导尿管致尿路感染的原因分析及预防

Cause analysis and prevention of urinary tract infections caused by urethral catheter

目的:探讨影响导尿管致尿路感染的具体原因及预防方法。方法:选取2011年1月~2016年6月我科室收治的接受过留置导尿的患者158例为研究对象。结果:158例患者中共有74例患者发生了尿路感染,尿路感染的发生率为46.84%,女性患者感染率显著的高于男性患者,差异具有统计学意义(P<0.05);随着患者留置时间的不断增加,患者尿路感染发生比例呈现出了显著升高的趋势。结论:女性患者发生导尿管导致尿路感染的风险较大,正确的无菌操作和最大限度的降低患者导尿管的留置时间可以降低尿路感染的发生率。

Objective: To explore the specific causes and prevention methods of urinary tract infections caused by urethral catheter. Methods: A total of 158 patients who have received indwelling urethral catheterization admitted to our hospital from January 2011 to June 2016 were selected as the objects for study.Results: A total of 74 patients had urinary tract infections out of 158,with 46. 84% of incidence of urinary tract infections,and women had a significantly higher rate of infections than men,and the difference was statistically significant( P < 0. 05); with the increasing indwelling time of urinary catheter,the proportion of urinary tract infections showed a significant increase in patients. Conclusion: The risk of urinary tract infections is high in female patients. The correct aseptic operation and minimizing the indwelling time of urinary catheter can reduce the incidence of urinary tract infection.