2型糖尿病老年患者尿路感染的危险因素:一项回顾性队列研究
Xiaobing Ni1, Chongbing Huang1, Xinchen Diao1
1Department of Endocrinology, Xuancheng People's Hospital, 242000 Xuancheng, Anhui, China.
Archivos espanoles de urologia
|May 7, 2024
概括
2型糖尿病老年患者的尿路感染 (UTI) 通常是由大肠杆菌和Klebsiella pneumoniae引起的. 关键的危险因素包括性别,疾病持续时间,高血糖血红蛋白和尿路结石.
科学领域:
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 患有2型糖尿病的老年患者容易发生尿路感染 (UTI).
- 识别特定的风险因素和常见的病原体对于有效的管理至关重要.
研究的目的:
- 在被诊断为2型糖尿病的老年患者中调查与尿路感染 (UTI) 相关的危险因素.
- 在这个人口群体中确定导致尿路感染的流行细菌病原体.
主要方法:
- 追溯分析72名患有2型糖尿病的老年患者.
- 患者被分为观察 (存在尿路感染) 和对照组.
- 统计分析包括t测试,奇方测试,回归和ROC曲线分析.
主要成果:
- 大肠杆菌 (51.43%) 和肺炎克莱布西拉 (22.86%) 是最常见的病原体.
- 确定的重大风险因素包括性别,疾病持续时间,糖化血红蛋白水平和并发性尿结石 (p < 0.05).
- 接收机运行特征 (ROC) 曲线分析表明了这些因素的预测值.
结论:
- 大肠杆菌和Klebsiella pneumoniae是患有尿路感染的老年2型糖尿病患者的主要病原体.
- 性别,疾病持续时间,糖化血红蛋白和尿路结石是显著的危险因素.
- 早期识别病原体和危险因素可以改善临床治疗,减少尿路感染的发生率.
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