Nosocomial Infection in Diabetes Mellitus Patients with Cerebrovascular Accident:A Clinical Analysis / 中华医院感染学杂志

ABSTRACT

OBJECTIVE To explore the risk factors and preventive measures of nosocomial infection among the diabetes mellitus patients with cerebrovascular accident.METHODS A retrospective survey on 574 diabetes mellitus patients with cerebrovascular accident was conducted.RESULTS The result showed that 126 of the 574 patients had nosocomial infection,the rate of infection was 22%.The risk factors of nosocomial infection included age,hospitalized days,invasive treatment procedures and operation,application of antibiotics,course of diabetes mellitus,fasting plasma glucose(FPG),glycosylated hemoglobinA1C(HbA1C),clinical type of cerebrovascular accident,consciousness and bulbar palsy. The main infection sites were at lungs,urinary tract and intestines.The chief pathogens were Gram-negative bacteria.CONCLUSIONS Nosocomial infection is a high frequent complication in diabetes mellitus with cerebrovascular accident.Preventing and controlling the risk factors can reduce the rate of nosocomial infection among the diabetes mellitus patients with cerebrovascular accident.