调查研究
Zhao Hui;Wang Huizhu
2003, 5(4): 229-231.
Objective:To discuss the relation between glucocorticoid therapy and secondary infection(SI )of SARS patients.Method:Bacterial cultures of blood,urine,stool and sputum of the SARS patients were made in our hospital from26March to24May2003,with statistic analysis of the cases treated with glucocorticoid.Results:There were80individual strains of bacteria isolated from253cases.174patients of them were treated with glucocorticoid.The SI rate was19.0%,while the SI rate of79patients without steroids treatment was7.6%.Statistics showed the significant difference between the two (P<0.01).In severe SARS SI rate was25.9%,for the rest,12.9%.SI rate for patients under the low dose was10.3%and under the high dose,23.3%.Conclusion:The SI rate in SARS patients with glucocorticoid treatment was higher than the rate without it.The severe paitents were much easier infected after steroids because of their suppressed immunity.So the glucocorticoid should be used carefully.