摘要
目的研究留置尿管患者尿路感染的危险因素及预防措施,以降低留置尿管患者尿路感染发生率。方法调查2010年3月-2012年3月收治的3232例留置尿管患者,并对210例发生尿路感染患者的危险因素进行研究,分别记录性别、年龄以及不同尿管留置时间患者尿路感染的发生情况,并进行单因素和多因素的logistic回归分析,得出留置尿管患者尿路感染的危险因素,提出相应的预防措施。结果 3232例留置尿管患者中210例患者发生尿路感染,感染率为6.50%;通过研究发现,年龄、住院时间、尿管留置时间、侵入性操作、抗菌药物使用种类数、恶性肿瘤、激素使用以及白细胞数目的不同均为留置尿管患者尿路感染的危险因素(P<0.05),对相关危险因素进行多因素logistic回归分析,年龄、导管留置时间、侵入性操作、白细胞数目是导致留置尿管患者尿路感染独立危险因素。结论年龄、导管留置时间、侵入性操作以及白细胞数目是留置尿管患者尿路感染的主要危险因素,需采取相应的措施进行积极预防。
OBJECTIVE To study the risk factors and preventive measures of indwelling catheter in patients withurinary tract infections,and to reduce the incidence of urinary tract infections of patients with indwelling catheter.METHODS A total of 3232 cases of catheter indwelling patients, who were treated in the hospital from Mar 2010to Mar 2012, were enrolled in the study, then the risk factors for urinary tract infections in 210 patients were analyzed, the incidence of urinary tract infections in the patients with different genders, age,or catheter indwellingtime was recorded, finally, the univariate analysis and multivariate logistic analysis were performed to define therisk factors for the urinary tract infections so as to put forward the corresponding prevention measures. RESULTSTotally 210 patients with indwelling catheter from Mar 2010 to Mar 2012 were studied. Gender, age, and indwell-ing catheter time indwelling catheter in patients with urinary tract infections were recorded, and statistically de-rived indwelling catheter in patients with urinary tract infection risk factors, and appropriate preventive measureswere analyzed. The study found gender, age, duration of hospitalization, indwelling catheter, invasive proce-dures, antimicrobial use, cancer, hormone use, the number of white blood cells, as well as the basis of diseasestatus were risk factors indwelling catheter in patients with urinary tract infections. CONCLUSION Age, catheter,invasive procedures, and the number of leukocytes are major risk factors for patients with urinary tract infections,it needs to take appropriate measures to actively prevent.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第17期4137-4138,4150,共3页
Chinese Journal of Nosocomiology
基金
湖北省卫生厅科研基金资助项目(JX3A17)
关键词
尿路感染
留置尿管
危险因素
预防
Urinary tract infection
Indwelling catheter
Risk factors
Prevention
