在科特迪瓦布瓦凯大学教学医院住院的糖尿病患者的感染病因。

Q4 Medicine
African Journal of Infectious Diseases Pub Date : 2023-08-01 eCollection Date: 2023-01-01 DOI:10.21010/Ajidv17i2S.1
Kone Djakaridja, Kone Famoussa, Yapo Martine Tatiana, Kadiane-Oussou Juliette, Kone Salifou, Karidioula Jean-Marie, Kouame Gille Renaud, Acho Jean Kevin, Kra Ouffoué, Ouattara Bourheima
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引用次数: 0

摘要

背景:糖尿病感染多发,病因多样。本研究旨在确定在科特迪瓦布瓦凯大学教学医院住院的糖尿病患者感染的病因。材料和方法:这是一项2019年1月至2020年12月在内科进行的回顾性横断面研究。研究人群包括住院和感染的糖尿病患者。在本研究人群中,我们纳入了136名患者。使用Epi Info 7.2.3.1软件进行数据分析。结果:住院糖尿病患者的感染率为75.1%,患者平均年龄为52±13.4岁。性别比为0.7。50%的患者偶然发现糖尿病,2型糖尿病(88.2%)占主导地位。住院原因主要是酮症酸中毒(58.1%)、血糖失衡(19.1%)和高渗性高血糖综合征(10.3%)。41.2%的病例出现发烧。感染灶为尿路感染(29.4%)、肺病(28.7%)、疟疾(21.3%)、皮肤感染(13.2%)和不明病灶(7.3%,酵母(8.3%)和肠杆菌(6.7%)。β-内酰胺类药物(75.6%)是最常用的抗感染药物。14.7%的死亡率与1型糖尿病(p=0.001)、糖尿病持续时间大于5年(p=0.005)、住院潜伏期大于7天(p=0.001。必须系统地在住院的糖尿病患者中寻找它们。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ETIOLOGIES OF INFECTIONS IN DIABETIC PATIENTS HOSPITALIZED AT BOUAKE UNIVERTY TEACHING HOSPITAL, CÔTE D'IVOIRE.

Background: Diabetic infections are frequent and the etiologies are multiple. The present study aims to identify the etiologies of the infections of the diabetic patient hospitalized in the University Teaching Hospital of Bouake in Côte d'Ivoire.

Materials and methods: This was a retrospective cross-sectional study conducted in the Internal Medicine Department from January 2019 to December 2020. The study population consisted of hospitalized and infected diabetic patients. Of this study population we included in the study 136 patients. Data analysis was done with Epi Info 7.2.3.1 software.

Results: The prevalence of infection in hospitalized diabetics was 75.1%. The mean age of the patients was 52 ± 13.4 years. The sex ratio was 0.7. Diabetes was incidentally discovered in 50% and type 2 diabetes (88.2%) predominated. The reasons for hospitalization were dominated by ketoacidosis (58.1%), glycemic imbalance (19.1%) and hyperosmolar hyperglycemia syndrome (10.3%). Fever was present in 41.2% of cases. The infectious foci were urinary tract infections (29.4%), pneumopathies (28.7%), malaria (21.3%), skin infections (13.2%) and the undetermined focus (7.3%). The infectious focus was unique in 90.4%. The germs identified were plasmodium (21.3%), Escherichia coli (8.8%), staphylococcus (8.3%), yeasts (8.3%) and Enterobacter (6.7%). Beta-lactams (75.6%) were the most prescribed anti-infective treatment. Mortality was 14.7% related to type 1 diabetes (p=0.001), duration of diabetes greater than 5 years (p=0.005), hospitalization latency greater than 7 days (p=0.001), mucocutaneous focus (p=0.005) and Undetermined foci (p=0.001).

Conclusion: Diabetic infections are frequent and the etiologies are varied. They must be systematically sought in hospitalized diabetics.

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来源期刊
African Journal of Infectious Diseases
African Journal of Infectious Diseases Medicine-Infectious Diseases
CiteScore
1.60
自引率
0.00%
发文量
32
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