期刊文献+

留置导尿相关尿路感染分析 被引量:7

Catheter Associated Urinary Tract Infection
原文传递
导出
摘要 目的分析探讨留置导尿相关尿路感染(CAUTI)问题的主要影响因素,寻找有效的预防措施。方法收集我院小儿泌尿外科于住院期间留置导尿患儿112例,监测疾病种类、留置管道类型、留置管道时间、术后应用抗生素种类、时间、拔除导尿管前尿常规中白细胞数、白细胞酶及尿培养结果8项指标,用logistics回归分析方法分析尿路感染的主要影响因素。结果术后插管时间越长,则尿培养结果为阳性的可能性越大(χ2=4.90,P<0.05)。疾病种类对CAUTI的影响也有差异性(χ2=6.09,P<0.05),余无显著差异性。结论在所监测的指标中,术后留置管道时间是可以控制的CAUTI的主要影响因素,要尽量缩短留置导尿时间,去除管道才能从根本上控制感染。 Objective To study the main risk factors of catheter associated urinary tract infection(CAUTI),and find the preventive measures of urinary tract infection.Methods The clinical data of 112 inpatients with indwelling urinary catheter were reviewed retrospectively.The disease type,type and the duration of indwelling catheter,the postoperative antibiotic usage and duration time,wbc count and leukocyte enzymes,and urine culture were monitored and analyzed with logistics regression analysis.Results A significant correlation was noted between the duration for indwelling urinary and urine culture(χ^2=4.90,P0.05),the primary urinary tract condition was also a risk factor for CAUTI(χ^2=6.09,P〈0.05).Conclusion The prolonged indwelling catheter carries a high risk factor to CAUTI,and prompt its removal is essential in the prevention of CAUTI.
出处 《中华全科医学》 2010年第4期426-427,共2页 Chinese Journal of General Practice
关键词 留置导尿 尿路感染 Indwelling catheter Urinary tract infection
  • 相关文献

参考文献11

  • 1Saint S, Lipsky BA, Goold SD. Indwelling urinary eatheters:a one-point restraint [ J ]. Ann Intern Med ,2002,137 : 125-128.
  • 2Michael DM, Kurt GN. Complicated urinary tract infections [ J ]. International Journal of Antimicrobial Agents,2000,15:247-256.
  • 3钟惟德,蔡岳斌,胡建波,王良圣,魏鸿蔼.留置导尿管致尿路感染病原菌分布及耐药性分析[J].中华医院感染学杂志,2001,11(6):471-472. 被引量:30
  • 4高端良,谭华玲,万青.留置导尿时间与尿路感染关系分析及护理对策[J].中国现代医药杂志,2008,10(3):103-104. 被引量:11
  • 5史倩,王素侠,时纯.妇科手术后患者尿路感染原因分析及护理对策[J].实用全科医学,2005,3(5):471-471. 被引量:13
  • 6Comia PB, Amory JK, Fraser S, et al. Computer-based order entry decreases duration of indwelling urinary catheterization in hospitalized patients[ J]. Am J Med ,2003,114:404-407.
  • 7Niel-Weise BS, van den Broek PJ. Antibiotic policies for short-term catheter bladder drainage in adults [ J ]. Cochrane Database of Systematic Reviews,2005,20 (3) : CD005428.
  • 8Kumon H. Management of biofilm infection in the urinary tract [ J ]. World J Surg,2000,24 : 1193-1196.
  • 9Koseoglu H, Aslan G, Esen N, et al. Ultrastructural stages of biofilm development of Escherichia coli on urethral catheters and effects of antibiotics on biofilm formation[ J]. Urology ,2006,68:942-946.
  • 10Trautner BW, Hull RA, Darouiche RO, et al. Escherichia coli 83972 inhibits catheter adherence by a board spectrum of uropathogens [ J ]. Urology ,2003,61 : 1059-1062.

二级参考文献13

共引文献50

同被引文献60

引证文献7

二级引证文献60

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部