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81例糖尿病合并真菌感染的临床分析 被引量:22

Fungal Infection in 81 Patients with Diabetes
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摘要 目的调查糖尿病近年合并真菌感染的现状,分析其危险因素及预防措施。方法采用回顾性调查方法收集医院2002年6月-2007年7月糖尿病合并真菌感染的81例患者临床资料及培养结果进行统计分析。结果真菌感染以尿路为主要感染部位,45例(52.94%),其次为肺部及上呼吸道感染,23例(27.05%);感染菌株以白色假丝酵母菌占首位,36株(42.35%),光滑假丝酵母菌占第2位,19株(22.35%)。结论糖尿病发生真菌感染与年龄(≥60岁)、性别、空腹血糖浓度、餐后2 h血糖浓度、有并发症及慢性疾病、抗菌药物的长期大量不合理应用等危险因素密切相关。 OBJECTIVE To investigate the status of fungus infection in the department of diabetes in order to analyze the risk factors,and to find out the approach for prevention. METHODS The review investigation method was used to collect clinical material of 81 cases with diabetes and fungus infection in our hospital from Jun 2002 to Jul 2007, and the result of bacterial cultures was analyzed. RESULTS The fungus infection took place more frequently in urinary tract (52.94%), then in the lungs and upper respiratory tract (27.05%). The frequently presented organism was the Candida albicans (42.35%), then C. glabrata (22.35%). CONCLUSIONS The age (≥60 years), sex, fasting plasma glucose concentration, 2-hour postprandial blood glucose concentrations, the complications of chronic disease, and the long-term unreasonable use of antibiotic are the risk factors.
作者 周国芹
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2008年第5期635-637,共3页 Chinese Journal of Nosocomiology
关键词 糖尿病 真菌感染 预防措施 Diabetes Fungus infection Preventive measure
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