老年糖尿病患者并发泌尿系统感染的分析(1)
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[摘要] 目的 探讨老年糖尿病患者并发泌尿系统感染的病原学特点，为临床治疗提供参考。 方法 对208例老年糖尿病并发泌尿系统感染患者的临床资料进行回顾性分析。 结果 尿培养阳性129例，阳性率62.0%，其中，革兰阴性菌占66.7%，革兰阳性菌占27.9%，真菌占5.4%。革兰阴性菌感染最常见的是大肠埃希菌，且对喹诺酮类抗生素耐药率有所升高。门诊组与病房组的病原学分布比例及耐药率不同。 结论 老年糖尿病患者并发泌尿系统感染以革兰阴性菌为主，对常用的喹诺酮类耐药率有上升趋势，治疗应依据细菌培养及药敏结果，以减少细菌耐药及二重感染。
[关键词] 老年；糖尿病；泌尿系统感染；病原
[中图分类号] R587.1 [文献标识码] A [文章编号] 1673-7210(2012)08(c)-0095-02
Analysis of senile diabetics melitus patients complicated with urinary system infection
ZHAO Lingling
The First Hospital of Huairou District, Beijing 101400, China
[Abstract] Objective To discuss etiological characteristics of senile diabetics melitus patients complicated with urinary system infection, in order to provide references for clinical treatment. Methods Clinical data of 208 cases of senile diabetic patients combined with urinary system infection were analyzed retrospectively. Results There were 129 cases with positive results in urine culture, accounted for 62.0%. Among the positive results, percentages of gram negative bacilli, gram positive bacilli and fungi were 66.7%, 27.9%, and 5.4% respectively. Escherichia coli most commonly occurred in gram negative bacilli infection, and its drug resistance to quinolone antibiotics increased gradually. Proportion of etiological distribution and drug resistance rate in out-patient group and in-patient group were different. Conclusion Senile diabetic patients complicated with urinary system infection is mainly caused by gram negative bacilli, which shows a rising trend to drug resistance rate of commonly-used quinolone antibiotics. Physicians should try their best to decrease possibilities of bacterial resistance and superinfection based on bacterial culture and drug sensitivity results ......
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