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Chest Infections: Chest Infections: Bacterial |

Risk Factors of Community-Associated Infections in Chinese Patients With Diabetes: A Meta-analysis FREE TO VIEW

Xiaoge Wang, DSc
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The Fourth Affiliated Hospital of China Medical University, Shenyang, China


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A96. doi:10.1016/j.chest.2016.02.101
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Published online

SESSION TITLE: Chest Infections: Bacterial

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To identify the common sites and risk factors of community-associated infections in Chinese patients with diabetes.

METHODS: The wanfang, CNKI and Vip databases restricting to Chinese were queried without restriction to time period. Randomized controlled trails (RCTs) on the risk factors of community-associated infections in Chinese patients with diabetes were considered. The average infection incidence of Chinese patients with diabetes was 39.55%. respiratory, urology were the predilection sites. Polled odd ration (OR) and 95% confidence interral (95%CI) were used for each factors in fixed or random-effect meta-analysis.

RESULTS: 12 studies were identified, which investigated 7 risk factors of community-associated infections in Chinese patients with diabetes. Meta-analysis results are as followed: chronic complications (macroangiopathy, microoangiopathy, diabetic nephropathy, and so on) 1.63 (1.45-1.82), age (≧60) 1.30 (1.19,1.42), course of disease (≧5years) 1.47 (1.35-1.61), better glycemic control (2-hour postprandial glucose ≦11.1mmol/L) 0.68 (0.61-0.76), gender (male) 0.69 (0.64,0.75), ketoacidosis 1.37 (1.13,1.66), category (type1 diabetes) 0.87 (0.62,1.25). Mortality (investigated in three studies) was 3.20 (2.0-5.13).

CONCLUSIONS: Chinese patients with diabetes had high incidence of community-associated infections, we should highlight the risk factors, which might provide a reference.

CLINICAL IMPLICATIONS: To identify the common sites and risk factors of community-associated infections in Chinese patients with diabetes, clinicians could treat patients properly

DISCLOSURE: The following authors have nothing to disclose: Xiaoge Wang

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