Objective To analyze and summarize the clinical characteristics, risk factors, pathogenic bacteria type, and drug tolerance of diabetes complicated with hospital-acquired pulmonary infection, in order to reduce the incidence of hospital-acquired pulmonary infection in patients with diabetes.
Methods The clinical data of diabetic patients with hospital-acquired pulmonary infection from 2011 to 2013 were taken for retrospective clinical analysis.
Results A total of 78 diabetic patients had hospital-acquired pulmonary infection among all the 572 hospitalized patients with diabetes. Age, complications of diabetes, chronic underlying disease, duration of hospital stay, glycated hemoglobin and invasive procedures were all correlated with the incidence of hospital-acquired infection (P<0.05). Through sputum culture and throat culture, 59 strains of pathogens were found, and they were mainly multidrug-resistant Gram-negative bacteria, accounting for 71.2%.
Conclusion The rate of acquired pulmonary infection in diabetic patients is particularly high, and the pathogens are mostly Gram-negative and multidrug-resistant. Glycemic control, rational use of antimicrobial drugs, shorter hospital stay, effective prevention and treatment of diabetes complications and chronic underlying diseases, and aseptic techniques can be effective in preventing acquired pulmonary infection for diabetic patients.
Citation：
SONGJia-jia, ZHANGXin-xiu, LIUKe-mei. Clinical Analysis on Diabetes Patients Complicated with Hospital-acquired Lung Infection. West China Medical Journal, 2015, 30(3): 451-454. doi: 10.7507/1002-0179.20150129
Copy
Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
中华医学会. 医院获得性肺炎的诊断和治疗指南[J]. 中国临床医生, 2001, 22(3):27-29.
|
| 2. |
周智广. 应重视糖尿病免疫学的研究与应用[J]. 中国糖尿病杂志, 2006, 14(4):241-242.
|
| 3. |
许能銮, 陈愉生, 李鸿茹, 等. 糖尿病患者医院获得性肺炎危险因素病例对照研究[J]. 中华医院感染学杂志, 2014, 24(7):1694-1696.
|
| 4. |
吴华, 李丹. 重症监护病房临床与环境、手分离耐药革兰阴性杆菌的同源性研究[J]. 中华医院感染学杂志, 2008, 18(7):909-912.
|
| 5. |
王笑青, 夏优秀, 甘文思. 304例老年糖尿病住院患者医院感染因素研究[J]. 中国消毒学杂志, 2014, 31(6):643-645.
|
| 6. |
周广举, 任伶俐, 张园园. 2型糖尿病患者肺部感染病原菌分布及药物敏感性分析[J]. 中华医院感染学杂志, 2014, 24(18):4442-4444.
|
| 7. |
Ledizet M, Murray TS, Puttagunta S, et al. The ability of virulence factor expression by Pseudomonas aeruginosa to predict clinical disease in hospitalized patients[J]. PLoS One, 2012, 7(11):e49578.
|
| 8. |
周玲. 268例糖尿病患者医院感染临床分析[J]. 临床内科杂志, 2001, 18(6):450-451.
|
| 9. |
Jeon CY, Furuya EY, Smaldone A, et al. Post-admission glucose levels are associated with healthcare-associated bloodstream infections and pneumonia in hospitalized patients with diabetes[J]. J Diabetes Complications, 2012, 26(6):517-521.
|
| 10. |
江腾. 糖尿病合并肺部感染的临床诊治效果探讨[J]. 吉林医学, 2014, 35(9):1918.
|
| 11. |
俞先长, 蒋丽珍. 胰岛素泵治疗糖尿病合并肺部感染的疗效观察[J]. 临床合理用药杂志, 2011, 4(2):49-50.
|
| 12. |
张伟, 于占江, 王娜, 等. 糖尿病患者感染病原菌调查及危险因素分析[J]. 中华医院感染学杂志, 2014, 24(15):3749-3750, 3793.
|
- 1. 中华医学会. 医院获得性肺炎的诊断和治疗指南[J]. 中国临床医生, 2001, 22(3):27-29.
- 2. 周智广. 应重视糖尿病免疫学的研究与应用[J]. 中国糖尿病杂志, 2006, 14(4):241-242.
- 3. 许能銮, 陈愉生, 李鸿茹, 等. 糖尿病患者医院获得性肺炎危险因素病例对照研究[J]. 中华医院感染学杂志, 2014, 24(7):1694-1696.
- 4. 吴华, 李丹. 重症监护病房临床与环境、手分离耐药革兰阴性杆菌的同源性研究[J]. 中华医院感染学杂志, 2008, 18(7):909-912.
- 5. 王笑青, 夏优秀, 甘文思. 304例老年糖尿病住院患者医院感染因素研究[J]. 中国消毒学杂志, 2014, 31(6):643-645.
- 6. 周广举, 任伶俐, 张园园. 2型糖尿病患者肺部感染病原菌分布及药物敏感性分析[J]. 中华医院感染学杂志, 2014, 24(18):4442-4444.
- 7. Ledizet M, Murray TS, Puttagunta S, et al. The ability of virulence factor expression by Pseudomonas aeruginosa to predict clinical disease in hospitalized patients[J]. PLoS One, 2012, 7(11):e49578.
- 8. 周玲. 268例糖尿病患者医院感染临床分析[J]. 临床内科杂志, 2001, 18(6):450-451.
- 9. Jeon CY, Furuya EY, Smaldone A, et al. Post-admission glucose levels are associated with healthcare-associated bloodstream infections and pneumonia in hospitalized patients with diabetes[J]. J Diabetes Complications, 2012, 26(6):517-521.
- 10. 江腾. 糖尿病合并肺部感染的临床诊治效果探讨[J]. 吉林医学, 2014, 35(9):1918.
- 11. 俞先长, 蒋丽珍. 胰岛素泵治疗糖尿病合并肺部感染的疗效观察[J]. 临床合理用药杂志, 2011, 4(2):49-50.
- 12. 张伟, 于占江, 王娜, 等. 糖尿病患者感染病原菌调查及危险因素分析[J]. 中华医院感染学杂志, 2014, 24(15):3749-3750, 3793.
