泌尿系外伤患者导尿管留置术后并发尿路感染的危险因素分析

The risk factors of urinary tract infection in urological trauma patients with indwelling urinary catheter

目的探讨泌尿系外伤患者导尿管留置术后并发尿路感染的危险因素,为制订针对性护理措施提供依据。方法回顾性分析2009年1月至2013年12月泌尿外科收治的138例泌尿外伤患者的临床资料,并对尿路感染的危险因素进行Logistic回归分析。结果 138例患者中行导尿管术后并发尿路感染42例,感染率为30.43%。年龄、损伤严重程度评分、并发糖尿病、导尿次数、导尿管留置时间、术前应用抗生素是泌尿外伤患者导尿术后并发尿路感染的独立危险因子。结论泌尿系外伤导管术后并发UTIC是由多因素共同作用引起的,对患者采用综合预防措施将有助于降低尿路感染发生风险。

Objective To explore the risk factors of urinary tract infection（UTIC） in urological trauma patients with indwelling urinary catheter, so as to provide reference for making effective nursing measures. Methods The clinical data of 138 urological trauma patients admitted in department of urology from January 2009 to December 2013 were reviewed,and the risk factors of UTIC were analyzed by using Logistic regression analysis. Results Fourty - two cases of 138 urological trauma patients suffered from UTIC （30.43%）. Age, injury severity score （ISS）, complicating with diabetes, uriuary catheterization times, the indwelling time of urinary catheter and appliation of antibiotics before operation were the independent risk factors of UTIC. Conclusion UTIC in urological trauma patients with indwelling urinary catheter is affected by multiple factors. Comprehensive prevention measures can be helpful to reduce the risk of UTIC.