Analysis of Common Pathogens and Associated Risk Factors in 128 Cases of Type 2 Diabetes with Urinary Tract Infections
Zhong Fu-xi
Abstract
Zhong Fu-xi
Abstract
Objective To explore the common pathogens in type 2 diabetes with urinary tract infection,and provide the clinical diagnosis and treatment through analysis on the drug resistance and risk factors.Methods Clinical data of type 2 diabetes with urinary tract infection were retrospectively analyzed from June 2009 to December 2011;the middle of urine bacteria cultivation of drug sensitive experiment test results and risk factors were analyzed.Results Type 2 diabetes combined with urinary infection rate was 25.80%,mainly composed of gram-negative bacteria by 80.47%(103/128),common gram-negative bacteria were sensitive to imipenem,piperacillin/sulbactam,and amikacin;common gram-positive bacteria were sensitive to vancomycin,linezolid/rina thiazole amine,and were mostly resisted to ciprofloxacin and erethromycin.Older age,female patients,high blood sugar and the long disease coursewere urinary infection risk factors,the difference was statistically significant(P0.05).Conclusion Age,gender,blood sugar and course of the disease are the susceptible factors of type 2 diabetes with urinary tract infection,which has high drug resistance,therefore antibiotics should be reasonably selected according to the drug sensitivity test results.
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Objective To explore the common pathogens in type 2 diabetes with urinary tract infection,and provide the clinical diagnosis and treatment through analysis on the drug resistance and risk factors.Methods Clinical data of type 2 diabetes with urinary tract infection were retrospectively analyzed from June 2009 to December 2011;the middle of urine bacteria cultivation of drug sensitive experiment test results and risk factors were analyzed.Results Type 2 diabetes combined with urinary infection rate was 25.80%,mainly composed of gram-negative bacteria by 80.47%(103/128),common gram-negative bacteria were sensitive to imipenem,piperacillin/sulbactam,and amikacin;common gram-positive bacteria were sensitive to vancomycin,linezolid/rina thiazole amine,and were mostly resisted to ciprofloxacin and erethromycin.Older age,female patients,high blood sugar and the long disease coursewere urinary infection risk factors,the difference was statistically significant(P0.05).Conclusion Age,gender,blood sugar and course of the disease are the susceptible factors of type 2 diabetes with urinary tract infection,which has high drug resistance,therefore antibiotics should be reasonably selected according to the drug sensitivity test results.
Key concepts: Medicine, Urinary system, Imipenem, Internal medicine, Diabetes mellitus, Type 2 diabetes, Amikacin, Urine