老年糖尿病患者医院感染的临床特点及影响因素分析

发布时间：2018-09-12 06:26

【摘要】：目的探讨老年糖尿病患者医院感染的临床特点及影响因素分析。方法选取2013年1月-2016年12月医院住院的老年糖尿病患者300例临床资料,分析患者感染率、病原菌分布并分析老年糖尿病医院感染相关影响因素。结果 300例老年糖尿病患者医院感染42例,感染率为14.0%;42例老年糖尿病医院感染患者中,呼吸道感染、泌尿道感染、皮肤软组织感染、消化道感染分别为15例、11例、8例、5例,构成比为35.7%、26.2%、19.0%、11.9%,42例老年糖尿病医院感染患者共培养出病原菌67株,其中革兰阳性菌、革兰阴性菌、真菌分别为12株、41株、14株,构成比分别为17.9%、61.2%、20.9%,革兰阳性菌主要为耐甲氧西林金黄色葡萄球菌和肠球菌,革兰阴性菌主要为铜绿假单胞菌、肺炎克雷伯菌、鲍氏不动杆菌;老年糖尿病患者医院感染和年龄、病程、糖化血红蛋白、空腹血糖、并发症、住院时间、侵入性操作及应用抗菌药物种类有关(P0.05);年龄70岁、病程≥5年、糖化血红蛋白9%、空腹血糖≥15mmol/L、有并发症、住院时间≥4周、有侵入性操作、抗菌药物种类≥2种是老年糖尿病患者医院感染的独立危险因素(P0.05)。结论老年糖尿病患者医院感染率较高,主要感染部位为呼吸道感染,主要病原菌为革兰阴性菌,临床应对高龄、病程长、糖化血红蛋白和空腹血糖高、合并并发症、住院时间长、抗菌药物种类多、有侵入性操作患者高度重视,预防医院感染的发生。
[Abstract]:Objective to investigate the clinical characteristics and influencing factors of nosocomial infection in elderly diabetic patients. Methods the clinical data of 300 elderly diabetic patients hospitalized from January 2013 to December 2016 were analyzed. The infection rate, the distribution of pathogenic bacteria and the related factors of nosocomial infection in elderly diabetic patients were analyzed. Results there were 42 cases of nosocomial infection in 300 cases of senile diabetes mellitus, and the infection rate was 14.0%. Among them, respiratory tract infection, urinary tract infection, skin and soft tissue infection, digestive tract infection were 15 cases, 11 cases were nosocomial infection and 5 cases were digestive tract infection, respectively. A total of 67 strains of pathogenic bacteria were cultured in 42 elderly patients with diabetes nosocomial infection, including 12 strains of Gram-positive bacteria, 41 strains of Gram-negative bacteria and 14 strains of fungi, respectively. The composition ratios were 17.9% and 61.2%, respectively. Gram-positive bacteria were mainly methicillin resistant Staphylococcus aureus and Enterococcus, Gram-negative bacteria were mainly Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumannii, nosocomial infection and age of elderly patients with diabetes. Course of disease, glycosylated hemoglobin, fasting blood glucose, complications, length of stay, invasive operation and kinds of antimicrobial agents were related (P0.05), age 70 years, course of disease 鈮，

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