糖尿病和非糖尿病患者尿路感染的比较

目的 探讨糖尿病患者的尿路感染特点。方法 选择179例住院的尿病原学阳性的尿感患者。据有无糖尿病分成两组,对其临床资料、病原体的分布及两种主要病原菌大肠埃希菌和肠球菌的药敏结果进行对照。结果 糖尿病患者无症状菌尿的发生率较高,对治疗的反应性较差,并且易于发生多重致病菌的感染,在医院感染中真菌的感染机会较多。在对各种抗生素的耐药方面,两组患者差异无显著意义。结论 要重视糖尿病患者尿病原体的培养,治疗过程中可能需要抗生素的联合运用和抗真菌药物的使用。

Comparison of Urinary Tract Infection in Diabetics and Non-diabetics

Purpose To determine the clinical characteristics of urinary tract infection (UTI) in diabetics. Methods Significant bacteriuria from 179 resident patients were included in the study. The patients were divided into 2 groups according to the presence or absence of diabetes. Medical records were reviewed including the clinical information, type of organism isolated and their antibiotic resistence. Results Asymptomatic bacteriuria (ASB) was more common in diabetics and the eradication of UTI seemed to be more difficult in diabetics than in non-diabetics. Diabetics were more likely to have multiple organisms infections, and yeast was the most common isolate in their hospital acquired infection. There was no great difference in antibiotic resistence between the two groups. Conclusions The culture of the urine should be emphasized in diabetics, and the combination of antibiotics and the usage of antifungal drugs might be needed in the management of UTI in diabetics.