摘要
目的为探讨围绝经期女性医院泌尿系感染情况及其影响因素和病原菌分布，为临床防治提供依据。方法回顾性分析我院2010年2月～2013年2月住院女性尿检患者的临床资料，根据患者是否处于围绝经期分为围绝经期组和非围绝经期组，对比分析两组患者发生院内泌尿系感染的情况，记录和分析围绝经期组患者泌尿系感染的病原菌分布和影响其感染的相关因素。结果困绝经期组女性患者医院泌尿系感染率为22．7％，明显高于非囤绝经期组（P〈0．05）；58倒发生泌尿系感染的圆绝经期组中共检出病原菌61株，革兰阴性菌41株（67．2％），其中以大肠杆菌最常见，革兰阳性菌18株（29．5％），检出真菌2株（3．3％）；分析影响住院围绝经期患者发生泌尿系感染的危险因素包括乡村地区患者，因抑郁、骨质疏松、糖尿病和生殖道肿瘤住院患者，合并有2种以上疾病以及有导尿管留置患者（P〈0．05），而患者所处绝经阶段、体重指数以及绝经期功血患者与是否发生院内泌尿系感染无显著相关（P〉0．05）。结论围绝经期女性是住院女性患者发生泌尿系感染高危人群，医院在加强基础疾病治疗的同时要加强医院管理工作，对高发人群做好特别防范、心理辅导和健康教育，降低其发生院内泌尿系感染的风险。
OBJECTIVE To analyze the situation infuence factor and pathogenic bacteria of urinary tract infection of the hospitalized Perimenopausal women, In order to provide help for the clinical prevention and treatment. METHODS The clincial data of the hospitalized Perimenopausal women from Feb 2010 to Feb 2013 were retrospectively analysed, transition into perimenopausal group and the other group according to the patients Whether in the menopausal, compared the nosocomial urinary tract infection about two groups, recorded and analyzed the other group group of patients with urinary tract infection pathogens distribution and the related factors of infection. RESULTS The urinary tract infection rate of patients with perimenopausal women hospital was 22. 7%, Significantly higher than the other group group （P 〈 0. 05 ） ,61 strains pathogenic bacteria were detected in perimenopausal group.,41 strains gram-negative bacteria （67.2%）, escherichia coli was the most, 18 strains gram-positive bacterium （29. 5% ）, two strains fungi（3.3% ）, The risk effection factor of urinary tract infection for the patients with perimenopausal including： Rural areas 、depression 、osteoporosis 、diabetes and genital tract tumors, patients with more than 2 kinds of diseases and indwelling catheters（ P 〈 0. 05 ） ,While patients were in menopause stage, body mass index ,and dysfunctional uterine bleeding have nothing to do with nosocomial urinary tract infection （P 〉 0. 05 ） . CONCLUSION Perimenopausal women is the high-risk group in urinary tract infection, Hospital should strengthen basic treatment and hospital management work at the same time. Take special measures like Psychological auxiliary guidance,heahh education to reduce the risk of nosocomial urinary tract infection for high-risk groups.
出处
《海峡药学》
2014年第7期93-95,共3页
Strait Pharmaceutical Journal
关键词
围绝经期女性
泌尿系感染
病原菌
临床分析
Perimenopausal women
Urinary tract infections
Pathogenic bacteria
Clinical analysis
