老年糖尿病患者医院内获得性尿路感染病原学分析

目的探讨老年糖尿病患者医院内尿路感染的临床特点及病原学情况。方法回顾性调查87例老年糖尿病合并医院获得性尿路感染患者的临床资料,分析病原学及细菌耐药性的特点与糖代谢的关系。结果老年糖尿病患者尿路感染的病原菌以革兰阴性杆菌为主,占74.2%。2种细菌混合感染占14.6%,细菌与真菌并存占6.7%。药物敏感试验提示革兰阴性杆菌对抗菌素的敏感性依次为头孢他啶71.2%、氧氟沙星70.0%、头孢曲松62.1%、头孢噻肟60.6%、头孢哌酮60.6%、头孢唑啉60.0%、哌拉西林53.1%。革兰阳性球菌对万古霉素100%敏感。结论糖尿病患者中医院获得性尿路感染常见,病原菌以革兰阴性杆菌为主,应参考药物敏感试验结果并在控制血糖的基础上进行抗炎治疗。

HOSPITAL-ACQUIRED URETHRA INFECTION IN ELDERLY DIABETIC PATIENTS

Objective To investigate the clinical manifestation and pathogen of hospital-acquired urethra infection in elderly patients with diabetes. Methods To analyze urethra the clinical data, the pathogens isolated from cultured sputum and the antibiotic sensitivity of bacteria in 87 elderly patients with diabetes. Results Bacilli in sputum were common in these patients(74.2%),14.6% complicated with 2 different bacilli,6.7% with fungus. The bacilli sensitive rate to antibiotics was as high as 71.2% to Ceftazidime,70.0% to Ofloxacin,62.1% to Cefatriaxone,60.6% to cefoperazone or cefoperazone,60.0% to cefazolin,53.1% to Piperacillin respectively. Cocci sensitive rate was 100% to Vancomycin. Conclusion Hospital acquired acquired urethra infection is common is elderly patients with diabetes, and should be treated based on the antibiotic sensitivity of bacteria and on metabolic control.