影响泌尿外科患者尿路感染的危险因素分析

Analysis of risk factors with influence on urinary tract infection in urinary surgery patients

目的探讨引起泌尿外科患者尿路感染的危险因素,以采取预防措施降低留置尿管患者尿路感染发生率。方法 26例合并尿路感染者为研究组,同期无尿路感染的26例泌尿外科患者为对照组,使用单因素和多因素Logistic回归法分析可能引起尿路感染的因素。结果 240例患者中,共有26例患者合并尿路感染,发生率为10.83%;单因素分析结果显示有9个影响因素;多因素logistic回归分析显示,其中的独立危险因素有年龄大、合并其他疾病、有创诊治措施、预防使用抗菌药物。结论泌尿外科住院患者尿道感染率高,影响因素多,需采取相应的措施进行积极预防。

Objective To investigate risk factors of urinary tract infection in urinary surgery patients, in order to take prevention measures for reducing incidence of urinary tract infection in patients with indwelling catheter.Methods There were 26 urinary tract infection patients as research group, and another 26 patients without urinary tract infection in the same period as control group. Single and multivariate Logistic regression methods were applied for analyzing possible factors of urinary tract infection.Results Among the 240 patients, there were 26 cases with combined urinary tract infection, and the occurrence rate was 10.83%. Single Logistic regression results showed 9 influencing factors, and multivariate Logistic regression showed that independent risk factors included old age, combined other disease, invasive treatment measures, and preventive administration of antibacterial agents.Conclusion Urinary surgery patients have high incidence of urinary tract infection with multiple influencing factors. Thus, corresponding measures are necessary for positive prevention.