摘要
经53例留置导尿病人的尿液进行细菌培养，结果有细菌生长14例（计有18个菌株），菌尿发生率26.42％。研究提示菌尿发生与病人的性别、年龄、插管时间关系密切，经统计学处理P＜0．05，其致病菌大多数为革兰氏阴性杆菌占44．45％．真菌占33．33％，革兰氏阳性球菌占22．22％。通过分析提出：熟练掌握导尿技术，避免尿道粘膜损伤，严格执行无菌操作，严格掌握导尿指征，适时拨管，合理使用抗生素，多饮水、多排尿，注意病房环境和个人卫生等是预防留置导尿病人发生首尿的主要护理措施。
Urine cultures were performed in 53 patients with indwelling urinary catherization.Bacteria1 growth was found in 14 specimens and the frequency of bacteriuria was 26. 42% in all pa tients, The observation showed that the occurrence of bacteriuria was closely related to the pa tient's sex and age, the duration of indwelling urinary catheterization (P<0. 05). Most of the pathogenic bacteria were gram-negative bacilli, accounting for 44. 45% of all bacteria. Fungi ac counted for 33.33%. Gram-positive cocci made up 22, 22%. The analysis suggested that the fo llowing were the main nursing care measures to avoid bacteriuria in patients with indwe1ling uri nary catheterization: mastering technique of urethral catheterization;avoiding injury of urethra mucosa;strict aseptic manipulation, full understanding of indications of urethral catheterization;timely withdrawal of tube;rational use of antibiotics; drinking water and frequent urination, paying attention to environmental sanitation and patient's personal hygiene.
出处
《护理学杂志（综合版）》
1997年第2期67-69,共3页
Journal of Nursing Science
关键词
留置导尿
细菌培养
菌尿
lndwelling urinary catherization
bacterium culture
bacteriuria
