer and hematopoietic stem cell transplants: an international con
Baselski VS / 1994 / Bronchoscopic diagnosis of pneumonia / Clin Microbiol Rev 7 : 533 ~
Ju MK / 2009 / Invasive pulmonary aspergillosis after solid organ transplantation: diagnosis and treatment based on 28 years of transplantation experience / Transplant Proc
Kim YB / 1971 / Three cases of keratomycosis / J Korean Ophthalmol Soc 12 : 23 ~ 27
Ascioglu S / 2002 / Defining opportunistic invasive fungal infections in immunocompromised patients with cancer and hematopoietic stem cell transplants: an international con
Baselski VS / 1994 / Bronchoscopic diagnosis of pneumonia / Clin Microbiol Rev 7 : 533 ~
Ju MK / 2009 / Invasive pulmonary aspergillosis after solid organ transplantation: diagnosis and treatment based on 28 years of transplantation experience / Transplant Proc
Kim YB / 1971 / Three cases of keratomycosis / J Korean Ophthalmol Soc 12 : 23 ~ 27
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