泌尿道医院感染的临床分析

Clinical Analysis of Nosocomial Infection of Urinary Tract

目的了解深圳市横岗人民医院住院患者泌尿道医院感染情况,为预防与减少泌尿道医院感染采取有效措施提供依据。方法对该院2006年1月—2007年12月的住院患者发生泌尿道医院感染病例进行回顾性调查。结果在此期间该院发生医院感染432例次,泌尿道医院感染31例次,发生率为7.18%,居各感染部位的第5位,31例泌尿道感染构成比最高的是内科,占45.16%;泌尿道感染患者中尿道有侵入性操作者占90.32%,尿管留置时间>15 d的占39.29%。结论尿道的侵入性操作是导致泌尿道医院感染最直接和最重要的危险因素,而且随着留置尿管时间的延长,引起感染的概率就越大。因此,必须严格掌握导尿适应证,严格遵守导尿无菌操作规程,尽量缩短尿管留置时间,以有效预防和减少泌尿道医院感染的发生。

[ Objective ] To understand the condition of nosocomial infection of urinary tract in inpatients of Henggang People＇s hospital, and provide evidence for developing effective measures to prevent and reduce nosocomial infection. [ Methods ] Cases of nosocomial infection of urinary tract were investigated retrospectively from January 2006 to December 2007. [ Results] A total of 432 cases of nosocomial infection appeared in this period, among which 31 （7.18%） were urinary tract infection, held 5th position in infection sites. Internal medicine held the first place in constitution of 31 cases of urinary tract infection, accounted for 45.16% ; invasive operation in urinary tract accounted for 90.32% of infections, 39.29% cases＂ indwelling catheter time were over 15 days. [ Conclusion] Invasive operation in urinary tract were the most direct and the most important risk factors of nosocomial infection of urinary tract, and along with indwelling catheter time, the probability of infection gets greater. Therefore, strict grasp of catheterization of indication, strict compliance for sterile catheterization of the rules, and shortening the indwelling catheter as far as possible, should be conducted to effectively prevent and reduce nosocomial infection of urinary tract.