神经外科尿路感染分析及护理对策

Urinary Tract Infection in Neurosurgery:Analysis and Nurse Strategy

目的探讨神经外科患者发生尿路感染的相关因素，以预防与控制尿路感染的发生。方法对医院2007年6月-2009年6月862例神经外科住院患者进行前瞻性调查，对发生尿路感染患者进行目标性监测。结果862例神经外科患者发生医院感染104例，其中发生尿路感染16例，尿路感染率为1．86％，留置尿管〉5d患者发生尿路感染率居首（4．1％），其次是女性患者（4．0％）及使用抗菌药物〉5d患者（3．8％）；尿路感染发生与性别、留置导尿显著相关，与年龄、住院时间、基础疾病、入住重症监护病房、使用抗菌药物等因素有关，而与手术史相关性不明显。结论针对引起尿路感染的相关因素采取干预措施，加强护理监管，预防与控制尿路感染的发生。

OBJECTIVE To investigate the correlation factors of urinary tract infection patients with neurosurgery, and to prevent and control development of urinary tract infection. METHODS Prospective study was carried out in 862 neurosurgery patients in hospital from Jun 2007 to Jun 2009. Patients with urinary tract infection were target monitored. RESULTS In 862 patients, 104 patients were gotten hospital infection. The rate of urinary tract infection patients was 1.86%, the rate of urinary tract infection patients with indwelling urinary catheter over 5 days was 4.1%, women 4.0%, and using antibiotic over 5 days 3.8%,respectively. In urinary tract infection, there was significant correlation to sex, indwelling urinary catheter, age, length of stay, underlying disease, stay in ICU and using antibiotic, but no correlation to operation. CONCLUSIONS According to the correlation factors of urinary tract infection, we should take intervention measures and intensive care to prevent and control development of urinary tract infection.