摘要
目的了解留置导尿管患者泌尿道感染的发生率、常见菌及危险因素等情况。方法采用前瞻性队列研究方法。对某综合性医院2006年1月—2006年6月全部留置导尿者进行专项调查。结果485例留置导尿管病例,共出现泌尿道医院感染261例,平均感染发生率为53.8%,平均每1000床位日发生感染26.4例;其中ICU、泌尿外科、妇产科患者发生率较其他科室高。Logistic多因素回归分析显示,留置导尿发生泌尿道感染的独立危险因素为性别、导尿期间抗菌药物的持续冲洗、导尿管的留置时间(天)、抗菌药物使用种类。结论留置导尿患者泌尿道医院感染发生率高,应采取有效措施,切实降低其发病率。
Objective To analyze the incidence, pathogen and risk factors of hospital acquired catheter-associated urinary tract infections, Methods During January to June in 2006, all catheterized patients were reviewed by prospective cohort study in a teaching hospital. Results A total of 261 patients with hospital acquired catheter-associated urinary tract infections were identified in 485 catheterized patients, The average morbidity was 53, 80/00 and the morbidity per 1 000 bed-day was 26, 4, The highest infection morbidity was in intensive care unit （ICU）, followed by Department of Urology and Department of Gynecology. According to logistic regression analysis, the risk factors of hospital acquired catheter-associated urinary infection included female gender, douching catheter with antimicrobial drug, duration of catheterization, prior use of antimicrobial drug, Conclusions Incidence of hospital-acquired urinary tract infection is high in catheterized patients, It is imperative to make every effort to control the infection.
出处
《中国感染与化疗杂志》
CAS
2007年第6期432-434,共3页
Chinese Journal of Infection and Chemotherapy
关键词
泌尿道感染
队列研究
危险因素
Urinary tract infection
Cohort study
Risk factor
