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目的探讨医院感染对糖尿病患者预后的影响。方法制定目标监测方案,采用查阅住院病历、参加查房、网上微生物监测的方法,监测2007年1月-2008年12月糖尿病住院患者1218例。结果发生医院感染119例,感染率9.77%;感染部位以呼吸道、泌尿道为主,分别占63.19%、24.31%;平均住院天数感染组为(37.19±26.73)d,非感染组为(22.36±16.20)d,两组比较,差异有统计学意义(P<0.01);平均住院费用感染组(29 973.00±27 760.33)元,非感染组(15 383.00±24 837.26)元,两组比较,差异有统计学意义(P<0.01);死亡率感染组6.72%,非感染组1.18%,两组比较,差异有统计学意义(P<0.01)。结论医院感染影响糖尿病患者的预后。
Objective To investigate the impact of nosocomial infection on the prognosis of diabetic patients. Methods The target monitoring program was established. 1218 inpatients with diabetes admitted from January 2007 to December 2008 were monitored by referring to the inpatient records, attending ward rounds and monitoring the microbes online. Results 119 cases of nosocomial infection were found, the infection rate was 9.77%. The main infection areas were respiratory tract and urinary tract, accounting for 63.19% and 24.31% respectively. The mean length of stay in hospital was (37.19 ± 26.73) days and that in non-infected cases was (22.36 ± 16.20) d, the difference between the two groups was statistically significant (P <0.01); mean hospitalization expense group (29 973.00 ± 27 760.33) yuan, non-infected group (15 383.00 ± 24 837.26) (P <0.01). The mortality rate was 6.72% in infected group and 1.18% in non-infected group, the difference was statistically significant (P <0.01). Conclusion Hospital infection affects the prognosis of diabetic patients.