糖尿病住院患者医院感染危险因素对照研究  

Risk factors of nosocomial infection in patients with diabetes:a casecontrol study

作　　者：韩祖亮[1] 

机构地区：[1]杭州市萧山区第一人民医院内分泌科,浙江杭州311201

出　　处：《中华医院感染学杂志》2011年第5期903-904,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨糖尿病住院患者合并医院感染的危险因素。方法回顾性分析1620例糖尿病患者住院病历,将合并医院感染者作为观察组,按1∶2选择同期无医院感染糖尿病患者作为对照组,对感染可能因素先进行单因素分析,将有显著意义的因素赋值后进行多因素非条件logistic分析。结果医院感染发生率为8.64%;单因素分析9个变量是医院感染危险因素,logistic回归分析结果筛选出高龄、侵入性操作、血糖水平高、预防性应用抗菌药物是独立危险因素。结论糖尿病住院患者医院感染发生率较高,影响因素较多,应密切监测高龄患者;减少侵入性操作,控制血糖水平,合理应用抗菌药物,降低医院感染的发生。OBJECTIVE To explore the risk factors of diabetic patients combined with nosocomial infection. METHODS The medical records of 1620 cases of diabetes were retrospectively analyzed. The cases with hospital infections were considered as the observation group, the diabetic patients without hospital infection selected by 1 ： 2 over the same period as control group non-conditional Logistic multivariate analysis was used to analyz after assignment. RESULTS The incidence of nosocomial infection rate 8.62%; single-factor analysis showed that nine variables were risk factors for nosoeomial infection, Logistic regression analysis showed that the older, invasive procedures, high blood sugar, prophylactic use of antibiotics were the independent risk factors. CONCLUSIONS The incidence of diabetes with hospital infection is high, influenced by many factors, the elderly patients should closely monitored to lessen the invasive operation, control the blood sugar levels, rationally use of the antibiotics to reduce the incidence of hospital infection.

关 键 词：糖尿病 医院感染 危险因素 病例对照研究 

分 类 号：R181.32[医药卫生—流行病学]