糖尿病患者医院感染分析

目的 了解糖尿病患者医院感染发生情况，提高认识，降低医院感染发病率。方法 对328例糖尿病患者的住院资料进行回顾性凋查分析。结果 糖尿病患者的医院感染率为17．38％；感染部位前3位分别是呼吸道、泌尿道和胃肠道，占82.48％；高龄、住院时间长、入院前使用抗菌药物、糖尿病控制不佳、并发症及侵入性诊疗措施是糖尿病医院感染的危险因素。结论 积极治疗原发病与并发症、有效控制血糖、缩短住院时间、合理使用抗菌药物、尽量避免侵人性诊疗操作是防治糖尿病医院感染的关键。

Nosocomial infection in patients with diabetes mellitus

Objective To evaluate the nosocomial infection (NI) in patients with diabetes mellitus and reduce the NI rate. Methods Retrospective analysis of hospitalization data of 328 patients with diabetes mellitus was made. Results NI rate of patients was 17.38%, the top three infection sites were respiratory, urinary and gastrointestinal tract; accounting for 82.48%, the risk factors were the elderly, long period of hospitalization, overuse of antimicrobial agents before admission, complications and invasive procedures. Conclusion The keys to the prevention of NI in patients with diabetes mellitus were proper treatment of underlying diseases and complications, effective control of blood sugar level, shortening of hospital stay, rational use of antimicrobial agents and less invasive procedure.