摘要
目的探讨2型糖尿病患者医院感染的危险因素及预防措施,旨在降低糖尿病患者的医院感染发生率。方法回顾性分析医院2009年6月-2011年1月收治的84例发生医院感染2型糖尿病患者危险因素。结果 2型糖尿病并发医院感染的发生率为24.56%;发生感染部位依次为呼吸道、泌尿道、胃肠道、皮肤软组织、口腔,分别占60.71%、15.48%、13.10%、7.14%、3.57%;感染的病原菌依次为革兰阴性杆菌、革兰阳性球菌、真菌,分别占57.14%、39.29%、3.57%;年龄、病程、空腹血糖、餐后2h血糖、糖化血红蛋白、糖尿病并发症、侵入性操作、抗菌药物应用、住院天数9项危险因素与2型糖尿病并发医院感染具有相关性(P<0.05)。结论 2型糖尿病患者发生医院感染率高,护理人员要高度重视发生医院感染的相关危险因素,采取有效的预防措施,减少医院感染的发生。
OBJECTIVE To investigate the risk factors and preventive measures of nosocomial infections in the type 2diabetes patients so as to reduce the incidence of nosocomial infections in the diabetes patients.METHODS A total of 82cases of type 2diabetes patients with nosocomial infections,who were treated in the hospital from Jun 2009to Jan 2011,were enrolled in the study,then the risk factors of the nosocomial infections were retrospectively analyzed.RESULTS The incidence of nosocomial infections in the patients complicated with type 2diabetes was 24.56%;the nosocomial infections sites were in turn as follows：the respiratory tract,the urinary tract,the gastrointestinal tract,the skin and soft tissue,and the oral cavity,accounting for 60.71%,15.48%,13.10%,7.14%,and 3.57%,respectively.The gram-negative bacilli,the gram-positive bacilli,and the fungi were the pathogens causing the infections,accounting for 57.14%,39.29%,and 3.57%,respectively.The age,course of disease,fasting blood glucose,postprandial 2hblood glucose,glycosylated hemoglobin,diabetes complications,invasive operation,use of antibiotics,and hospitalization duration were the nine risk factors,which were related to the incidence of nosocomial infecitons in the type 2diabetes patients（P〈0.05）.CONCLUSION The incidence of nosocomial infections in the type 2diabetes patients is high,the nursing staff should attach great importance to the related risk factors of the nosocomial infections and take effective prevention measures so as to reduce the incidence of nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第13期3111-3113,共3页
Chinese Journal of Nosocomiology
基金
河南省医学科技攻关项目(2007003-18N2)
关键词
糖尿病
医院感染
危险因素
预防措施
Diabetes
Risk factor of nosocomial infection
Preventive measure
