糖尿病肾病患者医院感染因素的调查分析  

Investigation on the factors of Nosocomial Infection in Patients with Diabetic Nephropathy

作　　者：杨新辉[1] 宾捷[1] 刘跃晖[1] 孔屏[1] 彭跃先[1] 

机构地区：[1]解放军第163医院,湖南长沙410003

出　　处：《医学临床研究》2008年第10期1799-1801,共3页Journal of Clinical Research

摘　　要：【目的】探讨糖尿病肾病(DN)患者医院感染因素,以制定相应的防治对策。【方法】对本院三年间348例DN患者医院感染发生率、医院感染情况、感染部位和易感因素进行调查分析,并与同期466例糖尿病(DM)患者同类情况进行比较。【结果】348例DN患者中有62例发生医院感染,感染率17.82%,显著高于同期DM患者的感染率(11.80%,P<0.05);感染部位以呼吸道为多见,占37.10%,其次为泌尿道(24.19%)和消化道(19.35%);主要易感因素为血糖控制差,肾功能不全,高龄和住院时间长。【结论】DN患者医院感染发生率高。有效控制血糖,加强饮食护理和消毒隔离,是防治医院感染的有效措施。[Objective] To discuss the factors of nosocomial infection in patients with diabetic nephropathy （DN）, and to work out the corresponding countermeasure for prevention and control. [Methods]The incidence rate of hospital infection, sites, pathogenic bacteria and predisposing factors in 348 DN patients were analyzed and compared with 466 controls. [Results]Sixty two cases occurred hospital infection from 348 cases with DN, and the infection rate was 17. 82%. The infection sites were most frequently in respiratory tract （37.10%）, then urinary tract （24.19） and digestive tract （19.35%）. The major predisposing factors were out of control of blood glucose, renal inadequacy, advanced age, and longer stay in hospital. [Conclusion]The inci dence rate of nosocomial infection is higher. Controlling blood glucose and reinforcing diet care, disinfection and insulation may be effective measures to prevent nosocomial infection.

关 键 词：糖尿病肾病 交叉感染 

分 类 号：R692.39[医药卫生—泌尿科学]