摘要
目的探讨糖尿病(DM)合并脑血管意外患者医院感染危险因素和预防措施。方法回顾性分析574例DM合并脑血管意外患者的相关临床资料。结果574例患者中有126例发生医院感染,感染率为22.0%;医院感染的危险因素包括年龄、住院天数、侵入性治疗及手术、抗菌药物使用、糖尿病病程、空腹血浆葡萄糖(FPG)、糖化血红蛋白A1C(HbA1C)、脑血管意外临床类型、意识障碍、球麻痹;医院感染部位主要是呼吸道、泌尿道、消化道,病原菌以革兰阴性菌为主。结论DM合并脑血管意外患者医院感染率较高,预防与控制危险因素可降低DM合并脑血管意外患者发生医院感染。
OBJECTIVE To explore the risk factors and preventive measures of nosocomial infection among the diabetes mellitus patients with cerebrovascular accident. METHODS A retrospective survey on 574 diabetes mellitus patients with cerebrovascular accident was conducted. RESULTS The result showed that 126 of the 574 patients had nosocomial infection,the rate of infection was 22%. The risk factors of nosocomial infection included： age,hospitalized days, invasive treatment procedures and operation, application of antibiotics, course of diabetes mellitus, fasting plasma glucose （FPG）, glycosylated hemoglobinA1c （HbA1c）, clinical type of cerebrovascular accident,consciousness and bulbar palsy. The main infection sites were at lungs, urinary tract and intestines. The chief pathogens were Gram-negative bacteria. CONCLUSIONS Nosocomial infection is a high frequent complication in diabetes mellitus with cerebrovascular accident. Preventing and controlling the risk factors can reduce the rate of nosocomial infection among the diabetes mellitus patients with cerebrovascular accident.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2008年第5期632-634,共3页
Chinese Journal of Nosocomiology
关键词
糖尿病
脑血管意外
医院感染
Diabetes mellitus
Cerebrovascular accident
Nosocomial infection
