导尿管相关尿路感染的影响因素分析

Analysis of influencing factors of catheter-associated urinary tract infection

目的分析导尿管相关尿路感染(CAUTI)的影响因素,探讨管理对策。方法采用横断面调查方法 ,对某市一所三级医院2016年7月30日所有留置导尿管的住院患者进行CAUTI发生情况调查。结果导尿管相关尿路感染的发生率为27.6%(95%CI:17.8%~40.2%)。CAUTI的风险与患者性别、留置导管的时间、更换尿管频率、导尿管类型、导尿管与膀胱位置及清空集尿袋内尿液的执行者有关。结论为了减少CAUTI的发生,需进一步规范落实CAUTI预防与控制要点。

Objective To analyze the influencing factors of catheter-associated urinary tract infection（CAUTI） and explore the management strategies. Methods The occurrence of all hospitalized patients with indwelling catheters in a tertiary hospital of a city on July 30, 2016 was investigated through cross-sectional survey method. Results The incidence of catheter-urinary tract infection was 27.6%（95% CI： 17.8%-40.2%）. The risk of CAUTI was related to the sex of the patient, the duration of the catheter,the frequency of catheter replacement, the type of catheter, the location of the catheter and the bladder, and the executor who emptied the urine of in the urine bag. Conclusion In order to reduce the occurrence of CAUTI, it is necessary to further standardize the implementation of CAUTI prevention and control points.