糖尿病医院感染危险因素分析及防治对策  

Nosocomial infection of diabetes:risk factors and prevention

作　　者：霍卫池[1] 陈凡[2] 冯涛[1] 丁秋蕾[1] 史金英[3] 徐兰慧[4] 

机构地区：[1]石家庄市中心医院检验科,050011 [2]北京北亚骨科医院综合内科,100045 [3]石家庄市中心医院内科,050011 [4]石家庄市中心医院感染部,050011

出　　处：《疑难病杂志》2011年第10期750-752,共3页Chinese Journal of Difficult and Complicated Cases

基　　金：石家庄市科技支撑计划项目(No．101461033)

摘　　要：目的探讨糖尿病医院感染状况与危险因素,为降低其发生率提供科学依据及防治对策方法对112例糖尿病合并医院感染患者的危险因素进行回顾性调查分析。结果精尿病并发医院感染的病例占住院糖尿病患者的24.6%(112/456),占全院感染构成比的8.8%(112/1277),医院感染病死率为17.0%(19/112);与糖尿病合并医院感染发生有显著关联的危险因素是:住院天数、糖化血红蛋白值、侵袭性操作、抗生素使用种类、糖尿病并发症及其他基础疾病;感染部位以肺部感染为最多,其次是泌尿道感染。主要病原体为G菌,其次是G^+菌、真菌。结论糖尿病患者医院感染发生率、病死率均高,须引起重视,要积极临床防治,必要时借助医院行政管理适当干预。Objective To explore the state of nosocomial infection and its risk factors in patients with diabetes,in order to provide scientific basis for its treatment and prevention,and to lower its morbidity.Methods Retrospectively analyzed the risk factors of nosocomial infection in 112 patients with diabetes.Results The results showed that 112 of 456（24.6%） diabetes patients had nosocomial infection,it were 8.8%（112/1277） of the constituent rate of personnel nosocomial infection, and the nosocomial infection fatality was 17.0%（19/112）.The 5 chief significantly associated risk factovs included：the duration of hospitalization,the levels of blood glucose and HbA_（1c）,receiving invading operation,species of antibiotics usage, complications of diabetes and else basic diseases.The main infection sites were lungs,urinary tract was the secondly site.The chief pathogens were gram negative bacteria,secondly were gram positive bacteria and fungi.Conclusion The incidence of nosocomial infection and fatality of diabetes patients was higher than normal.It should be pay much attention to nosocomial infection and effect management intervention,with appropriate management intervention when necessary.

关 键 词：医院感染 糖尿病 危险因素 临床防治 管理干预 

分 类 号：R587.1[医药卫生—内分泌]