【摘要】：目的探討老年糖尿病患者醫(yī)院感染的臨床特點(diǎn)及影響因素分析。方法選取2013年1月-2016年12月醫(yī)院住院的老年糖尿病患者300例臨床資料,分析患者感染率、病原菌分布并分析老年糖尿病醫(yī)院感染相關(guān)影響因素。結(jié)果 300例老年糖尿病患者醫(yī)院感染42例,感染率為14.0%;42例老年糖尿病醫(yī)院感染患者中,呼吸道感染、泌尿道感染、皮膚軟組織感染、消化道感染分別為15例、11例、8例、5例,構(gòu)成比為35.7%、26.2%、19.0%、11.9%,42例老年糖尿病醫(yī)院感染患者共培養(yǎng)出病原菌67株,其中革蘭陽性菌、革蘭陰性菌、真菌分別為12株、41株、14株,構(gòu)成比分別為17.9%、61.2%、20.9%,革蘭陽性菌主要為耐甲氧西林金黃色葡萄球菌和腸球菌,革蘭陰性菌主要為銅綠假單胞菌、肺炎克雷伯菌、鮑氏不動桿菌;老年糖尿病患者醫(yī)院感染和年齡、病程、糖化血紅蛋白、空腹血糖、并發(fā)癥、住院時間、侵入性操作及應(yīng)用抗菌藥物種類有關(guān)(P0.05);年齡70歲、病程≥5年、糖化血紅蛋白9%、空腹血糖≥15mmol/L、有并發(fā)癥、住院時間≥4周、有侵入性操作、抗菌藥物種類≥2種是老年糖尿病患者醫(yī)院感染的獨(dú)立危險因素(P0.05)。結(jié)論老年糖尿病患者醫(yī)院感染率較高,主要感染部位為呼吸道感染,主要病原菌為革蘭陰性菌,臨床應(yīng)對高齡、病程長、糖化血紅蛋白和空腹血糖高、合并并發(fā)癥、住院時間長、抗菌藥物種類多、有侵入性操作患者高度重視,預(yù)防醫(yī)院感染的發(fā)生。
[Abstract]:Objective to investigate the clinical characteristics and influencing factors of nosocomial infection in elderly diabetic patients. Methods the clinical data of 300 elderly diabetic patients hospitalized from January 2013 to December 2016 were analyzed. The infection rate, the distribution of pathogenic bacteria and the related factors of nosocomial infection in elderly diabetic patients were analyzed. Results there were 42 cases of nosocomial infection in 300 cases of senile diabetes mellitus, and the infection rate was 14.0%. Among them, respiratory tract infection, urinary tract infection, skin and soft tissue infection, digestive tract infection were 15 cases, 11 cases were nosocomial infection and 5 cases were digestive tract infection, respectively. A total of 67 strains of pathogenic bacteria were cultured in 42 elderly patients with diabetes nosocomial infection, including 12 strains of Gram-positive bacteria, 41 strains of Gram-negative bacteria and 14 strains of fungi, respectively. The composition ratios were 17.9% and 61.2%, respectively. Gram-positive bacteria were mainly methicillin resistant Staphylococcus aureus and Enterococcus, Gram-negative bacteria were mainly Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumannii, nosocomial infection and age of elderly patients with diabetes. Course of disease, glycosylated hemoglobin, fasting blood glucose, complications, length of stay, invasive operation and kinds of antimicrobial agents were related (P0.05), age 70 years, course of disease 鈮，

本文編號：2238174