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1、1Analysis of clinical diabetes and urinary tract infectionPapers network: Abstract Objective To investigate the result was diabetes merging the distribution of the clinical features of urinary tract infection and bacteria. Methods A retrospective analysis of 31 cases of diabetic patients admitted to
2、 our hospital in January 2008 -2011 in January urinary tract infection in patients with clinical data. pathogen infection mainly Gram-negative bacilli, Escherichia coli 19 cases accounted for 61.3%, Proteus five cases accounted for 16.1% of Klebsiella 2 cases (6.4%), false patina Aeromonas two cases
3、 accounted for 6.4%, Candida albicans 3 cases (9.7%). The conclusion diabetes with urinary tract infections has its particularity, the high incidence of serious harm, to strengthen clinical blood glucose and urine testing, so that early diagnosis, early treatment, positive prevention. Keywords diabe
4、tes; urinary tract diseases; diagnosis In recent years, showed an increasing trend in the incidence of diabetes, chronic complications caused due 2to diabetes patients with decreased immune function, it has become one of the important factors that endanger human health. Usually infections, urinary t
5、ract infections to The most serious patient harm, urinary tract infections a direct impact on the patients kidney function, but also lead to the source of the disease, one of diabetic nephropathy 1 The study included 31 patients of our hospital in January 2008 -2011 in January clinical data are repo
6、rted below. 1 Materials and Methods 1.1 General Information 31 cases admitted to hospital in January 2008 -2011 in January diabetes and urinary tract infections in patients, including 13 males and 18 females; aged 39 to 89 years, an average of (60.1 + -1.8) years of age. 1 to 18 years, duration of d
7、iabetes, fasting blood glucose concentration of 8.8 22.4mmol/L.31 cases have frequent urination, urgency, dysuria were 21 cases, including chills, fever 10 cases, back pain four cases; without urinary tract six cases of infection symptoms. 1.2 Diagnostic criteria 31 patients are in line with the WHO
8、 in 2006 to develop diagnostic criteria for diabetes, 3fasting glucose = 7.0mmol / L, 2 h postprandial blood glucose = 11.1mmol / L. At the same time meet the 2004 Chinese Medical Association Nephrology credits enacted by of urinary tract infection diagnostic criteria: clean urine bacterial quantita
9、tive culture colony count = 105/ml: Clean centrifugal leukocytes in the middle of the urinary sediment under the microscope 10 / HP 2. 1.3 auxiliary examination of 31 patients in the present study, fasting blood glucose (PFG): 7.2 24.5 mmol / L, average 12.6mml / L, 2h postprandial blood glucose (2h
10、 PG): 9.4 27.5mmol / L, an average of 16.4 mmol / L,. Positive urine 42 cases (67.7%), positive urine ketone bodies in 6 patients (9.7%), triglyceride (TG) were higher than 1.82 mmol / L. 1.4 statistical methods to count data applications test, P 0.05 was considered statistically significant. 1.5 Me
11、thod hypoglycemic: with conventional insulin injections, disease control, use of oral hypoglycemic agents; resistant infection: the use of broad-spectrum antibiotics or cephalosporins combined quinolone antibiotics, intravenous treatment for 7 14 days. 4Links to free papers Download Center http:/2 R
12、esults 2.1 Distribution of bacteria in 31 patients, urine culture and sensitivity test inspection: pathogens cause infection with Gram-negative bacilli, Escherichia coli 19 cases (61.3%), Proteus 5 cases (16.1%). Klebsiella cases accounted for 6.4%, the fake patina Aeromonas 2 cases (6.4%), Candida
13、albicans, three cases (9.7%). 2.2 Vesting after 4 weeks of treatment, 27 patients with fasting blood sugar dropped to 6.1 7.1mmol / L, urinary tract infection cure, systemic and urinary tract infections signs disappear, laboratory tests, urine leukocyte overcast, bacterial colony count dropped l0u/m
14、l below, the cure rate was 87.1%. 3 Discussion Literature 3, the population of the complications of diabetes, urinary tract infection incidence of complications is higher, up to 16% to 23%. Diabetes produce urinary tract infection following reasons 4: the patients immune defense function barriers to
15、 leukocyte bactericidal and phagocytic activity 5decreased, lymphocyte reaction reduced ability; formation of the desirability of bacterial growth medium to promote the occurrence of urinary tract infections due to an increase in diabetes in urine glucose content; diabetes and infection causative le
16、ather Gram-negative bacteria to the largest multi-on-two, three generations of cephalosporins and quinoline satisfied TZDs sensitive diabetic complications caused by the extensive use of antibiotics in the treatment of fungal infections, to easily double fungal infections, appear in a large number of antibiotics a week after , Candida albicans, and most patients appear in the urine test. Due to the relatively long duration of dia
