导尿与留置导尿医院感染的防治

Prevention and Control of Hospital Infection During Urethral Catheterization and Indwelling Urethral Catheterization

目的探讨导尿管相关尿路感染的预防与控制。方法根据我国目前在导尿管相关尿路感染控制中的最新研究成果,对医院在导尿和留置导尿中存在的问题开展为期1个月的检查和评估并对医护人员掌握相关知识进行问卷调查。结果医护人员在导尿和留置导尿中存在诸多不规范的行为,通过组织培训、反复督查、纳入医疗护理质量考核后,在导尿和留置导尿的必要性、导尿管选择、无菌操作、保持尿液引流系统密闭等方面都有了较明显的提高。结论加强导尿管相关尿路感染的预防和控制,对降低医院感染率具有非常重要的意义。

OBJECTIVE To discuss the prevention and control of the urinary tract infection related to the catheterization. METHODS According to recent research on the control of the urinary tract infection related to the catheterization in our country, we investigated and assessed the problems existing in urethral catheterization and indwelling urethral catheterization in our hospital via a questionnaire. RESULTS There were lots of pitfalls in catheterization. By organizing training, carefully examining, and adopting the examination of the quality of health care, our staff had significantly improved their levels in the field of necessity of catheterization, choice of catheters, asepsis, maintenance of closing cycle of drainage system and others. CONCLUSIONS Enhancing the prevention and control of the urinary tract infection related to the catheterization is very meaningful to reduc of the rate of hospital infections.