碘伏扩大消毒预防留置尿管尿路感染120例的效果

Expanded Iodophor disinfection in Prevention of Catheter-associated Urinary Tract Infection: Clinical Effect of 120 Cases

目的探讨碘伏扩大范围消毒预防留置尿管相关医院泌尿道感染(UTI)的效果。方法实验组以0.5%碘伏在尿管植入、留置尿管护理时扩大消毒范围,对外阴、会阴体、肛周、尿管的前端尿管接头处及尿袋排尿口进行彻底的消毒,每天2次;对照组按常规消毒处理。结果实验组120例,UTI发生率(5.0%)与对照组102例UTI发生率(18.63%)比较,P<0.01,差异有统计学意义。结论留置导尿时碘伏扩大范围消毒可有效预防尿管相关医院UTI。

[ Objective] To investigate the effect of expanded iodophor disinfection in prevention of catheter-associated urinary tract infection（ UTI）. [ Methods] When the experimental group were implanted and indwelled catheter, 0.5% iodophor were used to conduct expanded disinfection on vulvar, perineal body, crissum, front-end catheter joint and the mouth of catheter bag for twice a day; the control group was treated with conventional disinfection. [ Results]The incidence of UTI in experimental group {5.0%, 120 cases） compared with that in control group（ 18.63%, 102 cases） , the difference was significant. [ Conclusion] Expanded iodophor disinfection during catheter indwelling can effectively prevent catheter-associated UTI in hospital.