糖尿病患者的复发性尿道感染:回顾性分析
Hanan Wajid1, Hafsa Manzoor2, Misbah Manzoor3
1Internal Medicine, Gondal Medical Complex, Gujranwala, PAK.
Cureus
|August 13, 2025
概括
在糖尿病患者中,反复发生的尿路感染 (rUTIs) 是常见的,通常与血糖控制不良和特定的风险因素有关. 解决这些感染中的抗生素耐药性对于改善患者的治疗结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 复发性尿路感染 (rUTIs) 是糖尿病患者的重要并发症.
- 导致糖尿病患者出现路地感染的因素包括免疫力受损,血糖控制不良和解剖问题.
研究的目的:
- 研究糖尿病患者中rUTIs的临床特征,微生物概况和抗生素耐药性模式.
- 为了确定与RUTI和抗生素耐药性相关的风险因素.
主要方法:
- 在巴基斯坦拉合尔的法蒂玛纪念医院进行了一项回顾性研究,涉及320名糖尿病患者,他们有记录的RUTI.
- 从医疗记录中提取了临床和实验室发现的数据.
主要成果:
- 研究队伍的平均年龄为59.4岁,女性占68.1%. 2型糖尿病的患病率高 (89.4%).
- 在71.6%的患者中观察到低血糖控制 (HbA1c>7.5%). 大肠杆菌是最常见的病原体 (56.3%).
- 多种药物耐药性 (45.6%) 和扩展谱β-乳糖酶 (ESBL) 生产 (36.9%) 高. 女性性别,血糖控制不佳,糖尿病持续时间较长,糖尿病脏病和先前的尿路感染住院是复发和耐药性的重要预测因素.
结论:
- 糖尿病患者的复发性尿路感染受到血糖控制,性别,疾病持续时间和脏并发症的影响.
- 抗生素耐药性高率需要基于培养的治疗和个性化的预防策略,为这个高风险群体.
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