摘要
Abstract
Objective To study the related factors and appropriate strategies for infections in patients with type 2 diabetes mellitus (DM), so as to reduce nosocomial infection(NI) rate. Methods Forty-eight type 2 DM patients with NI (NI group)and 55 type 2 DM patients without NI (control group) during the same hospitalization period were selected, patients' age at admission, fasting blood sugar, glycohemoglobin, hospital stay, immunization level, invasive procedure, antimicrobial use, and continuous subcutaneous insulin infusion in two groups were compared. Results Patients' average age at admission ([62. 57 ± 14. 35] years old), fasting blood sugar([10. 26 ±3. 68]mmol/L), glycohemoglobin([8. 38 ± 2. 95] %), and hospital stay([21.38 ± 10. 77]days) in NI group were higher than ([44. 40± 12. 82] years old), ([8. 96 ± 2. 92] mmol/L), ([6. 73 ± 2. 57]%) , and ([16. 24 ± 9. 62]days) respectively in control group,there was significant difference between two groups(all P<0. 05) ;Immunization levels in two groups were not statistically significant(P>0. 05); invasive procedure rate in NI group (16. 67 %) and ≥2 typies of antimicrobial usage rate (68. 75%) in NI group were both higher than those (3. 64% ,9. 09%) of control group respectively, continuous subcutaneous insulin infusion rate in control group(67. 27%) was higher than that of NI group(14. 58%), the difference was significant(P<0. 05). Conclusion Multiple factors can influence the occurrence of NI in type 2 DM patients, surveillance should be intensified , comprehensive strategies should be taken to prevent the occurrence of NI.关键词
糖尿病,2型/医院感染/危险因素/感染控制分类
医药卫生