首页|糖尿病住院患者的医院感染发生情况及病原菌分布、炎症因子变化情况分析

糖尿病住院患者的医院感染发生情况及病原菌分布、炎症因子变化情况分析

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目的:分析糖尿病住院患者医院感染发生情况及病原菌分布、炎症因子变化情况.方法:统计2021年1月至12月无锡明慈心血管病医院收治的60例糖尿病住院患者的临床资料,汇总病原菌分布及炎症因子水平,分析影响因素.结果:60例糖尿病住院患者医院感染发生率15.00%,其中9例患者共检测出31株病原菌,以革兰阴性菌(64.52%)肺炎克雷伯菌为主.糖尿病医院感染患者降钙素原(PCT)、C反应蛋白(CRP)、白细胞(WBC)检测水平均高于糖尿病非医院感染患者(P<0.05).年龄≥60岁、有侵入操作、住院时间≥7 d等是导致医院感染发生的独立危险因素.结论:糖尿病住院患者医院感染发生率较高,以革兰阴性菌为主要病原菌,感染后炎症因子水平明显升高.同时需重视年龄≥60岁等独立危险因素,降低医院感染的发生率.
Analysis of nosocomial infection,pathogenic bacteria distribution and inflammatory factors in hospitalized patients with diabetes
Objective To analyze the nosocomial infection,distribution of pathogenic bacteria and changes of inflammatory factors in hospitalized patients with diabetes.Methods The clinical data of 60 hospitalized patients with diabetes admitted to Wuxi Mingci Cardiovascular Hospital from January to December 2021 were analyzed,the distribution of pathogenic bacteria and the levels of inflammatory factors were summarized,and the influencing factors were analyzed.Results The incidence of nosocomial infection in 60 hospitalized patients with diabetes was 15.00%.A total of 31 strains of pathogenic bacteria were detected in 9 patients,mainly gram-negative bacteria Klebsiella pneumoniae(64.52%).The levels of procalcitonin(PCT),C-reactive protein(CRP)and white blood cell(WBC)in diabetes patients with nosocomial infection were higher than those in diabetes patients without nosocomial infection(P<0.05).Age≥60 years old,invasive procedure,and hospital stay≥7 days were independent risk factors for nosocomial infection.Conclusion The incidence of nosocomial infection in hospitalized patients with diabetes is higher.Gram-negative bacteria are the main pathogens,and the level of inflammatory factors will increase significantly after infection.At the same time,it is necessary to pay attention to independent risk factors such as age≥60 years old,and formulate countermeasures in time to reduce the incidence of nosocomial infection.

diabetesnosocomial infectionpathogenic bacteriainflammatory factors

周赛男

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无锡明慈心血管病医院内分泌科,江苏 无锡 214024

糖尿病 医院感染 病原菌 炎症因子

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(4)