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目的探讨老年糖尿病患者医院感染的临床特点、危险因素及相关预防措施。方法对2004年1月-2009年6月韶关市第一人民医院收治的1483例老年糖尿病患者的临床资料进行回顾性分析。结果老年糖尿病患者发生医院感染176例,医院感染发生率为11.87%,感染258例次,感染例次率为17.40%。感染部位以下呼吸道最多,其次为上呼吸道、肠道。病原菌以革兰阴性杆菌为主,占67.82%。危险因素为病情严重、并存多种慢性疾病、住院时间长、高血糖、有院外感染、侵袭性操作、应用广谱抗生素、年龄大等。结论老年糖尿病患者易发生医院感染,针对危险因素采取有效预防措施,对降低老年糖尿病患者医院感染率有重要意义。
Objective To explore the clinical features, risk factors and related preventive measures of nosocomial infections in elderly diabetic patients. Methods The clinical data of 1483 elderly diabetic patients admitted to the First People’s Hospital of Shaoguan from January 2004 to June 2009 were analyzed retrospectively. Results 176 cases of nosocomial diabetes occurred in hospitalized patients, the incidence of nosocomial infection was 11.87%, 258 cases of infection, the infection rate was 17.40%. The most affected area was the respiratory tract, followed by the upper respiratory tract and intestinal tract. Gram-negative bacteria mainly bacilli, accounting for 67.82%. Risk factors for the serious condition, the coexistence of a variety of chronic diseases, hospitalization for a long time, high blood sugar, with nosocomial infections, invasive operations, the use of broad-spectrum antibiotics, older and so on. Conclusion Elderly patients with diabetes are prone to nosocomial infection and taking effective preventive measures against risk factors is of great significance in reducing the rate of nosocomial infections in elderly diabetic patients.