Clinical Analysis on Diabetes Patients Complicated with Hospital-acquired Lung Infection_West China Medical Journal

Authors：

 SONGJia-jia ,  ZHANGXin-xiu , LIUKe-mei

Department of Endocrinology, the Second People's Hospital of Hefei, Hefei, Anhui 230011, P. R. China;

Corresponding?author：

ZHANGXin-xiu, Email: zhangxinxiu6@126.com

Keywords：

Diabetes; Hospital-acquired lung infection; Clinical analysis; Resistance

DOI：

10.7507/1002-0179.20150129

Video：

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Abstract Full text Figures/Tables Video References Cited by

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

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1. 中華醫學會. 醫院獲得性肺炎的診斷和治療指南[J]. 中國臨床醫生, 2001, 22(3):27-29.
2. 周智廣. 應重視糖尿病免疫學的研究與應用[J]. 中國糖尿病雜志, 2006, 14(4):241-242.
3. 許能鑾, 陳愉生, 李鴻茹, 等. 糖尿病患者醫院獲得性肺炎危險因素病例對照研究[J]. 中華醫院感染學雜志, 2014, 24(7):1694-1696.
4. 吳華, 李丹. 重癥監護病房臨床與環境、手分離耐藥革蘭陰性桿菌的同源性研究[J]. 中華醫院感染學雜志, 2008, 18(7):909-912.
5. 王笑青, 夏優秀, 甘文思. 304例老年糖尿病住院患者醫院感染因素研究[J]. 中國消毒學雜志, 2014, 31(6):643-645.
6. 周廣舉, 任伶俐, 張園園. 2型糖尿病患者肺部感染病原菌分布及藥物敏感性分析[J]. 中華醫院感染學雜志, 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例糖尿病患者醫院感染臨床分析[J]. 臨床內科雜志, 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. 江騰. 糖尿病合并肺部感染的臨床診治效果探討[J]. 吉林醫學, 2014, 35(9):1918.
11. 俞先長, 蔣麗珍. 胰島素泵治療糖尿病合并肺部感染的療效觀察[J]. 臨床合理用藥雜志, 2011, 4(2):49-50.
12. 張偉, 于占江, 王娜, 等. 糖尿病患者感染病原菌調查及危險因素分析[J]. 中華醫院感染學雜志, 2014, 24(15):3749-3750, 3793.

West China Medical Journal

Clinical Analysis on Diabetes Patients Complicated with Hospital-acquired Lung Infection

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