CAJ | 학술논문

目的：探讨糖尿病患者感染的病原菌分布、耐药性及影响感染的相关因素，并提出针对性对策，以降低感染率。方法选取2012年12月－2013年12月180例糖尿病患者，对感染患者送检标本进行培养，采用A T B微生物鉴定仪进行细菌检测，使用K‐B法进行药敏试验，数据采用SPSS 16．0进行统计分析。结果180例患者中71例发生感染，感染率39．44％；共分离出105株病原菌，以金黄色葡萄球菌为主，共30株占28．57％；抗菌药物不合理使用、神经缺血性伤口、合并基础性疾病、住院1年＞2次与患者发生感染密切相关（P＜0．05）。结论糖尿病患者感染发生率较高，通过基础护理、血糖控制、感染控制等对策，能有效降低感染发生率。
목적：탐토당뇨병환자감염적병원균분포、내약성급영향감염적상관인소，병제출침대성대책，이강저감염솔。방법선취2012년12월－2013년12월180례당뇨병환자，대감염환자송검표본진행배양，채용A T B미생물감정의진행세균검측，사용K‐B법진행약민시험，수거채용SPSS 16．0진행통계분석。결과180례환자중71례발생감염，감염솔39．44％；공분리출105주병원균，이금황색포도구균위주，공30주점28．57％；항균약물불합리사용、신경결혈성상구、합병기출성질병、주원1년＞2차여환자발생감염밀절상관（P＜0．05）。결론당뇨병환자감염발생솔교고，통과기출호리、혈당공제、감염공제등대책，능유효강저감염발생솔。
OBJECTIVE To investigate the distribution of pathogens for infections in diabetic patients ,drug resist‐ance and related factors affecting infections ,and propose specific measures to reduce infection rates .METHODS Totally 180 cases of diabetes during Dec .2012 to Dec .2013 were selected .The samples from patients were cul‐tured and analyzed for pathogen detection by ATB microbe system (France) and drug susceptibility test by K‐B method .The software SPSS 16 .0 was used for statistical analysis of data .RESULTS Totally 71 out of 180 patients had infections with the infection rate of 39 .44% .Totally 105 pathogens were isolated ,the most prevalent ones were Staphylococcus aureus (30 strains ,28 .57% ) .Irrational use of antimicrobial drugs ,neurological ischemic wounds ,underlying diseases ,the number of hospitalization times more than twice a year had a close relationship with infections in patients (P<0 .05) .CONCLUSION The incidence of infections in diabetic patients was high and countermeasures such as primary care ,glycolic control ,and infection control can effectively reduce the incidence of infection .