268例糖尿病患者医院感染临床分析

Clinical study of hospital infections in 268 cases patients with diabetes mellitus

目的 了解糖尿病患者医院感染的发生情况。方法 对我院 1999年收治的 2 68例糖尿病患者的医院感染进行回顾性分析。结果 2 68例糖尿病患者中发生医院内感染 4 8例 ,感染发生率 17.91% ,明显高于我国平均医院感染发生率 ( 8.4 % ,P <0 .0 5 ) ,感染部位以下呼吸道最常见 ,感染病原菌主要为 G杆菌。血糖水平增高、抗生素的使用、年龄、住院时间长是感染增加的危险因素。结论 宜加强对糖尿病患者医院感染的监测和预防。

Objective To investigate the hospital infections in diabetes. Methods The nosocominal infections in 268 cases of diabetes in our hospital during 1999 were analysed. Results 17.91% of 268 cases suffered from nosocominal infection and was higher than the average levels 8.4% of the incidence of hospital infections in China(P<0.05). The most common infection with obserbed was the lower respiratory tract and the most commonly bacteria responsible for infection found to be gram negtive baccilus. The factors of high risk inducing hospital infection included plasma glucose, muti antibiotics used in combination, patient's age and the time stayed in hospital. Conclusion Intensive prevention and treatment of hospital infection in diabetes is very important.