中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
7期
10-12
,共3页
糖尿病%交叉感染%特征
糖尿病%交扠感染%特徵
당뇨병%교차감염%특정
Diabetes mellitus%Hospital infection%Features
目的 探讨糖尿病患者医院感染的临床特征及预防措施.方法 回顾性分析1020例糖尿病患者的临床资料.结果 医院感染发生率10.78%(110/1020);以呼吸道感染46例次最高;单部位感染50例,2个部位18例,3个及3个以上部位6例;具有相关系统感染典型表现72例,38例症状不典型;病原学检查送检率为73.64%(81/110);病原微生物检出率为66.67%(54/81);年龄大、女性、病程长、血糖控制差、侵袭性操作、合并其他疾病、存在并发症、肾衰竭期、住院时间长易发生医院感染;预防性应用抗生素不能降低医院感染发生率;发生医院感染患者病死率(5.45%,6/110)高于无医院感染患者(1.54%,14/910).结论 糖尿病患者医院感染率高,可加重病情,必须积极治疗原发病,保护易感染人群,提高患者自身免疫力;合理应用抗生素,尽早寻求细菌学及药敏试验依据;严格执行无菌操作,减少侵袭性操作;缩短住院时间.
目的 探討糖尿病患者醫院感染的臨床特徵及預防措施.方法 迴顧性分析1020例糖尿病患者的臨床資料.結果 醫院感染髮生率10.78%(110/1020);以呼吸道感染46例次最高;單部位感染50例,2箇部位18例,3箇及3箇以上部位6例;具有相關繫統感染典型錶現72例,38例癥狀不典型;病原學檢查送檢率為73.64%(81/110);病原微生物檢齣率為66.67%(54/81);年齡大、女性、病程長、血糖控製差、侵襲性操作、閤併其他疾病、存在併髮癥、腎衰竭期、住院時間長易髮生醫院感染;預防性應用抗生素不能降低醫院感染髮生率;髮生醫院感染患者病死率(5.45%,6/110)高于無醫院感染患者(1.54%,14/910).結論 糖尿病患者醫院感染率高,可加重病情,必鬚積極治療原髮病,保護易感染人群,提高患者自身免疫力;閤理應用抗生素,儘早尋求細菌學及藥敏試驗依據;嚴格執行無菌操作,減少侵襲性操作;縮短住院時間.
목적 탐토당뇨병환자의원감염적림상특정급예방조시.방법 회고성분석1020례당뇨병환자적림상자료.결과 의원감염발생솔10.78%(110/1020);이호흡도감염46례차최고;단부위감염50례,2개부위18례,3개급3개이상부위6례;구유상관계통감염전형표현72례,38례증상불전형;병원학검사송검솔위73.64%(81/110);병원미생물검출솔위66.67%(54/81);년령대、녀성、병정장、혈당공제차、침습성조작、합병기타질병、존재병발증、신쇠갈기、주원시간장역발생의원감염;예방성응용항생소불능강저의원감염발생솔;발생의원감염환자병사솔(5.45%,6/110)고우무의원감염환자(1.54%,14/910).결론 당뇨병환자의원감염솔고,가가중병정,필수적겁치료원발병,보호역감염인군,제고환자자신면역력;합리응용항생소,진조심구세균학급약민시험의거;엄격집행무균조작,감소침습성조작;축단주원시간.
Objective To discuss the clinical features and prevention methods of the diabetes meilitus patients with hospital infection. Method Retrospectively, clinical data of 1020 patients with diabetes mellitus from January 2006 to December 2008 were analyzed. Results The occurrence rate of hospital infection was 10.78%(110/1020),46 cases with respiratory infection, 50 cases with single part infected, 18 cases with two parts infected, 6 cases with three or over three parts infected. There were 72 cases with typical infection and 38 cases with non-typical infection. 73.64% (81/110) patients underwent etiological examination. Pathogenic micro-organisms was detected in 66.67%(54/81) patients. The related factors of hospital infection were old age, female, long course of disease, poor glucose control, invasive operation, combination with other diseases, existence of complications, renal failure stage and long course of hospitalization. Antibiotics could not reduce the hospital infection. Fatality rate of infection patients was higher than that of non-infected patients (5.45%, 6/110 vs 1.54%, 14/910). Conclusions Diabetes mellitus patients have higher hospital infection, which can aggravate the illness. So doctors must cure the primary disease actively, protect the easily affected people, enhance the patients' immunity, use antibiotics rationally, seek the basis of bacteriology and do drug sensitivity test as soon as possible. Doctors should make aseptic implementation strictly, reduce invasive operation and shorten the time of hospitalization.
