Department of Clinical Microbiology and Infectious Diseases, Eskisehir Osmangazi University Faculty of Medicine, 26040, Eskisehir, Turkey.
Eur J Clin Microbiol Infect Dis. 2013 Jun;32(6):821-5. doi: 10.1007/s10096-013-1816-x. Epub 2013 Jan 25.
Diabetes mellitus (DM) is one of the most common diseases worldwide, and is a significant risk factor for healthcare-associated infections (HAIs). Our aim in this study was to compare the distributions of HAIs and the causative pathogens between diabetic and non-diabetic patients. In this study, 716 HAIs in 465 diabetic patients and 761 HAIs in 465 non-diabetic patients were evaluated. HAIs in patients with DM were most frequently urinary tract infections (UTIs) [266 infections (37.2 %)], followed by blood stream infections (BSIs) [161 infections (22.5 %)], surgical site infections (SSIs) [127 infections (17.7 %)], pneumonia [107 infections (14.9 %)] and any other infections [161 infections (22.5 %)]. The rates of UTIs, BSIs, SSIs, pneumonia and any other infections were similar between diabetic and non-diabetic patients. In terms of the causative pathogens, Staphylococcus aureus more frequently caused SSIs and Candida spp more frequently caused UTIs in diabetic patients compared with non-diabetic patients. We found no differences in the distribution of HAIs between patients without and with DM. However, S. aureus and Candida spp were more common causative pathogens of SSIs and URTIs, respectively, in diabetic patients than in non-diabetic patients.
糖尿病（DM）是全球最常见的疾病之一，也是医疗相关感染（HAIs）的重要危险因素。本研究旨在比较糖尿病和非糖尿病患者中 HAIs 的分布和病原体。在这项研究中，评估了 465 例糖尿病患者中的 716 例 HAI 和 465 例非糖尿病患者中的 761 例 HAI。DM 患者的 HAI 最常见的是尿路感染（UTIs）[266 例感染（37.2%）]，其次是血流感染（BSIs）[161 例感染（22.5%）]、手术部位感染（SSIs）[127 例感染（17.7%）]、肺炎[107 例感染（14.9%）]和任何其他感染[161 例感染（22.5%）]。糖尿病和非糖尿病患者的 UTI、BSI、SSI、肺炎和任何其他感染的发生率相似。就病原体而言，与非糖尿病患者相比，金黄色葡萄球菌更常引起 SSIs，而念珠菌属更常引起糖尿病患者的 UTIs。我们发现有无糖尿病患者的 HAI 分布没有差异。然而，金黄色葡萄球菌和念珠菌属分别是糖尿病患者 SSIs 和 URTIs 的更常见病原体。
