泌尿外科住院患者血流感染危险因素分析

Risk factors analysis on in-patients with bloodstream infection in urology department

目的:分析某附属医院泌尿外科住院患者血流感染的危险因素并寻找可能的预防措施。方法:通过对181例泌尿科住院患者进行回顾性调查,应用SPSS15.0软件探究插导尿管、进行外科手术和使用抗生素对临床血培养结果的影响。结果:插导尿管、进行外科手术、使用抗生素在血培养阳性组与阴性组之间的差异存在统计学意义。结论:插导尿管和外科手术是导致血流感染的危险因素,抗生素使用不当也是血流感染发生的诱因之一。积极治疗原发疾病,去除可能的诱发因素,注意无菌操作,合理使用抗生素是减少血流感染发生、是提高治愈率的关键。

Objective：The aim of this study is to explore risk factors for bloodstream infection（BSI） in Urology Department and look for feasible prevention measures against it.Methods： A case-control study of 181 patients were conducted to analyze the three possible risk factors： urethral catheter,surgery,antibiotics.χ2 test was applied to statistic analysis using SPSS15.0 software.Results： Urethral catheter,surgery and antibiotic use respectively in case group is significantly higher than that in control group（P0.05）.Conclusion： Urethral catheter and surgery may be the risk factors affecting BSI.Improper Antibiotic use before blood culture contributes to BSI to some extent.Treatment of the primary diseases,removal of possible triggers,pay attention to aseptic technique,the rational use of antibiotics is to reduce the occurrence of bloodstream infection,the key to improving the cure rate.