糖尿病肾病尿毒症患者尿路感染危险因素分析与临床预防策略研究

发布时间：2018-06-16 08:56

本文选题：糖尿病肾病 + 尿毒症　；参考：《中华医院感染学杂志》2016年24期

【摘要】：目的探讨导致糖尿病肾病尿毒症患者发生尿路感染的危险因素,有针对性的制定和实施临床预防尿路感染的相关措施。方法选取医院2010年1月-2016年1月临床收治的糖尿病肾病尿毒症患者107例为研究对象,调查分析患者的尿路感染发生率、病原菌分布情况及临床危险因素。结果 107例患者中发生尿路感染患者32例,感染率29.91%;共检出病原菌40株,以革兰阴性菌为主,共25株占62.50%;年龄、住院时间、血糖、血红蛋白、血清白蛋白、合并症种类、留置导尿管和应用抗菌药物是导致患者尿路感染的危险因素(P0.05)。结论在临床实践过程中针对上述危险因素实施针对性的预防干预措施和策略可以降低感染发生率。
[Abstract]:Objective to investigate the risk factors of urinary tract infection in patients with diabetic nephropathy (DN), and to establish and implement clinical measures to prevent urinary tract infection. Methods 107 patients with diabetic nephropathy were selected from January 2010 to January 2016. The incidence of urinary tract infection, the distribution of pathogenic bacteria and the clinical risk factors were investigated and analyzed. Results there were 32 cases of urinary tract infection, the infection rate was 29.91%, 40 strains of pathogenic bacteria were detected, mainly Gram-negative bacteria (25 strains accounted for 62.50%), age, length of stay, blood sugar, hemoglobin, serum albumin, type of complications, Indwelling catheter and antibiotics were the risk factors of urinary tract infection. Conclusion in the course of clinical practice, the incidence of infection can be reduced by carrying out targeted preventive measures and strategies in view of the above risk factors.
【作者单位】：台州市中心医院肾内科;仙居人民医院肾脏科;台州市中心医院院感科;
【基金】：浙江省卫生厅科技计划基金资助项目(2014ZHA014)
【分类号】：R587.2;R692.5

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