导尿管尿路感染危险因素研究

目的:通过分析与导尿管尿路感染有关的危险因素研究其预防措施。方法:对接受过留置导尿患者的菌尿症发生情况进行回顾性调查。结果:457例患者发生菌尿症者218例(47.7%),其中病原菌共检验出346株,阳性患者每例平均能够检查出1.6株;导尿管尿路感染的发生女性患者比男性要多,其发生率与性别具有一定关系。另外,导尿管尿路感染的发生与某些基础疾病相关,长时间留置导尿也是引起感染的重要因素。结论:掌握留置导尿适应证,进行严格的无菌操作都能够减少导尿管尿路感染的发生。而对于一些弱势群体,必须有更针对性的措施如患有基础性疾病者应严密监控,女性则需缩短尿管留置时间。

Objective： analysis and catheter related urinary tract infection risk factors, and to study its preventive measures. Meth- ods： catheterization in patients with uremia occurred between 2007 - 2009, its retrospec- tive survey. Results：of 457 patients with uri- nary bacteria disease occurred in this peri- od, there were 218 cases, the occurrence rate of 47.7% ,which pathogens tested 346 posi- tive patients able to examine each case draw 1. 6; catheter urinary tract infections oc- curred Women more patient than men, and its incidence has a certain relationship with the gender, catheter urinary tract infections occur with some of the underlying disease is related to prolonged catheterization is also an important factor to cause infection. Con- clusion ： mastered catheterization indica- tions,the striet aseptic all able to reduce the incidence of catheter urinary tract infection. For some vulnerable groups, there must be more targeted measures,such as people withunderlying disease should be closely moni- tored, and women need to shorten the in- dwelling catheter time.