An Analysis of Clinical Characters of Inpatients with Infection in the Department of Endocrinology

Jianying Zhang
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引用次数: 2

Abstract

Objective: To analyze the clinical characters of 812 inpatients with infection in the Department of Endocrinology. Methods: Retrospective exhibition of these patients' clinical characters included undergoing diseases, infectious organs, history illness, blood glucose and glycosylated hemoglobin (HbA1C), biochemical indicators, pathogens training description and results, medical imagines, antibiotic utilization, length of stay and hospital costs, final diagnosis and situations. Results: Non-diabetic patients accounted for 176 (21.67%), who were the cases of untreated well hyperthyroidism, mainly suffered with respiratory tract infection. Diabetic patients accounted for 636 (78.33%). In the type2 diabetes patients 376 (59.12) suffered with urinary tract infection. 192 (30.19%) suffered with respiratory system infection, 124 (19.50%) were accompanied with diabetic foot infection, which had 74 (59.67%) patients with HbA1C>9.0%.Statistical comparisons showed that the days of antibiotic use and average length of stay in hospital per capita in patients with HbA1C≥8% were more than ones with HbA1C<8% in those with diabetic infections (P<0.01) . The days of antibiotic use per capita in patients with HbA1C>9% were more than ones with HbA1C<7% in those with diabetic foot infections (P<0.01). Conclusion: Endocrine diseases lack rigid and effective long-term control, which may result in the complications involved with urinary tract, respiratory tract and infections in other organs. The time of hospitalization per capita and the duration of antibiotic use rise are longer in diabetic patients with poor blood sugar control and diabetic foot infection.
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内分泌科住院感染患者临床特点分析
目的:分析内分泌科812例感染住院患者的临床特点。方法:回顾性展示这些患者的临床特征,包括发病情况、感染器官、病史、血糖和糖化血红蛋白(HbA1C)、生化指标、病原体培训描述和结果、医学影像、抗生素使用、住院时间和住院费用、最终诊断和情况。结果:非糖尿病患者176例(21.67%),均为未经治疗的甲亢患者,以呼吸道感染为主。糖尿病患者636例(78.33%)。2型糖尿病患者中有376例(59.12例)发生尿路感染。合并呼吸系统感染192例(30.19%),合并糖尿病足感染124例(19.50%),其中HbA1C>9.0%的患者74例(59.67%)。统计比较显示,糖化血红蛋白≥8%的糖尿病感染患者人均抗生素使用天数和平均住院时间均大于糖化血红蛋白<8%的糖尿病感染患者(P<0.01)。糖尿病足感染患者中,HbA1C>9%的患者人均抗生素使用天数多于HbA1C<7%的患者(P<0.01)。结论:内分泌疾病缺乏严格、有效的长期控制,可并发泌尿道、呼吸道及其他脏器感染。血糖控制不良、糖尿病足感染的糖尿病患者人均住院时间和抗生素使用时间上升较长。
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