摘要
目的探讨糖尿病患者医院感染情况及其危险因素,为今后工作采取有效预防控制措施提供科学依据。方法通过设计医院感染个案调查表,对医院2006年6月-2009年6月259例糖尿病住院患者进行回顾性调查;采用SPSS软件进行单因素和多因素分析。结果糖尿病患者发生医院感染43例,感染率16.60%;感染部位以呼吸系统为主19例,占44.19%,其次为泌尿道11例,占25.58%,胃肠道7例,占16.28%;检出病原菌31株,以条件致病菌为主,其中革兰阴性菌19株,占61.29%;Logistic回归分析显示:年龄、住院天数、病程、空腹血糖、侵入性操作、抗菌药物使用是主要危险因素。结论糖尿病患者医院感染率高,应引起重视;须针对危险因素采取有效措施,降低感染率。
OBJECTIVE To investigate the situation of nosocomial infection in diabetes patients and its risk factors in order to take effective measures and to provide a scientific basis for prevention and control.METHODS Based on the designed questionnaire for case investigation about nosocomial infection,259 cases of diabetic inpatients from Jun 2006 to 2009 were investigated retrospectively by using SPSS software,unvariate and multivariate analysis.RESULTS All 43 cases were with nosocomial infection,the infection rate was 16.60%.The main sites of infection were respiratory tract（19 cases,44.19%）,urinary tract（11 cases,25.58%）,and gastrointestinal tract（7 cases,16.28%）.Of 31 isolates of pathogens,most of them were opportunistic pathogens,including 19 Gram-negative bacteria isolates,accounted for 61.29%.The Logistic regression analysis showed,the age,length of stay,illness time,fasting glucose,invasive operation,and anti-bacterial drug use were the main risk factors.CONCLUSIONS The nosocomial infection rate among diabetic patients is high.Attention should be paid to be risk factors and the effective measures to reduce infection rates.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第15期2222-2223,共2页
Chinese Journal of Nosocomiology
关键词
糖尿病
医院感染
危险因素
回归分析
Diabetes mellitus
Nosocomial infection
Risk factors
Regression analysis
