Paper - WANFANG MED ONLINE

You Position: Home > Paper

Diagnosis and treatment pathway for pneumonia in patients with diabetes mellitus: a Chinese experts′ consensus

( views:897, downloads:4457 )

Author:: No author available

Journal Title:: Chinese Journal of Tuberculosis and Respiratory Diseases

Issue:: 8

DOI:: 10.3760/cma.j.cn112147-20200114-00021

Key Word:: 肺炎;糖尿病;诊断;治疗;共识;Pneumonia;Diabetes mellitus;Diagnosis;Treatment;Consensus

Abstract： Patients with diabetes mellitus are prone to various infections owing to host immune impairment, especially pneumonia. In China, morbidity of pneumonia in patients with diabetes mellitus is high. And in case of pneumonia, patients with diabetes mellitus were of increased probability of opportunistic infections, low detection rate of pathogens, more severe pneumonia and high mortality, resulting in heavy medical and economic burdens. Therefore, it is urgent for multi-disciplinary experts to explore and formulate standards for diagnosis and treatment of pneumonia in patients with diabetes mellitus to improve the prognosis. Based on domestic and international literatures and clinical experiences of experts in respiratory and critical care medicine, endocrinology, microbiology and clinical pharmacy, a consensus was developed on the diagnosis and treatment of pneumonia in patients with diabetes mellitus.

Reference

[1]中国医师协会内分泌代谢科医师分会,中国住院患者血糖管理专家组.中国住院患者血糖管理专家共识[J].2017,(1).
[2]赵航,赵洪文.糖尿病患者合并社区获得性肺炎的临床特点及预后分析[J].2017,(13).
[3]赵陶丽,胡燕琴,崔向丽.氟喹诺酮类药物引起血糖异常71例文献分析[J].2010,(9).
[4]中国老年医学研究会内分泌代谢分会,中国毒理学会临床毒理专业委员会.老年人多重用药安全管理专家共识[J].2018,(10).
[5]王艳红,岳宗相,刘致勤,等.2型糖尿病合并感染患者感染相关因素及病原菌分析[J].2017,(19).
[6]中华医学会呼吸病学分会.中国成人社区获得性肺炎诊断和治疗指南（2016年版）[J].2016,(4).
[7]中华医学会呼吸病学分会感染学组.中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南（2018年版）[J].2018,(4).
[8]Qiu-Rui Zhang,Hong Chen,Bing LIU,etc.Methicillin-resistant Staphylococcus aureus pneumonia in diabetics:a single-center, retrospective analysis[J].2019,132(12).
[9]Ana López-de-Andrés,Javier de Miguel-Díez,Isabel Jiménez-Trujillo,etc.Hospitalisation with community-acquired pneumonia among patients with type 2 diabetes: an observational population-based study in Spain from 2004 to 2013[J].2017,7(1).
[10]Julia A. Balfour,Donna McTavish.Acarbose[J].1993,46(6).
[11]Kornum JB,Thomsen RW,Riis A,etc.Diabetes, glycemic control, and risk of hospitalization with pneumonia: a population-based case-control study.[J].2008,31(8).
[12]American Diabetes Association.15. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes-2019.[J].2019,42(Suppl 1).
[13]Heikki O Koskela,Päivi H Salonen,Jarkko Romppanen,etc.Long-term mortality after community-acquired pneumonia—impacts of diabetes and newly discovered hyperglycaemia: a prospective, observational cohort study[J].2014,4(8).
[14]Masoud Dadashi,Mohammad Javad Nasiri,Fatemeh Fallah,etc.Methicillin-resistant Staphylococcus aureus (MRSA) in Iran: A systematic review and meta-analysis[J].2018,12.
[15]Dall, Timothy M.,Beronjia, Kaleigh,Yang, Wenya,etc.Economic Costs of Diabetes in the US in 2017[J].2018,41(5).
[16]M. Goeijenbier,T.T. van Sloten,L. Slobbe,etc.Benefits of flu vaccination for persons with diabetes mellitus: A review[J].2017,35(38).
[17]Bing Liu,Huahua Yi,Jie Fang,etc.Antimicrobial resistance and risk factors for mortality of pneumonia caused by Klebsiella pneumoniae among diabetics: a retrospective study conducted in Shanghai, China[J].2019,12.
[18]Spencer, John David,Korbel, Lindsey.Diabetes mellitus and infection: an evaluation of hospital utilization and management costs in the United States[J].2015,29(2).
[19].Diabetes and Sepsis: Risk, Recurrence, and Ruination[J].2017.
[20]Jiménez-Trujillo, Isabel,Jiménez-García, Rodrigo,de Miguel-Díez, Javier,etc.Incidence, characteristic and outcomes of ventilator-associated pneumonia among type 2 diabetes patients: An observational population-based study in Spain[J].2017,40(1).
[21]Aspinall SL,Jiang R,Good CB.Severe dysglycemia with the fluoroquinolones: a class effect?[J].2009,49(3).
[22]Equils Ozlem,da Costa Christopher,Wible Michele,etc.The effect of diabetes mellitus on outcomes of patients with nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus: data from a prospective double-blind clinical trial comparing treatment with linezolid versus vancomycin[J].2016,16(1).
[23]Muller, L. M. A. J.,Gorter, K. J.,Hak, E..Increased Risk of Common Infections in Patients with Type 1 and Type 2 Diabetes Mellitus.[J].2005,41(3).
[24]Yu, Xu,Limin, Wang,Jiang, He,etc.Prevalence and control of diabetes in Chinese adults.[J].2013,310(9).
[25]El Ghandour, Sarah,Azar, Sami T..Dysglycemia associated with quinolones[J].2015,9(3).
[26]Chiang, Chen-Yuan,Lee, Jen-Jyh,Chien, Shun-Tien,etc.Glycemic Control and Radiographic Manifestations of Tuberculosis in Diabetic Patients.[J].2014,9(4).
[27]H J, Ahr,M, Boberg,H P, Krause,etc.Pharmacokinetics of acarbose. Part I: Absorption, concentration in plasma, metabolism and excretion after single administration of [14C]acarbose to rats, dogs and man.[J].1989,39(10).
[28]Huang, Li-Kuo,Wang, Hsueh-Han,Lai, Yi-Chun,etc.The impact of glycemic status on radiological manifestations of pulmonary tuberculosis in diabetic patients.[J].2017,12(6).
[29]Sunahara,K.K.S.,Martins,J.O..Alveolar macrophages in diabetes: Friends or foes?[J].2012,91(6).
[30]Parente, Diane M.,Cunha, Cheston B.,Mylonakis, Eleftherios,etc.The Clinical Utility of Methicillin-Resistant Staphylococcus aureus (MRSA) Nasal Screening to Rule Out MRSA Pneumonia: A Diagnostic Meta-analysis With Antimicrobial Stewardship Implications[J].2018,67(1).
[31]DiYacovo,S.,Garcia-Vidal,C.,Viasus,D.,etc.Clinical features, etiology, and outcomes of community-acquired pneumonia in patients with diabetes mellitus[J].2013,92(1).
[32]American Diabetes Association.4. Comprehensive Medical Evaluation and Assessment of Comorbidities: Standards of Medical Care in Diabetes-2019.[J].2019,42(Suppl 1).