老年糖尿病患者泌尿系感染菌群分布及药敏分析

Pathogenic bacteria distribution of urinary system infection and drug sensitivity analysis in Senile diabetes

目的探讨老年糖尿病患者泌尿系感染的易患因素,菌群分布情况及药敏分析。方法回顾分析2006年1月至2010年1月530例泌尿系感染的老年糖尿病患者的一般临床资料,包括性别,年龄,病程,血糖控制情况,及其相应的菌群分布及药敏结果。结果老年糖尿病患者泌尿系感染的发生与年龄、性别、病程、空腹血糖水平均明显相关(p﹤0.01),泌尿系感染者菌群分布以G-为主,占检出菌的69.6%;G+球菌占23.5%,分离率在前五位的病原菌依次是大肠埃希菌,克雷伯菌,白色假丝酵母菌,屎肠球菌,变形杆菌。结论老年糖尿病患者易患泌尿系感染,应根据药敏结果合理选择抗生素,并针对危险因素及高危人群,采取有效的预防措施从而降低泌尿系感染的发生。

【Objective】To study the factors of urinary tract infection,bacteria distribution and drug sensitivity analysisof the elderly Senile diabetes patients.【Methods】Retrospective analysis of the 530 cases of urinary tract infections in elderly patients with the clinical data from January 2006 to January 2010,including gender,age,disease duration,blood sugar control,and their corresponding bacterial distribution and drug sensitivity.【Results】The incidence of senile diabetics complicated with urinary tract infection was closely related with age,sex,course of diabetes,fasting blood sugar level（p〈 0.01）,urinary tract infection with G-bacterial distribution,accounting for detection of bacteria in 69.6% ;G cocci accounted for 23.5%,isolation rate of the previous five pathogens were Escherichia coli,Klebsiella,Candida albicans,feces Enterococcus,Proteus.【Conclusion】Senile diabetes susceptible to urinary tract infection,a reasonable choice should be based on susceptibility of antibiotics,and should take effective preventive measures to reduce urinary infection.