导尿管相关尿路感染目标性监测结果分析

The analysis of the surveillance results of catheter-related urinary tract infection

目的:探讨开展导尿管相关尿路目标性监测是否降低尿路感染发生率,并分析其危险因素,为医院感染管理和控制提供科学的依据。方法:采用目标性监测方法,对2010年所有住院患者发生导尿管相关尿路感染情况进行调查。结果:926例留置尿管患者,发生尿路感染18例,感染率为1.94%,与去年相比感染率明显下降,监测发现感染与基础病、无菌操作、手卫生及导尿管留置时间有关;病原菌分布以大肠埃希菌为主,占20.00%,排在第1位,其次是金黄色葡萄球菌、粪肠球菌、白色念珠菌等。结论:通过目标性监测,发现了医院感染管理工作的各种问题和薄弱环节,通过针对性干预减少获得医院感染的危险因素,降低医院感染发生率。

Objective： To investigate the work of surveillance of catheter-related urinary tract on reducing the incidence rate of urinary tract infection.The analysis of risk factors of urinary tract infection were provided a timely scientific basis for the hospital infection management and control.Methods： The incidences of catheter-related urinary tract infection of all in-patients in 2010 were investigated objectively with monitoring method.Results： In 926 cases with detaining urine tube,18 cases were infected,the incidence was 1.94%,which dropped precipitously compared with last year.According to the surveillance results,it was found that the infection rates were associated with basic disease,aseptic technique,hand hygiene and the lasting time of catheterization.The pathogen germs were large intestine Egypt primarily,which accounted for 20.00% as the first.The next was Staphylococcus aureus,Enterococcus faecalis,Candida albicans and so on.Conclusion： The vast problems and weak link in the hospital infection management could be found by the objective surveillance method.Appropriate interference on reducing the risk factors of hospital infection,can effectively reduce the incidence of urinary tract infection.