Diabetes care and gynecological surgery of urinary tract infection.docVIP

 PAGE \* MERGEFORMAT 7 Diabetes care and gynecological surgery of urinary tract infection [Keywords:] diabetes, urinary tract infection in gynecological care Gynecological diseases, diabetes mellitus (DM) are mostly elderly patients, the high risk of infection, urinary tract infections after gynecological surgery the most common, as most patients the main complication after gynecological surgery. This paper summarizes our hospital from April 2006 -2008 4 years hospitalized elderly women on gynecological diseases with DM, 38 patients with urinary tract infection, is to analyze the causes of infection and the corresponding nursing. 1 Clinical data 1.1 General information on 38 cases, 20 patients with gynecological cancer, 18 cases of anterior vaginal wall prolapse, of which 27 cases of stress urinary incontinence. Preoperatively diagnosed DM, DM 1999 WHO diagnostic criteria. Aged 52 to 70 (mean 58.9 + -3.5) years, DM duration of 4 to 27 (9.1 + -2.9) years. admission, fasting blood glucose in the 7.0 ~ 8.9mmol / L in 10 patients, 9.0 ~ 10.9mmol / L in 8 cases, 11.0 ~ 12.9mmol / L were 10 cases,gt; 13.0mmol / L in 10 patients. preoperative fasting blood glucose were controlled at 4.48 ~ 6.72mmol / L. All patients had varying degrees of postoperative dysuria, urinary frequency, voiding difficulty, urethral itching and other symptoms. Urine test results were clean break: quantitative analysis of bacteriagt; 105/ml, Urine leukocytesgt; 10 / HP. urine bacterial culture results: 15 cases of E. coli, Staphylococcus aureus in 10 cases, 5 cases of type Streptococcus, Streptococcus 3 cases, the other 5 cases. 1.2 drug use combined with levofloxacin + after cephalosporins and other antibiotics in 30 cases two or more, the use of three or more antibiotics in 8. The use of oral drugs stabilize blood sugar in 13 cases and 25 patients required insulin therapy can the addition of glucose good control of infection symptoms. all cured. 2 Analysis 2.1 Old age fa