63例院内尿路感染原因分析及护理对策

Causes Analysis and Nursing Countermeasures of 63 Cases of Urinary Tract Infection in Hospital

为了有效控制和预防院内泌尿系感染的发生 ,对我院神经外科 2 0 0 0年 1月— 2 0 0 0年 10月并发尿路感染 63例病人进行回顾性分析。结果显示 :老年病人尿路感染率比其他年龄组明显增高 (P <0 .0 1) ,重度昏迷病人尿路感染率比轻、中度昏迷病人明显增加 (P <0 .0 1) ,且尿路感染率与尿管留置时间成正比。提示 :应加强对老年病人及意识障碍病人的基础护理 ,尽量减少侵入性操作 ,尽量缩短留置尿管时间 ,从而降低尿路感染的发生率。

To effectively control and to prevent urinary tract infection in hospital from happening, 63 cases of urinary tract infection in-patients were analyzed retrospectively.The patients were admitted from Jan. 2000 to Oct. 2000 in neurosurgery department of our hospital. Results showed that the morbidity of urinary tract infection in aged group was obviously higher than that of other age group (P<0.01). The urinary tract infection rate in patients with severe coma was significantly higher than that in patients with mild, moderate coma (P<0.01). And the longer the catheter indwelled, the higher the urinary tract infection rate. Suggested that to lower the urinary tract infection rate, one should strengthen the basic nursing of the aged and of those with disorder of consciousness, lessen the invasive manipulation, and shorten the indwelling time of the catheterization.