糖尿病患者医院感染危险因素分析

Hospital Infection among Patients with Diabetes Mellitus: A Risk Factors Analysis and Prophylaxis

目的 探讨糖尿病医院感染的危险因素及预防措施。方法 5 16例住院的糖尿病患者中 4 1例发生医院感染 ,对其一般情况、住院天数、急慢性并发症、社区抗生素滥用、侵袭性治疗、医院感染的部位、时间、病原菌进行评估和统计学处理。结果 糖尿病患者医院感染的发生率较高 ,感染的因素与年龄、住院天数、抗生素滥用、血糖控制指标、侵袭性治疗措施及糖尿病的急慢性并发症呈正相关 ,感染的部位以肺部为主 ,病原体的分布多在血和痰中。结论 糖尿病患者易发生医院感染 ,且直接影响预后 ,必须控制易患因素 ,有效地预防医院感染。

OBJECTIVE To explore the risk factors and preventive measures of hospital infection among the patients with diabetets millitus (DM). METHODS There were 41 patients occurring hospital infection among 516 in patients with DM . Their general situation, hospitalized days, acute or chronic complications, antibiotic abuse application in community, invasive treatment administrations, prognosis, anatomic area and time of occurrence of hospital infection and pathogenic bacteria were collected and evaluated at the same time. RESULTS The incidence rate of hospital infection was higher in patients with DM and was related positively to age, hospitalized days, antibiotic misuse, control index of the blood glucose, invasive treatment procedures, and acute or chronic complications. The most common induced sites of the hospital infection were lungs, pathogenic bacteria were mostly distributed in the blood and sputum.CONCLUSIONS In diabetic patients the hospital infection was easily induced, so must be paid attention to it and to the susceptible factors, in order to effectively prevent hospital infection among patients with DM.