【摘要】 目的探讨糖尿病肾病(DN)医院感染的临床特点。方法对我院3年间348例DN患者医院感染发生率、感染部位、致病菌和易感因素等进行回顾性分析,并与同期466例非DN的糖尿病(DM)患者进行比较。结果348例DN患者中有62例发生医院感染,感染率17.82%,高于同期DM患者;感染部位以呼吸道最为多见,占37.10%,其次为泌尿道(24.19%)和消化道(19.35%);主要易感因素为血糖控制差、肾功能不全、高龄和住院时间长等。结论DN患者医院感染发生率高,有效控制血糖,改善肾脏功能,及时应用强有力抗感染药物是防治医院感染的有效措施。更多还原

【Abstract】 OBJECTIVE To explore the clinical characteristics of hospital infection in diabetic nephropathy(DN). METHODS To retrospectively analyze the incidence rate of hospital infection,the infection sites,pathogenic bacteria,and predisposing factors in 348 cases with diabetic nephropathy,and to compare the index above with the homeochronous 466 diabetic patients without DN. RESULTS Sixty two cases occurred hospital infection from 348 cases with DN,the infection rate was 17.82%,the infection sites were most frequently in respiratory tract(37.10%),then urinary tract(24.19%) and digestive tract(19.35%),the major predisposing factors were out of control of blood glucose,renal sufficiency,advanced age,and longer stay in hospital. CONCLUSIONS The incidence rate of hospital infection is higher,the valid measures to control the hospital infection are to control the blood glucose effectively,to improve the renal function and timely to use the method of anti-infection with forcefulness.更多还原