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目的通过分析225例老年糖尿病伴肺部感染患者的细菌及耐药情况,探讨糖尿病并发症的预防和治疗。方法对患者痰液标本进行细菌学培养、鉴定及药敏检测。结果共检出231株细菌,革兰阴性杆菌185株(80.1%),其中肺炎克雷伯菌57株,铜绿假单胞菌41株,鲍曼不动杆菌23株,大肠埃希菌22株,其他革兰阴性杆菌42株;革兰阳性球菌46株(19.9%),其中金黄色葡萄球菌21株,其他革兰阳性球菌25株。结论控制血糖,合理营养,定期进行胸部X线检查和痰培养,合理使用抗生素,是预防和治疗糖尿病并发症的关键。
Objective To analyze the bacteria and drug resistance in 225 cases of elderly patients with diabetes mellitus and pulmonary infection and explore the prevention and treatment of diabetic complications. Methods Bacterial culture, identification and drug sensitivity test of sputum samples were performed. Results A total of 231 strains of bacteria were identified, of which 185 strains were Gram-negative bacilli (80.1%), including 57 Klebsiella pneumoniae, 41 Pseudomonas aeruginosa, 23 Acinetobacter baumannii, 22 Escherichia coli, , 42 other Gram-negative bacilli; 46 Gram-positive cocci (19.9%), including 21 Staphylococcus aureus and 25 other Gram-positive cocci. Conclusion Control of blood glucose, reasonable nutrition, regular chest X-ray examination and sputum culture, rational use of antibiotics, is the key to prevention and treatment of complications of diabetes.