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长期住院治疗的糖尿病患者合并足感染比较多见,约15%的糖尿病患者会合并足部溃疡,糖尿病足溃疡患者中约有70%的患者合并感染。糖尿病足已成为截肢的首要原因。有调查显示,在我国大城市中,约有2%～4%的糖尿病患者因糖尿病足而住院,4%～10%的糖尿病住院患者合并糖尿病足溃疡。足部溃疡是糖尿病患者死亡的重要原因。本文对糖尿病足溃疡局部抗感染处理进行了总结,阐述如下。一、糖尿病足溃疡的微生物病原学特点糖尿病足溃疡浅表感染常由需氧的革兰阳性球菌引起,尤其是金黄色葡萄球菌和(或)链球菌。深部感染或缺血性感染或坏死区域感染通常由多种微生物感染引起,包括革兰阳性球菌、厌氧菌和革兰阴性杆菌。糖尿病足合并混合性真菌感染的部位,很容易被在正常情况下属于非致病菌类型的细菌所感染。雅加达糖尿病足的病原微生物流行趋势包
Long-term hospitalized diabetic patients with more common foot infections, about 15% of diabetic patients with foot ulcers, diabetic foot ulcer patients with about 70% of patients with infection. Diabetic foot has become the leading cause of amputation. A survey shows that in China’s big cities, about 2% to 4% of diabetic patients hospitalized for diabetic foot, 4% to 10% of diabetic hospitalized patients with diabetic foot ulcers. Foot ulcers are an important cause of death in diabetic patients. This article on the diabetic foot ulcer local anti-infective treatment were summarized as follows. First, the diabetic foot ulcer microbial etiology characteristics of diabetic foot ulcers superficial infections often caused by aerobic gram-positive cocci, especially Staphylococcus aureus and (or) Streptococcus. Infections from deep or ischemic infections or necrotic areas are usually caused by a number of microbial infections, including Gram-positive cocci, anaerobic bacteria and Gram-negative bacilli. Parts of the diabetic foot complicated with mixed fungal infections are easily infected with bacteria that are normally non-pathogenic. Jakarta Diabetic foot pathogenic microbial trend pack