摘要
目的探讨糖尿病下呼吸道医院感染的病原学特征及危险因素。方法对2002-2005年内科住院糖尿病患者,下呼吸道医院感染状况进行回顾性分析。结果糖尿病并发下呼吸道医院感染的病原菌以G-杆菌为主,占54.5%,G+球菌占35.7%,真菌占9.8%,感染的危险因素包括高龄、高血糖、意识障碍、乱用抗菌药物、吸氧、侵入性治疗等。结论糖尿病医院获得性下呼吸道感染的主要病原菌为G-杆菌;警惕危险因素,加强监控意识,是成功救治危重糖尿病患者的关键。
OBJECTIVE To assess the pathogen features and risk factors among diabetic patients complicated by lower respiratory tract nosocomial infection. METHODS A retrospective study was carried out to survey the clinical data of diabetic patients complicated by lower respiratory tract infection during from 2002 to 2005. RESULTS The main responsible pathogens were Gram-negative bacteria, their rate was 54.5 %. While the rate of Gram-positive bacteria was 35. 7 %. The rate of fungi was 9. 8%. The risk factors of nosocomial infection included： old age, high level of blood sugar, consciousless status, longtime usage of antibiotics, oxygen inhalation and other aggressive manipulations. CONCLUSIONS In diabetic patients with lower respiratory tract infection, the incidence and mortality were all on relatively high level. They must be given to pay attention. The chief pathogens were Gram-negative bacteria or fungi. So we should strengthen supervision and avoid risk factors, which are the keys in saving critical diabetic patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2007年第7期801-802,共2页
Chinese Journal of Nosocomiology
关键词
糖尿病
下呼吸道感染
临床分析
Diabetes mellitus
Lower respiratory tract infection
Clinical analysis
