糖尿病患者和普通人群感染住院率的变化趋势。

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-12-01 Epub Date: 2024-08-08 DOI:10.1111/dme.15421

Berhanu Elfu Feleke, Jonathan E Shaw, Dianna J Magliano

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引用次数: 0

摘要

目的：描述糖尿病患者和普通人群因感染住院的趋势：从澳大利亚国家糖尿病服务计划（Australian National Diabetes Services Scheme）链接到2010/11年至2018/19年的住院数据集，确定糖尿病患者。普通人群的住院数据来自澳大利亚卫生与福利研究所。使用连接点回归软件计算感染率的年度百分比变化（APC）：结果显示：1型糖尿病患者的总感染住院率上升了2.6% (95% CI: 1.5, 3.7)，2型糖尿病患者的总感染住院率上升了3.6% (2.6, 4.6)，普通人群的总感染住院率上升了2.5% (1.3, 3.9)。在所有人群中，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都在上升。2 型糖尿病患者的尿路感染住院率有所下降，但其他组别的住院率保持稳定。1 型糖尿病患者的呼吸道感染住院率保持稳定，但其他组别则有所上升。所有组群的胃肠道感染住院率均保持稳定：结论：随着时间的推移，糖尿病患者的感染住院率比普通人群增长得更快。

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Trends in rates of hospitalisation for infection in people with diabetes and the general population.

Aim: To describe the trends of hospitalisation for infections in people with diabetes and in the general population.

Methods: 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.

Results: 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.

Conclusion: Hospitalisation rates for infection have increased more rapidly over time in people with diabetes than in the general population.

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”