摘要
目的:探讨糖尿病住院患者出现医院感染的临床特征,并提出有效预防措施。方法:选择2020年2月-2021年9月湖北省荆州市第三人民医院收治的95例糖尿病患者作为研究对象,对其医院感染情况进行分析。结果:95例患者中,33例出现医院感染,发生率为34.74%。在感染部位方面,呼吸道及肺部感染占比较高,其次为泌尿系统感染、胃肠道感染以及皮肤软组织感染等。95例患者共采集标本212份,共分离出144株病原菌,阳性率为67.92%;其中革兰性菌70株,占48.61%;革兰阳菌55株,占38.19%;真菌19株,占13.19%。年龄>60岁、病程≥10年、住院时间≥20 d、糖化血红蛋白≥7%、有慢性并发症患者的感染率较高,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,合并慢性并发症、糖化血红蛋白水平高、住院时间长、病程长以及年龄大是糖尿病并发医院感染的主要危险因素(P<0.05)。结论:糖尿病患者的医院感染发生率较高,与年龄、住院时间以及血糖水平等诸多因素有关,应根据患者实际情况,制定针对性预防措施,控制医院感染,从而改善患者预后。
Objective:To explore the clinical characteristics of nosocomial infection in diabetic inpatients and propose effective prevention measures.Methods:A total of 95 diabetic patients admitted to the Third People's Hospital of Jingzhou City in Hubei Province from February 2020 to September 2021 were selected as the study subjects,and their nosocomial infections were analyzed.Results:Of the 95 patients,33 cases developed nosocomial infections,the incidence was 34.74%.In terms of the site of infection,a higher proportion of respiratory tract and lung infections was observed,followed by urinary system infection,gastrointestinal infection and skin soft tissue infection.A total of 212 specimens were collected from 95 patients,and a total of 144 pathogenic bacterial strains were isolated,the positive rate was 67.92%;Of these strains,70 strains were Gram-negative bacteria,accounting for 48.61%,55 strains were Gram-positive bacteria,accounting for 38.19%;19 strains were the fungi,accounting for 13.19%.The infection rate was higher in the patients with an age>60 years,disease course≥10 years,hospital stay≥20 days,glycosylated hemoglobin≥7,and chronic complications,with statistically significant difference(P<0.05).Multivariate Logistic regression analysis showed that complicating chronic complications,high levels of glycosylated hemoglobin,long hospital stay,long course of disease,and advanced age were the main risk factors for nosocomial infections complicated by diabetes mellitus(P<0.05).Conclusion:Diabetic patients have a high incidence of nosocomial infection,which is related with several factors such as the age,hospital stay and blood glucose levels.It is necessary to formulate targeted preventive measures according to the actual situation of patients to control nosocomial infection and accordingly improve the patient's prognosis.
作者
黄翔
Huang Xiang(Department of Nosocomial Infection,The Third People's Hospital of Jingzhou City,Hubei Province,Jingzhou 434000,China)
出处
《中国社区医师》
2022年第27期57-59,共3页
Chinese Community Doctors
关键词
医院感染
糖尿病
并发症
糖化血红蛋白
Nosocomial infection
diabetes
Complications
Glycosylated hemoglobin
