导尿管相关尿路感染危险因素调查分析

Study of the risk factors of catheter associated urinary tract infection

目的研究导尿管相关尿路感染(CAUTIs)的危险因素。方法将2012年3月-2013年5月期间在江西省景德镇市第二人民医院治疗过程中留置导尿的380例患者纳入研究,观察导尿管相关尿路感染的发生情况,并对相关因素进行分析。结果共发生导尿管相关尿路感染87例,发生率为22.89%。患者高龄、合并意识障碍、糖尿病史、低蛋白血症、留置导尿时间长、应用广谱抗生素、卧床时间长是CAUTIs发生的危险因素。结论导尿管相关尿路感染的发生受到了多种因素的共同影响,应严格无菌操作并制定有针对性的预防措施。

【Objective】To study the risk factors of catheter associated urinary tract infection. 【Methods】380cases of patients received urethral catheterization in our hospital from March 2012 to May 2013 were enrolled, the occurrence of catheter associated urinary tract infection were observed and the relevant factors were analyzed.【Results】Total catheter associated urinary tract infection were 87 cases and the incidence was 22.89%. Patients with old age, consciousness disorder, diabetes history, hypoproteinemia, long indwelling catheter time, application of broad-spectrum antibiotics, long time in bed were risk factors of CAUTIs.【Conclusions】The occurrence of catheter associated urinary tract infection is affected by multiple factors, strict aseptic technique should be executed and targeted prevention measures should be specified.