糖尿病足溃疡患者多重耐药菌感染研究进展  

Research progress of multi-drug resistant organisms infection in patients with diabetic foot ulcer

作　　者：郑洪伶 苏琼[1] 蒋璐 肖燕 周颖[2] ZHENG Hongling;SU Qiong;JIANG Lu;XIAO Yan;ZHOU Ying(Department of Preventive and Health Care,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Department of Obstetrics,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第二医院预防保健科,重庆400010 [2]重庆医科大学附属第一医院产科,重庆400016

出　　处：《护士进修杂志》2024年第4期414-420,共7页Journal of Nurses Training

基　　金：重庆市南岸区区级公共卫生重点学科建设经费资助项目(编号:南卫建文[2022]45号)。

摘　　要：我国糖尿病患者数量居全球第一,而糖尿病足部感染(DFI)是糖尿病常见的晚期严重并发症,如进一步发生多重耐药菌(MOROs)感染将使得医院感染控制的难度和医疗成本增加,同时也增加患者住院时间、截肢率、死亡率和其他严重并发症,严重影响患者的生活质量和加重其社会经济负担。近年来,糖尿病足溃疡(DFU)患者MOROs感染率日益升高且菌种复杂多变,对患者及其家庭造成极大危害以及经济费用,同时也给医院和社会增加了疾病负担。明确DFU患者发生MOROs感染的危险因素至关重要。本文对DFU患者MOROs感染的相关危险因素及其风险预测模型进行综述,以期为临床制定针对性预防策略提供参考。Objective The number of diabetic patients in China ranked first in the world,and diabetic foot infection(DFI)was a common and serious late complication of diabetes,and further occurrence of multi-drug resistant organisms(MDROs)infection would increase the difficulty of nosocomial infection control and medical cost.At the same time,it also increased the length of stay,amputation rate,mortality,and other serious complications,seriously affecting patients'quality of life and social and economic burden.In recent years,the infection rate of MDROs in patients with diabetic foot ulcer(DFU)was increasing and the strains were complex and changeable,which not only caused great harm to patients and their families but also increased the disease burden to hospitals and society.Therefore,it was very important to identify the risk factors of MDROs infection in patients with DFU.This article reviewed the related risk factors and its risk prediction models of MDROs infection in DFU patients to provide a reference for the clinical formulation of targeted prevention strategies.

关 键 词：糖尿病足 多重耐药 危险因素 预测模型 综述 

分 类 号：R587.1[医药卫生—内分泌] R473.58[医药卫生—内科学]