CAJ | 학술논문

目的：探讨糖尿病患者院内多重耐药菌感染的流行特征，为临床防治提供科学依据。方法回顾性分析本院2008-2012年糖尿病患者院内多重耐药菌感染的流行特征。结果5年来糖尿病患者院内感染发病率1.91%（264/13844），264例院内感染中，感染率45.4%（120/264），好发部位为呼吸道、泌尿道、导管等，主要分布于 ICU 病房（38.3%，46/120），最常见病原菌为革兰阴性菌（54.8%，136/248）。大部分患者基础疾病为慢性呼吸道疾病，平均感染年龄63.3岁，男女致病率之比为1.5：1。结论控制糖尿病患者院内多重耐药菌的感染非常重要，需要监测重点科室、易感人群、好发部位，并及时采取有效的防治措施。
목적：탐토당뇨병환자원내다중내약균감염적류행특정，위림상방치제공과학의거。방법회고성분석본원2008-2012년당뇨병환자원내다중내약균감염적류행특정。결과5년래당뇨병환자원내감염발병솔1.91%（264/13844），264례원내감염중，감염솔45.4%（120/264），호발부위위호흡도、비뇨도、도관등，주요분포우 ICU 병방（38.3%，46/120），최상견병원균위혁란음성균（54.8%，136/248）。대부분환자기출질병위만성호흡도질병，평균감염년령63.3세，남녀치병솔지비위1.5：1。결론공제당뇨병환자원내다중내약균적감염비상중요，수요감측중점과실、역감인군、호발부위，병급시채취유효적방치조시。
Objective To investigate the epidemic characteristics of multi drug resistant bacteria infection in patients with diabetes mellitus,and provide scientific basis for the clinical prevention and treatment. Methods The epidemic character-istics of multi drug resistant bacteria infection of diabtic in our hospital from 2008 to 2012 were analyzed retrospectively. Results The incidence of infection in diabetes mellitus patients during 5 years was 1. 91% (264 / 13844),120 cases of multi drug re-sistant bacteria infection,the infection rate was 45. 4% (120 / 264),the predilection sites were respiratory tract,urinary tract, catheter,distributed mainly in the ICU ward(38. 3% ,46 / 120),the most common pathogens were Gram - negative bacteria (54. 8% ,136 / 248). Most patients with basic disease was chronic respiratory disease,the average infection age was 63. 3 years old,male and female morbidity ratio for 1. 5: 1. Conclusion It is important to control multi drug resistant bacteria infec-tion inpatients with diabetes mellitus. Departments,susceptible population,predilection sites need to monitor key,and taking effective measures in time.