Faculty of Medicine Nursing and Health Sciences, School of Public Health, and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Diabet Med. 2024 Dec;41(12):e15421. doi: 10.1111/dme.15421. Epub 2024 Aug 8.
To describe the trends of hospitalisation for infections in people with diabetes and in the general population.
People with diabetes were identified from the Australian National Diabetes Services Scheme linked to hospitalisation datasets from 2010/11 to 2018/19. Data on hospitalisations in the general population were obtained from the Australian Institute of Health and Welfare. Joinpoint regression software was used to calculate the annual percentage change (APC) of rates.
The rate of hospitalisation for total infections increased with an APC of 2.6% (95% CI: 1.5, 3.7) among people with type 1 diabetes, 3.6% (2.6, 4.6) among people with type 2 diabetes, and 2.5% (1.3, 3.9) in the general population. Increasing rates were observed for sepsis, influenza, kidney infections, osteomyelitis, cellulitis, and foot infections in all groups. The rate of hospitalisation for urinary tract infection declined among people with type 2 diabetes though it was stable in other groups. The rate of hospitalisation for respiratory tract infections was stable among people with type 1 diabetes but increased in other groups. The rate of hospitalisation for gastrointestinal infection was stable in all cohorts.
Hospitalisation rates for infection have increased more rapidly over time in people with diabetes than in the general population.
描述糖尿病患者和普通人群中因感染而住院的趋势。
从澳大利亚国家糖尿病服务计划中确定了糖尿病患者，并将其与 2010/11 年至 2018/19 年的住院数据集进行了关联。普通人群的住院数据来自澳大利亚卫生和福利研究所。使用 Joinpoint 回归软件计算了发病率的年百分比变化（APC）。
在 1 型糖尿病患者中，所有感染的住院率增加了 2.6%（95%CI：1.5，3.7），2 型糖尿病患者中增加了 3.6%（2.6，4.6），普通人群中增加了 2.5%（1.3，3.9）。所有组中均观察到败血症、流感、肾脏感染、骨髓炎、蜂窝织炎和足部感染的发病率上升。2 型糖尿病患者的尿路感染住院率下降，但其他组保持稳定。1 型糖尿病患者的呼吸道感染住院率稳定，但其他组增加。所有队列的胃肠道感染住院率稳定。
与普通人群相比，糖尿病患者的感染住院率随时间的推移增加得更快。
