中国全科医学2012，Vol.15Issue(15)：1689-1692,4.
糖尿病足发生多重耐药菌感染的危险因素分析
Risk Factors for Infections of the Diabetic Foot with Multidrug Resistant Microorganisms
黄德斌 1李晓行 1邵芬 1林丽萍 1章臻翊1
作者信息
- 1. 410015,湖南省长沙市第三医院内分泌代谢病科
- 折叠
摘要
Abstract
Objective To determine the distribution features and the present condition of drug resistance as well as the related risk factors for diabetic foot infection with multi - drug resistant microorganisms ( MDRMs). Methods We analyzed ret-rospectively all patients with diabetic foot infections admitted to the departments of Endocrinology and Metabolism and Orthopedics in the third hospital of Changsha between September 2006 and March 2011 about the pathogenic bacteria culture and drug sensitiv -ity results, from which we chose 34 patients with infection of MDRMs as the case group and 73 without MDRMs as the control group for risk factors analysis of MDRMs infections. Results 51 MDRMs strains were isolated from 34 patients in the case group, among which the top three were Staphylococcus aureus (41. 2% ) , Pseudononas aeruginosa (23. 5% ) , Enterobacter spp (21.6%). Multi - factor logistic analysis revealed that previous antibiotics explosure histories and its duration , frequency of hospitalization for the same wound which was above 2 times a year, the presence of neuroischemic wounds and osteomyelitis were significant risk factors for infections with multidrug resistant microorganisms (P <0. 05 ). Conclusion Previous antibiotics ex-plosure histories and its duration , frequency of hospitalization for the same wound which is above 2 times a year, the presence of neuroischemic wounds and osteomyelitis were closely related with MDRMs infection.关键词
糖尿病足/感染/多重耐药菌/危险因素Key words
Diabetic foot/Infection/Multidrug resistant microorganisms/Risk factors分类
医药卫生引用本文复制引用
黄德斌,李晓行,邵芬,林丽萍,章臻翊..糖尿病足发生多重耐药菌感染的危险因素分析[J].中国全科医学,2012,15(15):1689-1692,4.
